Improving heart rate variability in sleep apnea patients: Differences in treatment with auto-titrating positive airway pressure (APAP) versus conventional CPAP

Lung

Volumn 188, Issue 4, 2010, Pages 315-320

  Karasulu, Levent ^a,b   Epöztürk, Pinar Özkan ^a   Sökücü, Sinem Nedime ^a   Dalar, Levent ^a   AltIn, Sedat ^a  

^a Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital   (Turkey)

^b Yedikule Teaching Hospital   (Turkey)

Author keywords

Cardiovascular; Heart rate variability; Positive airway pressure; Sleep apnea

Indexed keywords

ADULT; AGED; AROUSAL; ARTICLE; ASSISTED VENTILATION; AUTO TITRATING POSITIVE AIRWAY PRESSURE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HEART RATE VARIABILITY; HUMAN; INTERMETHOD COMPARISON; MALE; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SLEEP; SLEEP APNEA SYNDROME; TERTIARY HEALTH CARE; COMPARATIVE STUDY; HEART RATE; MIDDLE AGED; PHYSIOLOGY; PROCEDURES; SLEEP APNEA, OBSTRUCTIVE; SLEEP STAGE; TREATMENT OUTCOME;

ADULT; AGED; CONTINUOUS POSITIVE AIRWAY PRESSURE; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; POLYSOMNOGRAPHY; PROSPECTIVE STUDIES; SLEEP APNEA, OBSTRUCTIVE; SLEEP STAGES; TREATMENT OUTCOME;

EID: 77955552672     PISSN: 03412040     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00408-010-9237-4     Document Type: Article

References (24)

1. JM Golbin VK Somers SM Caples 2008 Obstructive sleep apnea, cardiovascular disease, and pulmonary hypertension Proc Am Thorac Soc 5 200 206 10.1513/pats.200708-143MG 18250213 (Pubitemid 351237879)
2. CE Sullivan FG Issa M Berthon-Jones L Eves 1981 Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares Lancet 1 862 865 10.1016/S0140-6736(81)92140-1 1:STN:280:DyaL3M7ps1WhtA%3D%3D 6112294
3. VK Somers DP White R Amin WT Abraham F Costa A Culebras S Daniels JS Floras CE Hunt LJ Olson T Pickering R Russel M Woo T Young 2008 Sleep apnea and cardiovascular disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing in Collaboration with the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health) J Am Coll Cardiol 52 686 717 10.1016/j.jacc.2008.05.002 18702977
4. C Guilleminault D Poyares A Rosa Y Huang 2005 Heart rate variability, sympathetic and vagal balance and EEG arousals in upper airway resistance and mild obstructive sleep apnea syndromes Sleep Med 6 451 457 10.1016/j.sleep.2005. 03.014 15994124 (Pubitemid 41245368)
5. J Chaicharn M Carrington J Trinder MCK Khoo 2008 The effects on cardiovascular autonomic control of repetitive arousal from sleep Sleep 31 93 103 1:STN:280:DC%2BD1c%2Fms1eqsQ%3D%3D 18220082
6. JE Dimsdale T Coy MG Ziegler S Ancoli-Israel J Clausen 1995 The effect of sleep apnea on plasma and urinary catecholamines Sleep 18 377 381 1:STN:280:DyaK2Mvgs1KjtQ%3D%3D 7676172
7. J Hedner B Darpo H Ejnell J Carlson K Caidahl 1995 Reduction in sympathetic activity after long-term CPAP treatment in sleep apnoea: cardiovascular implications Eur Respir J 8 222 229 10.1183/09031936.95.08020222 1:STN:280:DyaK2M3nvVeisA%3D%3D 7758555
8. K Narkiewicz M Kato BG Phillips CA Pesek DE Davison VK Somers 1999 Nocturnal continuous positive airway pressure decreases daytime sympathetic traffic in obstructive sleep apnea Circulation 100 2332 2335 1:STN:280:DC%2BD3c%2FlsVWgsQ%3D%3D 10587337
9. M Konermann BM Sanner M Vyleta F Laschewski J Groetz A Sturm W Zidek 1998 Use of conventional and self-adjusting nasal continuous positive airway pressure for treatment of severe obstructive sleep apnea syndrome: a comparative study Chest 113 714 718 10.1378/chest.113.3.714 1:STN:280:DyaK1c7nsFKjsw%3D%3D 9515848 (Pubitemid 28130947)
10. Y Nussbaumer KE Bloch T Genser R Thurnheer 2006 Equivalence of autoadjusted and constant continuous positive airway pressure in home treatment of sleep apnea Chest 129 638 643 10.1378/chest.129.3.638 16537862
11. N Dursunoǧlu D Dursunoǧlu C Cuhadaroǧlu Z Kiliçaslan 2005 Acute effects of automated continuous positive airway pressure on blood pressure in patients with sleep apnea and hypertension Respiration 72 150 155 10.1159/000084045 15824524 (Pubitemid 40591527)
12. V Patruno S Aiolfi G Costantino R Murgia C Selmi A Maliani N Montano 2007 Fixed and autoadjusting continuous positive airway pressure treatments are not similar in reducing cardiovascular risk factors in patients with obstructive sleep apnea Chest 131 1393 1399 10.1378/chest.06-2192 17494789 (Pubitemid 46762344)
13. K Narkiewicz N Montano C Cogliati PJ van de Borne ME Dyken VK Somers 1998 Altered cardiovascular variability in obstructive sleep apnea Circulation 98 1071 1077 1:STN:280:DyaK1cvgvFGiuw%3D%3D 9736593
14. K Narkiewicz VK Somers 2001 Cardiovascular variability characteristics in obstructive sleep apnea Auton Neurosci 90 89 94 10.1016/S1566-0702(01)00272-7 1:STN:280:DC%2BD38%2FisFyltQ%3D%3D 11485297 (Pubitemid 32544918)
15. LJ Gula AD Krahn A Skanes KA Ferguson C George R Yee G Klein 2003 Heart rate variability in obstructive sleep apnea: a prospective study and frequency domain analysis Ann Noninvasive Electrocardiol 8 144 149 10.1046/j.1542-474X. 2003.08209.x 12848796 (Pubitemid 38569994)
16. RE Maser MJ Lenhard AA Rizzo AA Vasile 2008 Continuous positive airway pressure therapy improves cardiovascular autonomic function for persons with sleep-disordered breathing Chest 133 86 91 10.1378/chest.07-1580 17951618
17. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology 1996 Heart rate variability: standards of measurement, physiological interpretation, and clinical use Circulation 93 1043 1065
18. MH Bonnet DL Arand 1997 Heart rate variability: sleep stage, time of night, and arousal influences Electroencephalogr Clin Neurophysiol 102 390 396 10.1016/S0921-884X(96)96070-1 1:STN:280:DyaK2szjsV2itA%3D%3D 9191582 (Pubitemid 27245192)
19. F Yasuma J Hayano 2004 Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm? Chest 125 683 690 10.1378/chest.125.2.683 14769752 (Pubitemid 38223650)
20. CP O'Donnell L Allan P Atkinson AR Schwartz 2002 The effect of upper airway obstruction and arousal on peripheral arterial tonometry in obstructive sleep apnea Am J Respir Crit Care Med 166 965 971 10.1164/rccm.2110072 12359655 (Pubitemid 35193227)
21. E Sforza C Jouny V Ibanez 2000 Cardiac activation during arousal in humans: further evidence for hierarchy in the arousal response Clin Neurophysiol 111 1611 1619 10.1016/S1388-2457(00)00363-1 1:STN:280:DC%2BD3M%2Fhs1Ortw%3D%3D 10964073 (Pubitemid 30646001)
22. J Krieger C Schröder C Erhardt 2003 Cortical arousal, autonomic arousal. Evaluation techniques and clinical importance Rev Neurol (Paris) 159 11 Suppl 6S107 6S112 1:STN:280:DC%2BD3srntFyjug%3D%3D
23. IA Harsch SP Schahin M Radespiel-Tröger O Weintz H Jahreiss FS Fuchs GH Wiest EG Hahn T Lohmann PC Konturek JH Ficker 2004 Continuous positive airway pressure treatment rapidly improves insulin sensitivity in patients with obstructive sleep apnea syndrome Am J Respir Crit Care Med 169 156 162 10.1164/rccm.200302-206OC 14512265 (Pubitemid 38114528)
24. ASM Shamsuzzaman BJ Gersh VK Somers 2003 Obstructive sleep apnea: implications for cardiac and vascular disease JAMA 290 1906 1914 10.1001/jama.290.14.1906 1:CAS:528:DC%2BD3sXotVWktbo%3D 14532320 (Pubitemid 37430608)