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15.07.2023 | Sleep Breathing Physiology and Disorders • Original Article

Relationship between ODI and sleep structure of obstructive sleep apnea and cardiac remodeling

verfasst von: Baokun Zhang, Shanshan Lu, Huiying Guo, Juanjuan Xu, Zhang Xiao, Jiyou Tang

Erschienen in: Sleep and Breathing | Ausgabe 1/2024

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Abstract

Purpose

The purpose of the study was to evaluate the quantitative relationship between Oxygen Desaturation Index (ODI) and sleep structure of obstructive sleep apnea (OSA) and cardiac remodeling.

Methods

In this study, patients were enrolled from January 2015 to October 2022, and were divided into 3 groups according to AHI: patients with AHI < 15, patients with 15 ≤ AHI < 30, and 260 patients with AHI ≥ 30. Stratified linear regression was used to analyze independent risk factors for cardiac remodeling in OSA.

Results

A total of 479 patients were enrolled. We found that compared with AHI < 15 group (n = 120), the group with AHI > 30 (n = 260) had increased left atrial anteroposterior diameter, left ventricular end-diastolic internal diameter, left ventricular posterior wall thickness, right ventricular anteroposterior diameter, and interventricular septal thickness (P < 0.05). The group with 15 ≤ AHI ≤ 30 (n = 99) had increased left atrial anteroposterior diameter (P < 0.05). Multivariate linear regression revealed that N2 sleep was an independent risk factor for left ventricular posterior wall thickness, with positive correlation (p < 0.05). N3 sleep was an independent risk factor for transverse right atrial diameter and right ventricular anteroposterior diameter, with negative correlation (P < 0.05). ODI was an independent risk factor for interventricular septal thickness, with positive correlation (P < 0.05). The arousal index was an independent risk factor for increased left atrial anteroposterior diameter, with positive correlation (P < 0.05).

Conclusions

Increased ODI is an independent risk factor for interventricular septal thickness, while decreased slow wave sleep is an independent risk factor for right heart remodeling in OSA.

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Titel: Relationship between ODI and sleep structure of obstructive sleep apnea and cardiac remodeling
verfasst von: Baokun Zhang
Shanshan Lu
Huiying Guo
Juanjuan Xu
Zhang Xiao
Jiyou Tang
Publikationsdatum: 15.07.2023
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 1/2024
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-023-02872-7

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Relationship between ODI and sleep structure of obstructive sleep apnea and cardiac remodeling