Prevalence of pulmonary hypertension and its association with respiratory disturbances in obese patients living at moderately high altitude

International Journal of Obesity

Volumn 28, Issue 9, 2004, Pages 1174-1180

  Valencia Flores, M ^a,b   Rebollar, V ^a   Santiago, V ^a   Orea, A ^a   Rodriguez C ^a   Resendiz, M ^a   Castano A ^a   Roblero, J ^a   Campos, R M ^b   Oseguera, J ^a   Garcia Ramos G ^a   Bliwise, D L ^c  

^a INSTITUTO NACIONAL DE CIENCIAS MÉDICAS Y NUTRICIÓN SALVADOR ZUBIRÁN   (Mexico)

^b UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO   (Mexico)

^c EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Hypoventilation; Obstructive sleep apnea; Pulmonary hypertension

Indexed keywords

ADULT; AGED; ALTITUDE; APNEA; ARTICLE; BODY MASS; CARDIOVASCULAR RISK; CIRCADIAN RHYTHM; CONFIDENCE INTERVAL; CONTROLLED STUDY; CORRELATION ANALYSIS; DATA ANALYSIS; DISEASE ASSOCIATION; DISEASE SEVERITY; DOPPLER ECHOCARDIOGRAPHY; FEMALE; HUMAN; LUNG ALVEOLUS HYPOVENTILATION; LUNG ARTERY PRESSURE; MAJOR CLINICAL STUDY; MALE; OBESITY; PATIENT SELECTION; PREDICTION; PREVALENCE; PRIORITY JOURNAL; PULMONARY HYPERTENSION; RESPIRATORY FAILURE; STATISTICAL SIGNIFICANCE;

ADULT; ALTITUDE; ANTHROPOMETRY; CIRCADIAN RHYTHM; ECHOCARDIOGRAPHY, DOPPLER; FEMALE; HUMANS; HYPERTENSION, PULMONARY; HYPOVENTILATION; MALE; MIDDLE AGED; OBESITY; POLYSOMNOGRAPHY; RISK FACTORS; SLEEP APNEA SYNDROMES;

EID: 4344626579     PISSN: 03070565     EISSN: None     Source Type: Journal    
DOI: 10.1038/sj.ijo.0802726     Document Type: Article

References (30)

1. Podszus T. Pulmonary hemodynamics in sleep-related breathing disorders. In: Smirne S, Franceschi M, Ferini Strambi L (eds). Sleep and ageing. Masson: Milano; 1991. pp 122-134.
2. Marrone O, Bellia V, Ferrara G, Milone F, Romano L, Salvaggio A, Stallone A, Bonsignore G. Transmural pressure measurements. Importance in the assessment of pulmonary hypertension in obstructive sleep apneas. Chest 1989; 95: 338-342.
3. Marrone O, Bonsignore MR, Romano S, Bonsignore G. Slow and fast changes in transmural pulmonary artery pressure in obstructive sleep apnoea. Eur Respir J 1994; 7: 2192-2198.
4. Weitzenblum E, Krieger J, Apprill M, Vallée E, Ehrhart M, Ratomaharo J, Oswald M, Kurtz D. Daytime pulmonary hypertension in patients with obstructive sleep apnea syndrome. Am Rev Respir Dis 1988; 138: 345-349.
5. Sajkov D, Cowie RJ, Thornton AT, Espinoza HA, McEvoy RD. Pulmonary hypertension and hypoxemia in obstructive sleep apnea syndrome. Am J Respir Crit Care Med 1994; 149: 416-422.
6. Laks L, Lehrhaft B, Grunstein RR, Sullivan CE. Pulmonary hypertension in obstructive sleep apnoea. Eur Respir J 1995; 8: 537-541.
7. Chaouat A, Weitzenblum E, Krieger J, Oswald M, Kessler R. Pulmonary hemodynamics in the obstructive sleep apnea syndrome. Results in 220 consecutive patients. Chest 1996; 109: 380-386.
8. Krieger J, Sforza E, Apprill M, Lampert E, Weitzenblum E, Ratomaharo J. Pulmonary hypertension, hypoxemia, and hypercapnia in obstructive sep apnea patients. Chest 1989; 96: 729-737.
9. Burwell CS, Robin ED, Whaley RD, Bickelmann AG. Extreme obesity associated with alveolar hypoventilation - A Pickwickian syndrome. Am J Med 1956; 21: 811-818.
10. Gastaut H, Tassinari CA, Duron B. Etude polygraphique des manifestations épisodiques (hypniques et respiratoires) du syndrome de Pickwick. Rev Neurol (Paris) 1965; 112: 568-579.
11. Collop NA. Refractory hypoxemia in a morbidly obese 28-year-old woman. Chest 1996; 109: 1101-1102.
12. Kessler R, Chaouat A, Weitzenblum E, Oswald M, Ehrhart M, Apprill M, Krieger J. Pulmonary hypertension in the obstructive sleep apnoea syndrome: prevalence, causes and therapeutic consequences. Eur Respir J 1996; 9: 787-794.
13. Alchanatis M, Tourkohoriti G, Kakouros S, Kosmas E, Podaras S, Jordanoglou JB. Daytime pulmonary hypertension in patients with obstructive sleep apnea. Respiration 2001; 68: 566-572.
14. Bady E, Achkar A, Pascal S, Orvoen-Frija E, Laaban JP. Pulmonary arterial hypertension in patients with sleep apnoea syndrome. Thorax 2000; 55: 934-939.
15. Lupi-Herrera E, Seoane M, Sandoval J, Casanova JM, Bialostozky D. Behavior of the pulmonary circulation in the grossly obese patient. Pathogenesis of pulmonary arterial hypertension at an altitude of 2,240 meters. Chest 1980; 78: 553-558.
16. Report of a WHO consultation on obesity. WHO/NUT/NCD/98.1. World Health Organization; 1998.
17. Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Committee Report. Diabetes Care 1997; 20: 1183-1197.
18. Valencia-Flores M, Orea A, Castaño VA, Resendiz M, Rosales M, Rebollar V, Santiago V, Gallegos J, Campos RM, González J, Oseguera J, García-Ramos G, Bliwise DL. Prevalence of sleep apnea and electrocardiographic disturbances in morbidly obese patients. Obesity Res 2000; 8: 262-269.
19. Pérez Martínez SO, Pérez-Padilla JR. Valores gasométricos en sujetos sanos reportados en la población mexicana: revisión y análisis. Rev Inv Clin 1992; 44: 353-362.
20. Sajkov D, Cowie RJ, Bradley JA, Mahar L, McEvoy RD. Validation of new pulsed doppler echocardiographic techniques for assessment of pulmonary hemodynamics. Chest 1993; 103: 1348-1353.
21. Mcgoon MD. The assessment of pulmonary hypertension. In: Rich S, McLaughlin VV (eds). Pulmonary hypetension. Clin Chest Med 2001; 22: 493-507.
22. Bossone E, Rubenfire M, Bach DS, Ricciardi M, Armstrong WF. Range of tricuspid regurgitation velocity at rest and during exercise in normal adult men: implications for the diagnosis of pulmonary hypertension. J Am Coll Cardiol 1999; 33: 1662-1666.
23. Fishman AP. Pulmonary Hypertension. In: Schlant RC, Alexander WR (eds). The Heart, arteries and veins. McGraw-Hill, Inc.: New York; 1994. pp 1857-1874.
24. Schoene RB, Hornbein TF. High altitude adaptation. In: Murray JF, Nadel JA. (eds). Respiratory medicine. WB Saunders Company: Philadelphia; 1988. pp 196-220.
25. Reeves JT, Grover RF. High-altitude pulmonary hypertension and pulmonary edema. In: Yu PN, Goodwin JF (eds). Progress in cardiology. Lea and Febiger: Philadelphia; 1975. pp 99-118.
26. deMicheli A, Villacis E, Guzzy de la Mora P, Rubio Alvarez V. Observaciones sobre los valores hemodinamicos y respiratorios obtenidos en sujetos normales. Arch Inst Cardiol 1960; 30: 507-520.
27. Reynolds T. The echocardiographer's pocket reference. Arizona Heart Institute: Phoenix, Arizona; 1995. pp 134.
28. American Thoracic Society. Standardization of spirometry. 1994 update. Am J Respir Crit Care Med 1995. 1107-1136.
29. Kinsman TA, Hahn AG, Gore CJ, Wilsmore BR, Martin DT, Chow CM. Respiratory events and periodic breathing in cyclists sleeping at 2,650-m simulated altitude. J Appl Physiol 2002; 92: 2114-2118.
30. Allemann Y, Sartori C, Lepori M, Pierre S, Melot C, Naeije R, Scherrer U, Maggiorini M. Echocardiographic and invasive measurements of pulmonary artery pressure correlate closely at high altitude. Am J Physiol Heart Circ Physiol. 2000; 279: H2013-H2016.