The effect of aging and severity of sleep apnea on heart rate variability indices in obstructive sleep apnea syndrome

Psychiatry Investigation

Volumn 9, Issue 1, 2012, Pages 65-72

  Song, Man Kyu ^a,b   Ha, Jee Hyun ^a,b   Ryu, Seung Ho ^a,b   Yu, Jaehak ^a,b   Park, Doo Heum ^a,b  

^a Konkuk University Hospital   (South Korea)

^b Konkuk University School of Medicine   (South Korea)

Author keywords

Age; Apnea hypopnea index; Heart rate variability index; Obstructive sleep apnea syndrome

Indexed keywords

ADULT; AGING; ANALYSIS OF COVARIANCE; ARTICLE; BODY MASS; CONTROLLED STUDY; CORRELATION ANALYSIS; CORRELATIONAL STUDY; DIASTOLIC BLOOD PRESSURE; DISEASE SEVERITY; HEART RATE VARIABILITY; HUMAN; MAJOR CLINICAL STUDY; MALE; PARASYMPATHETIC FUNCTION; PATIENT IDENTIFICATION; SLEEP APNEA SYNDROME; SLEEP PARAMETERS; SYSTOLIC BLOOD PRESSURE;

EID: 84863283275     PISSN: 17383684     EISSN: 19763026     Source Type: Journal    
DOI: 10.4306/pi.2012.9.1.65     Document Type: Article

References (35)

1. Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc 2008;5:136-143.
2. Bradley TD, Phillipson EA. Pathogenesis and pathophysiology of the obstructive sleep apnea syndrome. Med Clin North Am 1985;69:1169-1185.
3. Millman RP. Snoring and apnea. Clin Chest Med 1987;8:253-264.
4. Tarasiuk A, Greenberg-Dotan S, Brin YS, Simon T, Tal A, Reuveni H. Determinants affecting health-care utilization in obstructive sleep apnea syndrome patients. Chest 2005;128:1310-1314.
5. Pashayan AG, Passannante AN, Rock P. Pathophysiology of obstructive sleep apnea. Anesthesiol Clin North America 2005;23:431-443.
6. He J, Kryger MH, Zorick FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea. Experience in 385 male patients. Chest 1988;94:9-14.
7. Tilkian AG, Guilleminault C, Schroeder JS, Lehrman KL, Simmons FB, Dement WC. Hemodynamics in sleep-induced apnea. Studies during wakefulness and sleep. Ann Intern Med 1976; 85:714-719.
8. Hung J, Whitford EG, Parsons RW, Hillman DR. Association of sleep apnoea with myocardial infarction in men. Lancet 1990;336:261-264.
9. Sztajzel J. Heart rate variability: a noninvasive electrocardiographic method to measure the autonomic nervous system. Swiss Med Wkly 2004;134: 514-522.
10. Rajendra Acharya U, Paul Joseph K, Kannathal N, Lim CM, Suri JS. Heart rate variability: a review. Med Biol Eng Comput 2006;44:1031-1051.
11. Bauer T, Ewig S, Schafer H, Jelen E, Omran H, Luderitz B. Heart rate variability in patients with sleep-related breathing disorders. Cardiology 1996;87:492-496.
12. Roche F, Gaspoz JM, Court-Fortune I, Minini P, Pichot V, Duverney D, et al. Screening of obstructive sleep apnea syndrome by heart rate variability analysis. Circulation 1999;100:1411-1415.
13. Park DH, Shin CJ, Hong SC, Yu J, Ryu SH, Kim EJ, et al. Correlation between the severity of obstructive sleep apnea and heart rate variability indices. J Korean Med Sci 2008;23:226-231.
14. Gula LJ, Krahn AD, Skanes A, Ferguson KA, George C, Yee R, et al. Heart rate variability in obstructive sleep apnea: a prospective study and frequency domain analysis. Ann Noninvasive Electrocardiol 2003;8:144-149.
15. Wakai M, Samejima Y, Goshima K, Yamamoto J. Altered heart rate variability in severe sleep apnea syndrome. Sleep Biol Rhythms 2004;2: 87-88.
16. Narkiewicz K, Montano N, Cogliati C, van de Borne PJ, Dyken ME, Somers VK. Altered cardiovascular variability in obstructive sleep apnea. Circulation 1998;98:1071-1077.
17. Jensen-Urstad K, Storck N, Bouvier F, Ericson M, Lindblad LE, Jensen-Urstad M. Heart rate variability in healthy subjects is related to age and gender. Acta Physiol Scand 1997;160:235-241.
18. O'Brien IA, O'Hare P, Corrall RJ. Heart rate variability in healthy subjects: effect of age and the derivation of normal ranges for tests of autonomic function. Br Heart J 1986;55:348-354.
19. Stein PK, Domitrovich PP, Hui N, Rautaharju P, Gottdiener J. Sometimes higher heart rate variability is not better heart rate variability: results of graphical and nonlinear analyses. J Cardiovasc Electrophysiol 2005;16: 954-959.
20. Reardon M, Malik M. Changes in heart rate variability with age. Pacing Clin Electrophysiol 1996;19:1863-1866.
21. Umetani K, Singer DH, McCraty R, Atkinson M. Twenty-four hour time domain heart rate variability and heart rate: relations to age and gender over nine decades. J Am Coll Cardiol 1998;31:593-601.
22. Stein PK, Kleiger RE, Rottman JN. Differing effects of age on heart rate variability in men and women. Am J Cardiol 1997;80:302-305.
23. Grigg-Damberger MM. The AASM scoring manual: a critical appraisal. Curr Opin Pulm Med 2009. inpress.
24. Tsai WH, Flemons WW, Whitelaw WA, Remmers JE. A comparison of apnea-hypopnea indices derived from different definitions of hypopnea. Am J Respir Crit Care Med 1999;159:43-48.
25. Martinho FL, Tangerina RP, Moura SM, Gregorio LC, Tufik S, Bittencourt LR. Systematic head and neck physical examination as a predictor of obstructive sleep apnea in class III obese patients. Braz J Med Biol Res 2008;41:1093-1097.
26. Lee HK, Park DH, Shin HS, Hong SC. Comparison of low resolution electromagnetic tomography imaging between subjects with mild and severe obstructive sleep apnea syndrome: a preliminary study. Psychiatry Investig 2008; 5:45-51.
27. Kasikcioglu HA, Karasulu L, Durgun E, Oflaz H, Kasikcioglu E, Cuhadaroglu C. Aortic elastic properties and left ventricular diastolic dysfunction in patients with obstructive sleep apnea. Heart Vessels 2005;20: 239-244.
28. Louis M, Punjabi NM. Effects of acute intermittent hypoxia on glucose metabolism in awake healthy volunteers. J Appl Physiol 2009;106:1538-1544.
29. Bonnemeier H, Richardt G, Potratz J, Wiegand UK, Brandes A, Kluge N, et al. Circadian profile of cardiac autonomic nervous modulation in healthy subjects: differing effects of aging and gender on heart rate variability. J Cardiovasc Electrophysiol 2003;14:791-799.
30. Pfeifer MA, Weinberg CR, Cook D, Best JD, Reenan A, Halter JB. Differential changes of autonomic nervous system function with age in man. Am J Med 1983;75:249-258.
31. Narkiewicz K, Somers VK. Sympathetic nerve activity in obstructive sleep apnoea. Acta Physiol Scand 2003;177: 385-390.
32. Carlson JT, Hedner J, Elam M, Ejnell H, Sellgren J, Wallin BG. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993; 103:1763-1768.
33. Ferrari AU, Radaelli A, Centola M. Invited review: aging and the cardiovascular system. J Appl Physiol 2003;95: 2591-2597.
34. Lopes C, Esteves AM, Bittencourt LR, Tufik S, Mello MT. Relationship between the quality of life and the severity of obstructive sleep apnea syndrome. Braz J Med Biol Res 2008;41:908-913.
35. Meyer TJ, Eveloff SE, Kline LR, Millman RP. One negative polysomnogram does not exclude obstructive sleep apnea. Chest 1993;103:756-760.