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Cardiovascular Function in Obstructive Sleep Apnea Patients with Controlled Hypertension

  • Magdalena Kostrzewska
  • Marcin GrabickiEmail author
  • Tomasz Piorunek
  • Tomasz Krauze
  • Damian Skrypnik
  • Halina Batura-Gabryel
  • Tomasz Trafas
  • Paweł Bogdański
  • Andrzej Wykrętowicz
  • Przemysław Guzik
Chapter
  • 49 Downloads
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 1271)

Abstract

This study investigated hemodynamic characteristics of obstructive sleep apnea (OSA) accompanied by hypertensive disease in obese men, in whom blood pressure was pharmacologically controlled within the normal range, not exceeding 140/90 mmHg. There were 21 severe OSA patients (mean age 54.1 ± 9.3 years, apnea-hypopnea index of 47.1 ± 18.8 episodes per hour) included in the study, in whom OSA was diagnosed with polysomnography. The control group consisted of healthy normotensive age-matched subjects. Hemodynamic profile was recorded nonivasively with impedance cardiography. Brachial blood pressure and radial artery tonometry were performed to capture and reconstruct peripheral radial and central aortic pressure waveforms in both groups of subjects. Compared to healthy men, OSA patients had a significantly higher body mass index (BMI); the mean increase in BMI amounted to 6.4 ± 1.2 kg/m2. The patients also presented significant differences in the hemodynamic profile. The difference consisted of a faster heart rate, higher peripheral pulse pressure, and reduced blood flow acceleration and velocity indices, describing myocardial contractility. Notably, the significance of hemodynamic differences in OSA patients disappeared in the analysis adjusted for the outstanding increase in BMI. In conclusion, the findings strongly suggest that obesity rather than the hypertensive disease per se is a source of hemodynamic consequences in OSA patients.

Keywords

Arterial blood pressure Body mass Cardiovascular function Hemodynamics Hypertension Obesity Obstructive sleep apnea 

Notes

Acknowledgments

The authors would like to thank all the participants involved in this study. MK and MG have equal contributions to this article.

Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of Poznan University of Medical Sciences (approval no. 278/14).

Informed Consent

Written informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Nature Switzerland AG  2020

Authors and Affiliations

  • Magdalena Kostrzewska
    • 1
  • Marcin Grabicki
    • 1
    Email author
  • Tomasz Piorunek
    • 1
  • Tomasz Krauze
    • 2
  • Damian Skrypnik
    • 3
  • Halina Batura-Gabryel
    • 1
  • Tomasz Trafas
    • 1
  • Paweł Bogdański
    • 3
  • Andrzej Wykrętowicz
    • 2
  • Przemysław Guzik
    • 2
  1. 1.Department of Pulmonology, Allergology and Respiratory OncologyPoznan University of Medical SciencesPoznanPoland
  2. 2.Department of Cardiology-Intensive TherapyPoznan University of Medical SciencesPoznanPoland
  3. 3.Department of Treatment of Obesity, Metabolic Disorders and Clinical DieteticsPoznan University of Medical SciencesPoznanPoland

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