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Published on: August 2, 2017
Significance of sleep stability using cardiopulmonary coupling in sleep disordered breathing
Min Young Seo1, Sun Jin Hwang1, Kuk Jin Nam1
1Division of Rhinology & Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea University College of Medicine, Ansan-city, Gyeonggi-do, Republic of Korea.
Objectives:
The aim of this study was to assess the sleep quality and sleep stability according to the severity of obstructive sleep apnea (OSA) by using questionnaires and cardiopulmonary coupling (CPC) analysis.
Methods:
Two hundred and twenty-one adults were evaluated using subjective sleep questionnaires, CPC parameters, and respiratory parameters measured during full-night polysomnography. We measured the differences in the CPC parameters of each OSA group and the correlation between the apnea-hypopnea index (AHI) and CPC parameters.
Results:
AHI and CPC parameters were not associated with sleep questionnaires. AHI is negatively correlated with high frequency coupling (HFC, r = -0.725, P < 0.001) and very low frequency coupling (VLFC, r = -0.475, P < 0.001), but it is positively correlated with low frequency coupling (LFC, r = 0.786, P < 0.001) and narrow- and broadband-elevated low frequency coupling (e-LFCNB and e-LFCBB ; r = 0.522, P < 0.001 and r = 0.668, P < 0.001, respectively). We also found similar results regarding the correlation between the arousal index and CPC parameters. In addition, there were significant differences in HFC, LFC, VLFC, e-LFCNB , and e-LFCBB (all P < 0.001) between the severe OSA group and all other groups.
Conclusion:
We found that CPC parameters significantly correlated with AHI. In addition, sleep stability-related parameters differ significantly based on OSA severity, and apneic parameters in the severe OSA group are significantly different from those in the other groups.
Level Of Evidence:
4 Laryngoscope, 130: 2069-2075, 2020.
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