S’ was measured by means of TDI of the lateral annulus of the RV using apicalfour-chamber view.Results: Patients with severe OSAS demonstrated impaired RV longitudinal systolic function (S’) compared to the other groups (P
📌 3 Key Takeaways
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Objective & Hypothesis:Background/aim: We investigated whether obstructive sleep apnea syndrome (OSAS) has any impact on pulmonary artery distensibility(PAD) and right ventricular (RV) function.Materials and methods: Subjects were categorized according to apnea–hypopnea index (AHI) as follows: controls (n = 17 and AHI 30).
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Key Findings & Data:PAD was recorded as M-Mode trace of the right pulmonaryartery and was defined as (PAmax –PAmin/PAmin) × 100.
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Conclusion & Impact:S’ was measured by means of TDI of the lateral annulus of the RV using apicalfour-chamber view.Results: Patients with severe OSAS demonstrated impaired RV longitudinal systolic function (S’) compared to the other groups (P
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Background/aim: We investigated whether obstructive sleep apnea syndrome (OSAS) has any impact on pulmonary artery distensibility(PAD) and right ventricular (RV) function.Materials and methods: Subjects were categorized according to apnea–hypopnea index (AHI) as follows: controls (n = 17 and AHI 30). All subjects underwent transthoracicechocardiography after polysomnography to assess PAD and RV function. PAD was recorded as M-Mode trace of the right pulmonaryartery and was defined as (PAmax –PAmin/PAmin) × 100. S’ was measured by means of TDI of the lateral annulus of the RV using apicalfour-chamber view.Results: Patients with severe OSAS demonstrated impaired RV longitudinal systolic function (S’) compared to the other groups (P
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Cite This Article
AKDEMİR, R., ÇETİN, S., VURAL, M. G., FIRAT, H. (2022). Obstructive sleep apnea syndrome is associated with impaired pulmonary artery distensibility and right ventricular systolic dysfunction. Turkish Journal of Medical Sciences, Cilt: 48 - Sayı: 2, 346–353. https://ajindex.com/articles/610258
Lattimore JD, Celermajer DS, Wilcox I. Obstructive sleep apnea and cardiovascular disease. J Am Coll Cardiol 2003; 41: 1429-1437.
Bauters F, Rietzschel ER, Hertegonne KB, Chirinos JA. The link between obstructive sleep apnea and cardiovascular disease. Curr Atheroscler Rep 2016; 18: 1. Akdag S, Akyol A, Çakmak HA, Gunbatar H, Asker M, Babat N, Tosu AR, Yaman M, Gumrukcuoglu HA. A novel echocardiographic method for assessing arterial stiffness in obstructive sleep apnea syndrome. Korean Circ J 2015; 45: 500- 509. Cavalcante JL, Lima JA, Redheuil A, Al-Mallah MH. Aortic stiffness: current understanding and future directions. J Am Coll Cardiol 2011; 57: 1511-1522.
Çörtük M, Akyol S, Baykan AO, Kiraz K, Uçar H, Çaylı M, Kandiş H. Aortic stiffness increases in proportion to the severity of apnoea-hypopnea index in patients with obstructive sleep apnoea syndrome. Clin Respir J 2016; 10: 455-461.
Sajkov D, Wang T, Saunders NA, Bune AJ, Mc Evoy RD. Continuous Positive Airway Pressure Treatment Improves Pulmonary Hemodynamics in Patients with Obstructive Sleep Apnea. Am J Respir Crit Care Med 2002; 165:152-158. Schäfer Michal, Myers C, Brown RD, Frid MG, Tan W, Hunter K, Stenmark KR. Pulmonary arterial stiffness: toward a new paradigm in pulmonary arterial hypertension pathophsiology and assessment. Cur Hypertens Rep 2016; 18: 4. Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP, Ramar K, Rogers R, Schwab RJ, Weaver EM et al. Clinical guideline for the evaluation, management and longterm care of obstructive sleep apnea in adults. J Clin Sleep Med 2009; 5: 263-276.
Zuckerman BD, Orton EC, Stenmark KR, Trapp JA, Murphy JR, Coffeen PR, Reeves JT. Alteration of the pulsatile load in the high-altitude calf model of pulmonary hypertension. J Appl Physiol 1991; 70: 859-868. Mahfouz RA. Impact of pulmonary artery stiffness on right ventricular function and tricuspid regurgitation after successful percutaneous balloon mitral valvuloplasty: the importance of early intervention. Echocardiography 2012; 29: 1157-1163.
Celik M, Yuksel UC, Yalcinkaya E, Gokoglan Y, Yildirim E, Bugan B, Kaya E, Gungor M. Elasticity properties of pulmonary artery in patients with bicuspid aortic valve. Echocardiography 2014; 31: 759-764.
Fourie PR, Coetzee AR, Bollinger CT. Pulmonary artery compliance: its role in right ventricular-atrial coupling. Cardiovasc Res 1992; 26: 839-844.
Gögülü Ş, Eren M, Yıldırım A, Özer O, Uslu N, Çelik S, Dağdeviren B, Nurkalem Z, Bağırtan B, Tezel