Contribution of central sleep apnea to severe sleep apnea hypopnea syndrome.
Arrhythmia
Central sleep apnea (CSA)
Heart failure
Mixed sleep apnea (MSA)
Journal
Sleep & breathing = Schlaf & Atmung
ISSN: 1522-1709
Titre abrégé: Sleep Breath
Pays: Germany
ID NLM: 9804161
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
03
07
2022
accepted:
10
01
2023
revised:
04
01
2023
medline:
23
10
2023
pubmed:
1
3
2023
entrez:
28
2
2023
Statut:
ppublish
Résumé
Central sleep apnea (CSA) is usually distinguished from obstructive sleep apnea (OSA). In fact, CSA is often a component of severe sleep apnea hypopnea syndrome (SAHS), rather than occurring alone. We investigated the clinical characteristics and polysomnography (PSG) parameters of CSA components in patients with severe SAHS. The clinical characteristics and PSG parameters were retrospectively analyzed. Pure or dominant CSA was rare (5% of all patients). Of all patients with CSA, 72% also exhibited other apnea subtypes that contributed to severe SAHS. Among patients with severe SAHS, those with CSA were more likely than others to be older; thinner; exhibit higher prevalences of comorbid coronary heart disease, arrhythmia, and heart failure; a higher apnea/hypopnea index (AHI); mixed apnea index (MAI); an elevated oxygen desaturation index (ODI); and more nighttime oxygen saturation levels < 90%. Multivariate logistic regression analysis revealed that older age, comorbid arrhythmia or heart failure, and an elevated ODI were independently associated with CSA. Patients who complain of snoring or apnea may be better evaluated by comprehensive PSG prior to treatment if they are old, show greater hypoxia, or suffer from arrhythmia and/or heart failure, because such patients are more likely than others to exhibit CSA.
Identifiants
pubmed: 36849673
doi: 10.1007/s11325-023-02776-6
pii: 10.1007/s11325-023-02776-6
pmc: PMC10539457
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1839-1845Subventions
Organisme : Major Research Plan of National Natural Science Foundation of China
ID : No.92163213
Organisme : General Program of National Natural Science Foundation of China
ID : 81970085
Organisme : Tianjin Key Medical Discipline(specialty) Construction Project
ID : TJYXZDXK-049A
Informations de copyright
© 2023. The Author(s).
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