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Sleep and Breathing

Erschienen in:

29.06.2021 | Sleep Breathing Physiology and Disorders • Original Article

Cardiac imageology changes in patients with mild obstructive sleep apnea without cardiovascular disease

verfasst von: Zuogeng Hong, Qiong Ou, Yilu Cheng, Yanxia Xu, Hongwen Fei, Hui Liu

Erschienen in: Sleep and Breathing | Ausgabe 2/2022

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Abstract

Purpose

This study aims to assess changes in cardiac imageology of patients with mild obstructive sleep apnea (OSA) without cardiovascular disease.

Methods

All enrolled participants underwent polysomnography (PSG). Some participants underwent transthoracic echocardiography, speckle tracking echocardiography, and cardiac-enhanced magnetic resonance imaging (MRI) if they were willing. They were divided into three groups according to PSG results: non-OSA, mild OSA, and moderate-to-severe OSA. Imageology parameters were compared, and the relationship between OSA severity and imageology indices was analyzed by correlation analysis and multiple linear regression.

Results

Of the 352 enrolled participants, 274 participants with OSA had an apnea–hypopnea index (AHI) of ≥ 5 (86 mild OSA and 188 moderate-to-severe OSA cases), and 78 participants with non-OSA had an AHI of < 5. Transthoracic echocardiography showed that E/A and E’/A’ values were lower in the mild OSA group than in the non-OSA group (1.12 ± 0.37 vs 1.27 ± 0.45 and 0.83 ± 0.33 vs 0.99 ± 0.42, respectively, p < 0.05). The aorta and ascending aorta widths were smaller in the mild OSA group than in the moderate-and-severe OSA groups (27.36 ± 2.87 mm vs 28.87 ± 2.95 mm and 30.27 ± 3.79 mm vs 31.63 ± 3.74 mm, respectively, p < 0.05). A regression analysis showed that cardiac function changes in patients with OSA may be related to age, obesity, and OSA severity.

Conclusion

Patients with mild OSA without cardiovascular disease displayed changes in cardiac structure and function on transthoracic echocardiography.

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Titel: Cardiac imageology changes in patients with mild obstructive sleep apnea without cardiovascular disease
verfasst von: Zuogeng Hong
Qiong Ou
Yilu Cheng
Yanxia Xu
Hongwen Fei
Hui Liu
Publikationsdatum: 29.06.2021
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 2/2022
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-021-02421-0

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Cardiac imageology changes in patients with mild obstructive sleep apnea without cardiovascular disease