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    Area of Science:

    • Cardiology
    • Biomedical Engineering
    • Artificial Intelligence

    Background:

    • Sleep apnea (SA) is a critical global health issue.
    • Deep Learning (DL) shows promise for electrocardiogram (ECG)-based SA diagnosis.
    • Conventional ECG features (R-peaks, RR intervals) may miss vital signal information.

    Purpose of the Study:

    • To develop an innovative ECG feature extraction method for improved SA detection.
    • To address the limitations of traditional feature extraction in DL models for SA diagnosis.
    • To enhance the performance of lightweight DL models for SA detection.

    Main Methods:

    • Inspired by Matrix Profile algorithms, derived MinDP, MaxDP, and MeanDP from ECG signal subsequences.
    • Utilized modified LeNet-5, BAFNet, and SE-MSCNN deep learning models.
    • Validated the approach on PhysioNet Apnea-ECG and UCDDB datasets.

    Main Results:

    • Achieved up to 92.11% and 81.25% per-segment accuracy on the datasets.
    • Reached 100% per-recording accuracy on the PhysioNet data.
    • Obtained a high correlation of 0.989 with state-of-the-art methods.

    Conclusions:

    • The novel distance-based feature extraction method enhances DL model performance for SA detection.
    • The approach shows potential for application in home sleep apnea tests (HSAT) and IoT devices.
    • Publicly available source code facilitates further research and development.