A Prospective Study of CPAP Therapy in Relation to Cardiovascular Outcome in a Cohort of Romanian Obstructive Sleep Apnea Patients.

CPAP cardiovascular disease obstructive sleep apnea syndrome serum lipids tricuspid annular plane systolic excursion

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
02 Oct 2021
Historique:
received: 21 09 2021
revised: 29 09 2021
accepted: 30 09 2021
entrez: 23 10 2021
pubmed: 24 10 2021
medline: 24 10 2021
Statut: epublish

Résumé

Despite efforts at treatment, obstructive sleep apnea (OSA) remains a major health problem, especially with increasing evidence showing an association with cardiovascular morbidity and mortality. The treatment of choice for OSA patients is Continuous Positive Airway Pressure (CPAP), which has been proven in randomized controlled trials to be an effective therapy for this condition. The impact of CPAP on the cardiovascular pathology associated with OSA remains, however, unclear. Although the effect of CPAP has been previously studied in relation to cardiovascular outcome, follow-up of the treatment impact on cardiovascular risk factors at one year of therapy is lacking in a Romanian population. Thus, we aimed to evaluate the one-year effect of CPAP therapy on lipid profile, inflammatory state, blood pressure and cardiac function, assessed by echocardiography, on a cohort of Romanian OSA patients. We enrolled 163 participants and recorded their baseline demographic and clinical characteristics with a follow-up after 12 months. Inflammatory and cardiovascular risk factors were assessed at baseline and follow up. Our results show that CPAP therapy leads to attenuation of cardiovascular risk factors including echocardiographic parameters, while having no effect on inflammatory markers. Treatment of OSA with CPAP proved to have beneficial effects on some of the cardiovascular risk factors while others remained unchanged, raising new questions for research into the treatment and management of OSA patients.

Sections du résumé

BACKGROUND BACKGROUND
Despite efforts at treatment, obstructive sleep apnea (OSA) remains a major health problem, especially with increasing evidence showing an association with cardiovascular morbidity and mortality. The treatment of choice for OSA patients is Continuous Positive Airway Pressure (CPAP), which has been proven in randomized controlled trials to be an effective therapy for this condition. The impact of CPAP on the cardiovascular pathology associated with OSA remains, however, unclear. Although the effect of CPAP has been previously studied in relation to cardiovascular outcome, follow-up of the treatment impact on cardiovascular risk factors at one year of therapy is lacking in a Romanian population. Thus, we aimed to evaluate the one-year effect of CPAP therapy on lipid profile, inflammatory state, blood pressure and cardiac function, assessed by echocardiography, on a cohort of Romanian OSA patients.
METHODS METHODS
We enrolled 163 participants and recorded their baseline demographic and clinical characteristics with a follow-up after 12 months. Inflammatory and cardiovascular risk factors were assessed at baseline and follow up.
RESULTS RESULTS
Our results show that CPAP therapy leads to attenuation of cardiovascular risk factors including echocardiographic parameters, while having no effect on inflammatory markers.
CONCLUSION CONCLUSIONS
Treatment of OSA with CPAP proved to have beneficial effects on some of the cardiovascular risk factors while others remained unchanged, raising new questions for research into the treatment and management of OSA patients.

Identifiants

pubmed: 34683142
pii: jpm11101001
doi: 10.3390/jpm11101001
pmc: PMC8540427
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Iuliu Hațieganu University of Medicine and Pharmacy
ID : 1033/10/13.01.2021

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Auteurs

Ioana Maria Chetan (IM)

Department of Pneumology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400332 Cluj-Napoca, Romania.
Heart Institute "Nicolae Stancioiu", 400001 Cluj-Napoca, Romania.

Anca Diana Maierean (AD)

Department of Pneumology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400332 Cluj-Napoca, Romania.

Bianca Domokos Gergely (B)

Department of Pneumology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400332 Cluj-Napoca, Romania.

Georgiana Cabau (G)

Department of Medical Genetics, "Iuliu Haţieganu" University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.

Raluca Tomoaia (R)

Heart Institute "Nicolae Stancioiu", 400001 Cluj-Napoca, Romania.
Department of Cardiology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400437 Cluj-Napoca, Romania.

Ana Florica Chis (AF)

Department of Pneumology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400332 Cluj-Napoca, Romania.

Adriana Albu (A)

2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400000 Cluj-Napoca, Romania.

Mirela Anca Stoia (MA)

Department of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania.

Stefan Cristian Vesa (SC)

Department of Pharmacology, Toxicology and Clinical Pharmacology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania.

Dan Blendea (D)

Department of Medicine, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania.

Doina Adina Todea (DA)

Department of Pneumology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400332 Cluj-Napoca, Romania.

Classifications MeSH