scholarly journals Performance of peripheral arterial tonometry–based testing for the diagnosis of obstructive sleep apnea in a large sleep clinic cohort

2020 ◽  
Vol 16 (10) ◽  
pp. 1663-1674 ◽  
Author(s):  
Octavian C. Ioachimescu ◽  
J. Shirine Allam ◽  
Arash Samarghandi ◽  
Neesha Anand ◽  
Barry G. Fields ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Peripheral Arterial Tonometry ◽  
Arterial Tonometry ◽  
Obstructive Sleep ◽  
Peripheral Arterial

Abstract 527: Obstructive Sleep Apnea and Endothelial Dysfunction in Resistant Hypertension

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
Nádia M Amorim ◽  
Fabiana B Bassan ◽  
Luciene d Araújo ◽  
Julia F Fernandes ◽  
Maria d Rodrigues ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Endothelial Dysfunction ◽  
Endothelial Function ◽  
Resistant Hypertension ◽  
Anthropometric Parameters ◽  
Peripheral Arterial Tonometry ◽  
Arterial Tonometry ◽  
Obstructive Sleep ◽  
Peripheral Arterial

Background: Obstructive sleep apnea (OSA) is considered an independent risk factor for cardiovascular disease and reported as the most common secondary cause of high blood pressure (BP) maintenance. Objective: To determine the prevalence of OSA and verify its association with endothelial function behavior and anthropometric parameters in patients with resistant hypertension (RHGroup) and BP controlled by medication (CHGroup). Methods: Cross-sectional study involving 40 hypertensive patients (20 in RHG and 20 in CHG), aged between 18 and 75 years. Endothelial function and OSA were assessed by peripheral arterial tonometry. BP was measured by oscillometric method on automatic device. Endothelial function was assessed by peripheral arterial tonometry (PAT) by EndoPAT2000 and the OSA diagnosis also through PAT, using the portable device WatchPAT200. Anthropometric evaluation was performed through measurements of waist (WaC), hip and neck circumference (NC), BMI, waist to height ratio (WHtR), and body composition assessed by BIA. Results: The prevalence of OSA in RHG was 85% (17 of 20)[apnea-hypopnea index = 12.39±1.89], and 80% (16 of 20) in CHG (AHI=20.74±4.69) and it was more frequent in men (93.7% [15 of 16] vs 75% [16 of 24]; p=0.0455, OR =3.86; 95% IC 0.99 to 5.09). Both groups presented similar anthropometric parameters values. Endothelial function evaluated by reactive hyperemia index was similar in both groups (RHG: 1.88±0.44 vs CHG: 2.03±0.43; p=0.47). Although we found differences in oxygen desaturation> 4% (RHG: 28.75 ± 5.08 vs CHG: 64.15 ± 16.97, p = 0.05), total sleep time (RHG: 307.2 ± 71.3 vs CHG: 323.3 ± 83.8 min) and minimum saturation (RHG: 87.8±3.8 vs CHG: 83.3±10.6%) was not different. In general, OSA was correlated with weight (r = 0.5135, p = 0.0007), BMI (r = 0.4146, p = 0.0078), WaC (r = 0, 4458, p = 0.005), NC (r = 0.3863, p = 0.01) and WHtR (r = 0.3907, p = 0.01) and independently associated with impairment of endothelial function (p = 0.0297, OR = 0.17, 95% CI 0.04 to 0.72). Conclusions: The findings of the present study show that the prevalence of OSA was similar in both groups and suggest that, in hypertensive subjects, OSA occurs more frequently in men, being associated with endothelial dysfunction and correlated positively with weight, BMI and WaC.

scholarly journals Using a Wrist-Worn Device Based on Peripheral Arterial Tonometry to Diagnose Obstructive Sleep Apnea: In-Laboratory and Ambulatory Validation

SLEEP ◽  
2004 ◽  
Vol 27 (5) ◽  
pp. 923-933 ◽  
Author(s):  
Stephen D. Pittman ◽  
Najib T. Ayas ◽  
Mary M. MacDonald ◽  
Atul Malhotra ◽  
Robert B. Fogel ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Peripheral Arterial Tonometry ◽  
Arterial Tonometry ◽  
Obstructive Sleep ◽  
Peripheral Arterial

Screening for obstructive sleep apnea in atrial fibrillation patients at their home before catheter ablation using watch peripheral arterial tonometry

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
N Tanaka ◽  
K Inoue ◽  
K Tanaka ◽  
Y Hirao ◽  
T Oka ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Catheter Ablation ◽  
Volume Index ◽  
Peripheral Arterial Tonometry ◽  
Arterial Tonometry ◽  
Obstructive Sleep ◽  
High Prevalence ◽  
Peripheral Arterial

Abstract Background Catheter ablation of atrial fibrillation (AF) is effective, but certain patients experience AF recurrences. Obstructive sleep apnea (OSA) is a risk factor for AF recurrence. Watch peripheral arterial tonometry (WP) has a good correlation with polysomnography (PSG) in terms of the apnea-hypopnea index (AHI) and is easier to perform than PSG. Patients in AF have a high prevalence of OSA. Whether all patients with AF should be evaluated for OSA before catheter ablation is still controversial. Purpose To elucidate the prevalence and predictors of OSA using WP as a home sleep apnea test in AF patients before catheter ablation. Methods This study was conducted under a retrospective, single-center, observational design. Patients who received AF ablation without a prior diagnosis of sleep apnea and assessment of their AHI using WP were included in this analysis. The patients were mounted with a WP device by themselves at their own home. Twenty-two patients who were already diagnosed with OSA were excluded. Results Seven hundred seventy-four (65±11 years, 567 males, 440 paroxysmal AF) out of 776 patients were successfully mounted with WP devices on their own and underwent an OSA assessment. Their mean body mass index (BMI) was 24.1±3.5 kg/m2. The mean AHI was 20.1±15.6. Only 88 (11.4%) patients had a normal AHI (AHI<5). Mild OSA (5≤AHI<15), moderate OSA (15≤AHI<30), and severe OSA (AHI≥30) were observed in 274 (35.4%), 252 (32.6%), and 160 (20.7%) patients, respectively. A BMI≥25 (odds ratio [OR]; 2.42, 95% confidence interval [CI]; 1.74–3.37, p<0.001), male sex (1.70, 1.19–2.44, p=0.0037), non-paroxysmal AF (1.90, 1.35–2.66, p=0.0002), hypertension (1.70, 1.24–2.33, p=0.009), and left atrial volume index ≥30 (OR=1.51, CI 1.06–2.16, p=0.022) were significant predictors of moderate or severe OSA by a multivariate analysis, while an Epworth sleepiness scale ≥11 was not a predictor of moderate or severe OSA (OR=0.99, CI 0.66–1.49, p=0.95). However, 44.2% of non-obese patients (BMI <25) had moderate-severe OSA. Conclusion Almost All patients successfully underwent WP to diagnose OSA. AF patients had a high prevalence of OSA, and screening OSA would be important in AF patients receiving ablation even if patients do not have sleepiness or are obese. We cannot deny OSA in AF patients before catheter ablation without performing screening tests for OSA. Funding Acknowledgement Type of funding source: None

Peripheral Arterial Tonometry and Intima Media Thickness in Obstructive Sleep APNEA

2020 ◽  
Author(s):  
Javier Errasti Viader ◽  
Maria Teresa Martín Carpi ◽  
Jose María Marín Trigo ◽  
Victoria Gil ◽  
Raquel Langarita
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Intima Media Thickness ◽  
Peripheral Arterial Tonometry ◽  
Media Thickness ◽  
Arterial Tonometry ◽  
Obstructive Sleep ◽  
Peripheral Arterial

scholarly journals Obstructive sleep apnea diagnosed by peripheral arterial tonometry in patients with cardiovascular disease

2019 ◽  
Vol 26 (5) ◽  
pp. 249-255
Author(s):  
Diego I. Vanegas-Cadavid ◽  
Pablo E. Guzmán-Díaz ◽  
Linda Ibatá-Bernal ◽  
Paula A. Franco-Garrido ◽  
Zulma Valderrama-Barbosa
Keyword(s):  
Cardiovascular Disease ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Peripheral Arterial Tonometry ◽  
Arterial Tonometry ◽  
Obstructive Sleep ◽  
Peripheral Arterial
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