Evidence map›Paper›PMID 27826247›Full record

ReviewFrontiers in physiology2016

Modulations of Heart Rate, ECG, and Cardio-Respiratory Coupling Observed in Polysomnography.

Thomas Penzel, Jan W Kantelhardt, Ronny P Bartsch, Maik Riedl, Jan F Kraemer, Niels Wessel, Carmen Garcia, Martin Glos, Ingo Fietze, Christoph Schöbel

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 166 citations in OpenAlex.

  1. Pooled it
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  7. From classic to cutting-edge: technological approaches to respiratory physiological signals in assessing sleep-disordered breathing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Review
  8. Article
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  10. Combined explainable deep learning model to predict pediatric sleep apnea from ECG and SpOMeasurement : journal of the International Measurement Confederation · 2026
    Article
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  14. Decrypting network physiology for clinical practice.Frontiers in network physiology · 2026
    Review
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Thomas PenzelInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin BerlinBerlin, Germany; International Clinical Research Center, St. Anne's University Hospital BrnoBrno, Czech Republic.
Jan W KantelhardtNaturwissenschaftliche Fakultät II - Chemie, Physik und Mathematik, Institut für Physik, Martin-Luther Universität Halle-WittenbergHalle, Germany; Kardiovaskuläre Physik, Arbeitsgruppe Nichtlineare Dynamik, Fachbereich Physik, Humboldt-Universität BerlinBerlin, Germany.
Ronny P BartschPhysics Department, Bar-Ilan-University Ramat Gan, Israel.
Maik RiedlKardiovaskuläre Physik, Arbeitsgruppe Nichtlineare Dynamik, Fachbereich Physik, Humboldt-Universität Berlin Berlin, Germany.
Jan F KraemerKardiovaskuläre Physik, Arbeitsgruppe Nichtlineare Dynamik, Fachbereich Physik, Humboldt-Universität Berlin Berlin, Germany.
Niels WesselKardiovaskuläre Physik, Arbeitsgruppe Nichtlineare Dynamik, Fachbereich Physik, Humboldt-Universität Berlin Berlin, Germany.
Carmen GarciaInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin Berlin, Germany.
Martin GlosInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin Berlin, Germany.
Ingo FietzeInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin Berlin, Germany.
Christoph SchöbelInterdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEHumboldt-Universität zu Berlin · DEBar-Ilan University · ILMartin Luther University Halle-Wittenberg · DESt. Anne's University Hospital Brno · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The cardiac component of cardio-respiratory polysomnography is covered by ECG and heart rate recordings. However, their evaluation is often underrepresented in summarizing reports. As complements to EEG, EOG, and EMG, these signals provide diagnostic information for autonomic nervous activity during sleep. This review presents major methodological developments in sleep research regarding heart rate, ECG, and cardio-respiratory couplings in a chronological (historical) sequence. It presents physiological and pathophysiological insights related to sleep medicine obtained by new technical developments. Recorded nocturnal ECG facilitates conventional heart rate variability (HRV) analysis, studies of cyclical variations of heart rate, and analysis of ECG waveform. In healthy adults, the autonomous nervous system is regulated in totally different ways during wakefulness, slow-wave sleep, and REM sleep. Analysis of beat-to-beat heart-rate variations with statistical methods enables us to estimate sleep stages based on the differences in autonomic nervous system regulation. Furthermore, up to some degree, it is possible to track transitions from wakefulness to sleep by analysis of heart-rate variations. ECG and heart rate analysis allow assessment of selected sleep disorders as well. Sleep disordered breathing can be detected reliably by studying cyclical variation of heart rate combined with respiration-modulated changes in ECG morphology (amplitude of R wave and T wave).

Indexed as

autonomic functioncardiovascular regulationECGheart ratesleep apneasleep stages

Identifiers

PMID27826247
PMCPMC5078504
OpenAlexW2538402747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.