Email this article Subjective sleep characteristics, apnea episodes and day drowse in patients with systolic cardiac failure: potential of clinicofunctional outpatient examination
- Authors: Rostorotskaya VV1, Ivanov A.P.1, El'gardt I.A.1, Rostorotskaya VV2, Ivanov AP2, Elgardt IA2
-
Affiliations:
- Cardiological clinic, Tver
- Issue: Vol 84, No 1 (2012)
- Pages: 8-11
- Section: Editorial
- Submitted: 10.04.2020
- Published: 15.01.2012
- URL: https://ter-arkhiv.ru/0040-3660/article/view/30969
- ID: 30969
Cite item
Full Text
Abstract
Material and methods. A total of 358 SCF outpatients with SA episodes were examined: 24 hour ECG and respiration monitoring, an analysis of diurnal drowse questionnaire survey, apnea and snoring self-appraisal.
Results. Significant SA episodes were registered in 15.1% of 358 patients (SA index 5 and more per hour). The episodes occurred significantly more frequently in patients with overweight and had high sensitivity and specificity. However, no correlation was found with severity of diurnal drowse, sleep duration and age. SA risk was relatively high in patients with a history of snoring and nocturnal sleep apnea (2.95-2.79). The significance of the latter rose to 9.12-8.81 in SCF patients with normal myocardial mass index.
Conclusion. Subjective and objective sleep characteristics, except diurnal drowse, can be used for risk stratification in SCF patients with SA.
Keywords
About the authors
V V Rostorotskaya
Aleksandr Petrovich Ivanov
Email: Cardio69@inbox.ru
Igor' Abramovich El'gardt
V V Rostorotskaya
Cardiological clinic, TverCardiological clinic, Tver
A P Ivanov
Cardiological clinic, TverCardiological clinic, Tver
I A Elgardt
Cardiological clinic, TverCardiological clinic, Tver
References
- Selim B., Won C., Yaggi H. K. Cardiovascular consequences of sleep apnea. Clin. Chest Med. 2010; 31: 203-220.
- Peppard P. E., Young T., Palta M., Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension. N. Engl. J. Med. 2000; 342: 1378-1384.
- Tanigawa T., Tachibana N., Yamagishi K. et al. Relationship between sleep-disordered breathing and blood pressure levels in community-based samples of Japanese men. Hypertens. Res. 2004; 27: 479-484.
- Shahar E., Whitney C. W., Redline S. et al. Sleep-disordered breathing and cardiovascular disease: Cross-sectional results of the Sleep Heart Study. Am. J. Respir. Crit. Care Med. 2001; 163: 19-25.
- Elmasry A., Janson C., Lindberg E. et al. The role of habitual snoring and obesity in the development of diabetes: A 10-year follow-up study in a male population. J. Intern. Med. 2000; 248: 13-20.
- Johns M. W. A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep 1991; 14: 540-545.
- Напалков Д. А., Головенко Е. Н., Панфилов А. С., Сулимов В. А. Косвенные признаки персистирующего периода кардиомиоцитов у больных с хронической сердечной недостаточностью. Кардиология и серд.-сосуд. хир. 2010; 1: 52-55.
- Tanigawa T., Horie S., Sakurai S., Ito H. Screening for sleep-disordered breathing at workplaces. Industr. Hlth 2005; 43: 53-57.
- Тихоненко В. М., Апарина И. В. Возможности холтеровского мониторирования в оценке связи нарушений ритма и проводимости с эпизодами апноэ. Вестн. аритмол. 2009; 55: 49-55.
- Powell N. B., Schechtman K. B., Riley W. P. et al. Sleepy driver near-misses may predict accident risks. Sleep 2007; 30: 331-342.
- Sanford S. D., Bush A. J. The influence of age, gender, ethnicity, and insomnia on Epworth sleepiness scores: A normative US population. Sleep Med. 2006; 7: 319-326.
- Niijima K., Mizoue T., Kawashima M. et al. Predisposing factors of sleep-disordered breathing in Japanese male workers. J. Occup. Hlth 2007; 49: 461-466.
- Young T., Palta M., Dempsy J. et al. The occurrence of sleep-disordered breathing among middle-aged adults. N. Engl. J. Med. 1993; 328: 1230-1235.
- Nakayama-Ashida Y., Takegami M., Chin K. et al. Sleep-disordered breathing in the usual lifestyle setting as detected with home monitoring in a population of working men in Japan. Sleep 2008; 31: 419-425.
Supplementary files
