{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T05:27:06Z","timestamp":1761974826365},"reference-count":31,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2003,11,1]],"date-time":"2003-11-01T00:00:00Z","timestamp":1067644800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sleep Medicine"],"published-print":{"date-parts":[[2003,11]]},"DOI":"10.1016\/j.sleep.2003.06.003","type":"journal-article","created":{"date-parts":[[2003,10,16]],"date-time":"2003-10-16T15:12:22Z","timestamp":1066317142000},"page":"537-542","source":"Crossref","is-referenced-by-count":28,"title":["Clinical significance of pulse rate rise during sleep as a screening marker for the assessment of sleep fragmentation in sleep-disordered breathing"],"prefix":"10.1016","volume":"4","author":[{"given":"Hiroyoshi","family":"Adachi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Mikami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Kumano-go","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nakamori","family":"Suganuma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihisa","family":"Shigedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiro","family":"Sugita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Takeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.sleep.2003.06.003_BIB1","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1164\/ajrccm.153.4.8616562","article-title":"The effect of sleep fragmentation on daytime function","volume":"153","author":"Martin","year":"1996","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.sleep.2003.06.003_BIB2","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1164\/ajrccm.155.5.9154863","article-title":"The effect of nonvisible sleep fragmentation on daytime function","volume":"155","author":"Martin","year":"1997","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.sleep.2003.06.003_BIB3","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1378\/chest.104.3.781","article-title":"A cause of excessive daytime sleepiness. The upper airway resistance syndrome","volume":"104","author":"Guilleminault","year":"1993","journal-title":"Chest"},{"key":"10.1016\/j.sleep.2003.06.003_BIB4","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1046\/j.1440-1819.2003.01101.x","article-title":"Three components of obstructive sleep apnea\/hypopnea syndrome","volume":"57","author":"Kumano-go","year":"2003","journal-title":"Psychiatry Clin Neurosci"},{"issue":"Suppl","key":"10.1016\/j.sleep.2003.06.003_BIB5","first-page":"542","article-title":"Validation of oximetry as a screening test for obstructive sleep apnoea syndrome","volume":"10","author":"Bonsignore","year":"1990","journal-title":"Eur Respir J"},{"key":"10.1016\/j.sleep.2003.06.003_BIB6","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1378\/chest.100.3.631","article-title":"Screening for sleep apnea using pulse oximetry and a clinical score","volume":"100","author":"Williams","year":"1991","journal-title":"Chest"},{"key":"10.1016\/j.sleep.2003.06.003_BIB7","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1136\/thx.46.8.586","article-title":"Value of nocturnal oxygen saturation as a screening test for sleep apnoea","volume":"46","author":"Cooper","year":"1991","journal-title":"Thorax"},{"issue":"3","key":"10.1016\/j.sleep.2003.06.003_BIB8","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1093\/sleep\/18.3.167","article-title":"Nocturnal oximetry: is it a screening tool for sleep disorders?","volume":"18","author":"Yamashiro","year":"1995","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2003.06.003_BIB9","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1164\/ajrccm\/147.1.50","article-title":"A comparison of clinical assessment and home oximetry in the diagnosis of obstructive sleep apnea","volume":"147","author":"Gyulay","year":"1993","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.sleep.2003.06.003_BIB10","doi-asserted-by":"crossref","first-page":"449","DOI":"10.7326\/0003-4819-119-6-199309150-00001","article-title":"Utility of nocturnal home oximetry for case finding in patients with suspected sleep apnea hypopnea syndrome","volume":"119","author":"Series","year":"1993","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.sleep.2003.06.003_BIB11","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1378\/chest.99.5.1151","article-title":"Does oximetry contribute to the detection of apneic events? Mathematical processing of the SaO2 signal","volume":"99","author":"Pepin","year":"1991","journal-title":"Chest"},{"key":"10.1016\/j.sleep.2003.06.003_BIB12","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/0140-6736(92)91660-Z","article-title":"Clinical value of polysomnography","volume":"339","author":"Douglas","year":"1992","journal-title":"Lancet"},{"key":"10.1016\/j.sleep.2003.06.003_BIB13","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1164\/ajrccm\/148.4_Pt_1.1023","article-title":"Digital monitoring of sleep disordered breathing using snoring sound and arterial oxygen saturation","volume":"148","author":"Issa","year":"1993","journal-title":"Am Rev Respir Dis"},{"key":"10.1016\/j.sleep.2003.06.003_BIB14","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/S1389-9457(01)00129-0","article-title":"Clinical significance of nocturnal oximeter monitoring for detection of sleep apnea syndrome in the elderly","volume":"3","author":"Teramoto","year":"2002","journal-title":"Sleep Med"},{"key":"10.1016\/j.sleep.2003.06.003_BIB15","first-page":"788","article-title":"A simple method for assessing the validity of the esophageal balloon technique","volume":"126","author":"Baydur","year":"1982","journal-title":"Am Rev Respir Dis"},{"year":"1968","series-title":"A manual of standardization terminology, techniques and scoring system for sleep stages of human subjects","author":"Rechtschaffen","key":"10.1016\/j.sleep.2003.06.003_BIB16"},{"issue":"5","key":"10.1016\/j.sleep.2003.06.003_BIB17","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1093\/sleep\/22.5.667","article-title":"Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force","volume":"22","year":"1999","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2003.06.003_BIB18","first-page":"173","article-title":"EEG arousals: scoring rules and examples. A preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association","volume":"15","author":"Bonnet","year":"1992","journal-title":"Sleep"},{"key":"10.1016\/j.sleep.2003.06.003_BIB19","first-page":"169","article-title":"The relationship between esophageal pressure and apnea hypopnea index in obstructive sleep apnea\u2013hypopnea syndrome","volume":"3","author":"Watanabe","year":"2000","journal-title":"Sleep Res Online"},{"key":"10.1016\/j.sleep.2003.06.003_BIB20","first-page":"201","article-title":"Inter-observer variability in the assessment of EEG arousal","volume":"51(Suppl 3),A76","author":"Drinnan","year":"1996","journal-title":"Thorax"},{"key":"10.1016\/j.sleep.2003.06.003_BIB21","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1152\/jappl.1995.79.1.151","article-title":"Immediate effects of arousal from sleep on cardiac autonomic outflow in the absence of breathing in dogs","volume":"79","author":"Horner","year":"1995","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.sleep.2003.06.003_BIB22","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1056\/NEJM199302043280502","article-title":"Sympathetic nerve activity during sleep in normal subjects","volume":"328","author":"Somers","year":"1993","journal-title":"N Engl J Med"},{"key":"10.1016\/j.sleep.2003.06.003_BIB23","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1152\/jappl.2000.88.3.1084","article-title":"Effects of arousal and sleep state on systemic and pulmonary hemodynamics in obstructive sleep apnea","volume":"88","author":"Schneider","year":"2000","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.sleep.2003.06.003_BIB24","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1152\/jappl.1996.80.5.1627","article-title":"Neurocirculatory consequences of abrupt change in sleep-state in humans","volume":"80","author":"Morgan","year":"1996","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.sleep.2003.06.003_BIB25","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1093\/brain\/114.3.1281","article-title":"Muscle sympathetic nerve activity during sleep in man","volume":"114","author":"Hornyak","year":"1991","journal-title":"Brain"},{"key":"10.1016\/j.sleep.2003.06.003_BIB26","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S1389-9457(01)00122-8","article-title":"Pulseoximetry: sufficient to diagnose severe sleep apnea","volume":"3","author":"Oeverland","year":"2002","journal-title":"Sleep Med"},{"key":"10.1016\/j.sleep.2003.06.003_BIB27","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/S0013-4694(98)00108-4","article-title":"Cyclic alternating pattern (CAP) in normal sleep: polysomnographic parameters in different age groups","volume":"107","author":"Parrino","year":"1998","journal-title":"Electroencephalogr Clin Neurophysiol"},{"key":"10.1016\/j.sleep.2003.06.003_BIB28","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1164\/ajrccm.154.2.8756822","article-title":"Movement arousals and sleep-related disordered breathing in adults","volume":"154","author":"Collard","year":"1996","journal-title":"Am J Respir Crit Care Med"},{"issue":"1","key":"10.1016\/j.sleep.2003.06.003_BIB29","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1053\/smrv.1999.0083","article-title":"Origin and significance of the cyclic alternating pattern (CAP)","volume":"4","author":"Terzano","year":"2000","journal-title":"Sleep Med Rev"},{"key":"10.1016\/j.sleep.2003.06.003_BIB30","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1111\/j.1365-2869.1993.tb00067.x","article-title":"Power spectrum analysis and heart rate variability in Stage 4 and REM sleep: evidence for state-specific changes in autonomic dominance","volume":"2","author":"Berlad","year":"1993","journal-title":"J Sleep Res"},{"key":"10.1016\/j.sleep.2003.06.003_BIB31","doi-asserted-by":"crossref","first-page":"H946","DOI":"10.1152\/ajpheart.1998.275.3.H946","article-title":"Dynamic heart rate variability: a tool for exploring sympathovagal balance continuously during sleep in men","volume":"275","author":"Otzenberger","year":"1998","journal-title":"Am J Physiol Heart Circ Physiol"}],"container-title":["Sleep Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1389945703001989?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1389945703001989?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,2,19]],"date-time":"2019-02-19T15:58:43Z","timestamp":1550591923000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1389945703001989"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,11]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2003,11]]}},"alternative-id":["S1389945703001989"],"URL":"https:\/\/doi.org\/10.1016\/j.sleep.2003.06.003","relation":{},"ISSN":["1389-9457"],"issn-type":[{"type":"print","value":"1389-9457"}],"subject":[],"published":{"date-parts":[[2003,11]]}}}