SavedAdd your journal

Journals / Kocaeli Tıp Dergisi / 2017 / Cilt: 6 - Sayı: 3

Differences in The Sleep Structure and Accompanying Morbidities in Obstructive Sleep Apnea Patients with Apnea Versus Hypopnea Predominancy

Hipopne veya Apne Predominansı Olan Obstrüktif Uyku Apne Sendromlu Hastaların Uyku Yapısındaki Farklılıklar ve Eşlik Eden Morbiditeler

Pınar Bekdik ŞİRİNOCAK
Adın SELÇUK
Erkan ESEN
Zahide YILMAZ
Pages
41–46
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Hypertension is more common in patients with hypopnea-predominant obstructive sleep apnea syndrome.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:INTRODUCTION: In this study, we aimed to evaluate the body mass index (BMI), epworth sleepiness scale (ESS), accompanying diseases and differences in upper airway morphology and sleep structure in particular in patients with apnea- or hypopnea-predominant obstructive sleep apnea syndrome (OSAS).
📊
Key Findings & Data:METHODS: Patients whose hypopnea ratio was more than 50% were taken to the hypopnea group and patients whose apnea ratio was more than 50% were taken to apnea group.
💡
Conclusion & Impact:Hypertension is more common in patients with hypopnea-predominant obstructive sleep apnea syndrome.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

INTRODUCTION: In this study, we aimed to evaluate the body mass index (BMI), epworth sleepiness scale (ESS), accompanying diseases and differences in upper airway morphology and sleep structure in particular in patients with apnea- or hypopnea-predominant obstructive sleep apnea syndrome (OSAS). METHODS: Patients whose hypopnea ratio was more than 50% were taken to the hypopnea group and patients whose apnea ratio was more than 50% were taken to apnea group. BMI, ESS and polysomnography (PSG) parameters of the patients were recorded. Patients were screened for smoking habits, presence of chronic obstructive pulmonary disease (COPD), hypertension (HT), diabetes mellitus (DM), coronary artery disease (CAD) and upper respiratory pathology in their anamnesis. RESULTS: Hypertension rate was found to be significantly higher in hypopnea group than in apnea group (p = 0.021, p <0.05). DISCUSSION and CONCLUSION: Apnea-predominant sleep apnea syndrome is more severe than hypopnea-predominant OSAS. Hypertension is more common in patients with hypopnea-predominant obstructive sleep apnea syndrome.

Özet

GİRİŞ ve AMAÇ: Biz bu çalışmada apne veya hipopne belirgin obstrüktif uyku apne sendrom (OSAS)'lu hastalarda, uyku yapısı başta olmak üzere, vücut kütle indeksi (BMI), epworth uykululuk skalası (ESS), eşlik eden hastalıklar ve üst hava yolu morfolojisindeki farklılıkları değerlendirmeyi amaçladık YÖNTEM ve GEREÇLER: Hipopne oranı %50' den fazla olan hastalar hipopne grubuna alınırken apne oranı %50' den fazla olan hastalar apne grubuna alındı. Hastaların BMI, ESS ve polisomnografi (PSG) parametreleri kaydedildi. Hastalar anamnezlerinde sigara kullanım alışkanlığı, kronik obstrüktif akciğer hastalığı (KOAH), hipertansiyon (HT), diyabetes mellitus (DM), koroner arter hastalığı (KAH)' nın varlığı açısından tarandı ve üst solunum yolu patolojisi açısından gözden geçirildi. BULGULAR: Hipertansiyon oranı hipopne grubunda, apne grubundan anlamlı düzeyde yüksek bulundu (p=0,021; p<0,05). Rapid Eye Movement (REM) oranı hipopne grubunda, apne grubundan anlamlı düzeyde yüksek bulundu (p=0,016; p<0,05). Non-Rapid Eye Movement (NREM) apnehipopne indexi (AHİ) apne grubunda, hipopne grubuna göre anlamlı düzeyde yüksek bulundu (p=0,007; p<0,01). Supin AHİ ölçümleri apne grubunda anlamlı düzeyde yüksek bulundu (p=0,047; p<0,05). Uvula değerlendirmesinde apne grubunda elonge uvula oranı anlamlı düzeyde yüksek bulundu (p=0,043; p<0,05). TARTIŞMA ve SONUÇ: Apne ağırlıklı obstrüktif uyku apne sendromu, hipopne belirgin OSAS' a göre daha ağırdır. Hipertansiyon obstrüktif uyku apne sendromunda, hipopne ağrırlıklı hasta grubunda daha yaygındır.

🔖

Cite This Article

ŞİRİNOCAK, P. B., SELÇUK, A., ESEN, E., YILMAZ, Z. (2017). Differences in The Sleep Structure and Accompanying Morbidities in Obstructive Sleep Apnea Patients with Apnea Versus Hypopnea Predominancy. Kocaeli Tıp Dergisi, Cilt: 6 - Sayı: 3, 41–46. https://ajindex.com/articles/211158

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Guilleminault C, Tilkian A, Dement W. The sleep apnoea syndrome. Ann Rev Med 1976;27:465-84
  2. Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, et al. American Academy of Sleep Medicine (2012) Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring Yılmaz Z. ve ark. Kocaeli Medical J. 2017; 6;3:41-46 46 of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 15;8:597-619
  3. Izci B, Ardic S, Firat H, et al. Reliability and validity studies of the Turkish version of Epworth Sleepiness Scale. Sleep Breath 2008;12:161-8
  4. Farre R, Rigau J, Montserrat JM, et al. Static and dynamic upper airway obstruction in sleep apnea: role of the breathing gas properties. Am J Resp Crit Care Med. 2003;168:659-63
  5. Mathew R, Castriotta RJ. High hypopnea/apnea ratio in extreme obesity (2014) J Clin Sleep Med. 15;10:391-6
  6. Javaheri S,Barbe F, Campos-Rodriguez F, et al. Sleep apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. J Am Coll Cardiol. 2017 Feb 21;69: 881-858. doi: 10.1016/j.jacc.2016.11.069
  7. Fletcher EC. Sympathetic overactivity in the etiology of hypertension of obstructive sleep apnea. Sleep. 2003;26:15-19
  8. Muller NL, Francis PW, Gurwitz D, et al. Mechanism of hemoglobin desaturation during rapid-eye-movement sleep in normal subjectsand in patients with cystic fibrosis. Am Rev Respir Dis. 1980;121:463-469
  9. Aserinsky E. Periodic respiratory pattern occurring in conjunction with eye movements during sleep. Science. 1965;150:763-766
  10. Choi E, Park DH, Yu JH, et al. Oxygen Saturation During Rapid Eye Movement and NonRapid Eye Movement Sleep. Psychiatry Investig. 2016 Nov; 13: 652-658
  11. George CF, Millar TW, Kryger MH. Sleep apnea and body position during sleep. Sleep. 1988;11:90-99
  12. Jennum P, Borgesen SE. Intracranial pressure and obstructive sleep apnea. Chest. 1989;95:279-283
  13. Yaggi HK, Concato J, KernanWN,et al. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med. 2005;353:2034-41
  14. Eastwood PR, Malhotra A, Palmer LJ, et al. Obstructive sleep apnoea: from pathogenesis to treatment: Current controversies and future directions. Respirology. 2010;15:587-95
  15. Budhiraja R, Budhiraja P, Quan SF. Sleepdisordered breathing and cardiovascular disorders. Respir Care. 2010;55:1322-32
  16. Siddiqui F, Walters AS, Goldstein D, et al. Half of patients with obstructive sleep ap