An assessment of sleep quality and sleep disordered breathing is
determined from cardiopulmonary coupling between two physiological data
series. An R-R interval series is derived from an electrocardiogram (ECG)
signal. The normal beats from the R-R interval series are extracted to
produce a normal-to-normal interval series. The amplitude variations in
the QRS complex are used to extract a surrogate respiration signal (i.e.,
ECG-derived respiration) associated with the NN interval series. The two
series are corrected to remove outliers, and resampled. The
cross-spectral power and coherence of the two resampled signals are
calculated over a plurality of coherence windows. For each coherence
window, the product of the coherence and cross-spectral power is used to
calculate coherent cross-power. Using the appropriate thresholds for the
coherent cross-power, the proportion of sleep spent in CAP, non-CAP, and
wake and/or REM are determined. Coherent cross-power can be applied to
differentiate obstructive from non-obstructive disease, and admixtures of
the same.