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Obstructive sleep apnea and cardiac index.

C Guilleminault, J Motta, F Mihm

    Chest
    |March 1, 1986
    PubMed
    Summary
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    Obstructive sleep apnea syndrome (OSAS) significantly reduces cardiac index during breathing pauses. Cardiac function recovers upon ventilation resumption, regardless of patient age or sleep stage.

    Area of Science:

    • Cardiology
    • Sleep Medicine
    • Physiology

    Background:

    • Obstructive sleep apnea syndrome (OSAS) is a common condition characterized by repeated upper airway collapse during sleep.
    • Hemodynamic alterations during OSAS are not fully understood, particularly concerning cardiac output.
    • Nocturnal polysomnography is the gold standard for diagnosing OSAS.

    Purpose of the Study:

    • To investigate the changes in cardiac index during apneic events in patients with severe OSAS.
    • To examine the impact of NREM and REM sleep on these hemodynamic alterations.
    • To determine if cardiac function recovers upon ventilation resumption.

    Main Methods:

    • Seventeen men with severe OSAS underwent polysomnography and hemodynamic monitoring during sleep.

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  • Cardiac index was measured using the thermodilution technique.
  • Apneic events and ventilation resumption were correlated with cardiac index changes.
  • Main Results:

    • A significant decrease in cardiac index was observed during apneic events compared to baseline.
    • Cardiac index significantly increased from baseline upon resumption of ventilation.
    • These changes were consistent across different patient ages and sleep stages (NREM and REM).

    Conclusions:

    • Severe OSAS leads to significant, transient reductions in cardiac index during apneic episodes.
    • Cardiac function demonstrates a rapid recovery following the restoration of ventilation.
    • Understanding these hemodynamic changes is crucial for managing patients with OSAS.