Autonomic markers of arousal during sleep in patients undergoing investigation for obstructive sleep apnoea, their relationship to EEG arousals, respiratory events and subjective sleepiness

Journal of Sleep Research

Volumn 7, Issue 1, 1998, Pages 53-59

  Pitson, D J ^a   Stradling, J R ^a  

^a OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Apnoea; Arousal; Daytime sleepiness; Obstructive sleep apnoea; Pulse transit time

Indexed keywords

ADULT; AGED; APNEA; AROUSAL; ARTICLE; BLOOD PRESSURE; CLINICAL ARTICLE; CLINICAL TRIAL; ELECTROENCEPHALOGRAM; FEMALE; HEART RATE; HUMAN; MALE; OXYGEN SATURATION; POLYSOMNOGRAPHY; PRIORITY JOURNAL; SLEEP APNEA SYNDROME; SOMNOLENCE;

ADULT; AGED; AROUSAL; AUTONOMIC NERVOUS SYSTEM; ELECTROENCEPHALOGRAPHY; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; OXYGEN CONSUMPTION; SLEEP APNEA SYNDROMES; SLEEP, REM;

EID: 0031970652     PISSN: 09621105     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2869.1998.00092.x     Document Type: Article

References (23)

1. Bonnet, M., Carley, D., Carskadon, M., Easton, P., Guilleminault, C., Harper, R., Hayes, B., Hirshkowitz, M., Periklis, K., Keenan, S., Pressman, M., Roehrs, T., Smith, J., Walsh, J., Weber, S. and Westbrook, P. EEG arousals: scoring rules and examples. A preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association. Sleep, 1992, 15: 173-184.
2. Davies, R. J. O., Belt, P. J., Roberts, S. J., Ali, N. J. and Stradling, J. R. Arterial blood pressure responses to graded transient arousal from sleep in normal humans. J. Appl. Physiol., 1993a, 74: 1123-1130.
3. Davies, R. J. O., Vardi-Visy, K., Clarke, M. and Stradling, J. R. Identification of sleep disruption and sleep disordered breathing from the systolic blood pressure profile. Thorax, 1993b, 48: 1242-1247.
4. Drinnan, M. J., Murray, A., Griffiths, C. J. and Gibson, G. J. Interobserver variability in the assessment of EEG arousal. Thorax, 1996, 51 (Suppl. 3), A76: p. 201.
5. Engleman, H. M., Martin, S. E., Deary, I. J. and Douglas, N. J. Effect of continuous positive airway pressure treatment on daytime function in sleep apnoea/hypopnoea syndrome. Lancet, 1994, 343: 572-575.
6. Findley, L. J., Levinson, M. P. and Bonnie, R. J. Driving performance and automobile accidents in patients with sleep apnea. Cli. Chest Med., 1992, 13: 427-435.
7. George, C. F., Millar, T. W. and Kryger, M. H. Identification and quantification of apneas by computer-based analysis of oxygen saturation. Am. Rev. Respir. Dis., 1988, 137: 1238-1240.
8. Gleeson, K., Zwillich, C. W. and White, D. P. The influence of increasing ventilatory effort on arousal from sleep. Am. Rev. Respir. Dis., 1990, 142: 295-300.
9. Gribbin, B., Steptoe, A. and Sleight, P. Pulse wave velocity as a measure of blood pressure change. Psychophysiology, 1976, 13: 86-90.
10. Grunstein, R. R. Sleep-related breathing disorders: 5 - Nasal continuous positive airway pressure treatment for obstructive sleep apnoea. Thorax, 1995, 50: 1106-1113.
11. Guilleminault, C., Stoohs, R., Clerk, A., Cetel, M. and Maistros, P. A cause of excessive daytime sleepiness. The upper airway resistance syndrome. Chest, 1993, 104: 781-787.
12. Guilleminault, C., Stoohs, R. and Duncan, S. Snoring (I). Daytime sleepiness in regular heavy snorers. Chest, 1991, 99: 40-48.
13. Johns, M. W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 1991, 14: 540-545.
14. Johnson, L. C. and Lubin, A. The orienting reflex during waking and sleeping. Electroencephalog. Clin. Neurophysiol., 1967, 22: 11-21.
15. Mathur, R. and Douglas, N. J. Frequency of EEG arousals from nocturnal sleep in normal subjects. Sleep, 1995, 18: 330-333.
16. Pitson, D., Chhina, N., Knijn, S., Van Herwaarden, M. and Stradling, J. Changes in pulse transit time and pulse rate as markers of arousal from sleep in normal subjects. Clin. Sci., 1994, 87: 269-273.
17. Rechtschaffen, A. and Kales, A. A Manual of Standardised Terminology. Techniques and Scoring System for Sleep Stages of Human Subjects, Publication No 204. National Institutes of Health, Washington DC, 1968.
18. Rees, K., Spence, D. P. S., Earis, J. E. and Calverley, P. M. A. Arousal responses from apneic events during non rapid-eye-movement sleep. Am. J. Respir. Crit. Care Med., 1995, 152: 1016-1021.
19. Stradling, J. R., Crosby, J. H. and Payne, C. D. Self-reported snoring and daytime sleepiness in men aged 35-65 years. Thorax, 1991, 46: 807-810.
20. Stradling, J. R. and Crosby, J. H. Relation between systemic hypertension and sleep hypoxaemia or snoring: analysis in 748 men drawn from general practice. Br. Med. J., 1990, 300: 75-78.
21. Stradling, J. R. and Davies, R. J. O. Is it necessary to record sleep. Sleep, 1996, 19: S251-S254.
22. Stradling, J. R., Thomas, G., Warley, A. R. H., Williams, P. and Freeland, A. Effect of adenotonsillectomy on nocturnal hypoxaemia, sleep disturbance, and symptoms in snoring children. Lancet, 1990, 335: 249-253.
23. Warley, A. R., Mitchell, J. H. and Stradling, J. R. Evaluation of the Ohmeda 3700 pulse oximeter. Thorax, 1987, 42: 892-896.