The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea

Abstract Objective Obstructive sleep apnoea (OSA) is one cause of pulmonary hypertension (PH) and can also emerge along with PH. The clinical diagnosis and treatment of OSA in patients with PH are still controversial. The purpose of this clinical observation study was to observe and summarize the in...

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Autores principales: Lu Yan, Zhihui Zhao, Qing Zhao, Qi Jin, Yi Zhang, Xin Li, Anqi Duan, Qin Luo, Zhihong Liu
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/c5f32cac27384f3b9bca6616940f4c58
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spelling oai:doaj.org-article:c5f32cac27384f3b9bca6616940f4c582021-11-28T12:36:31ZThe clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea10.1186/s12890-021-01755-51471-2466https://doaj.org/article/c5f32cac27384f3b9bca6616940f4c582021-11-01T00:00:00Zhttps://doi.org/10.1186/s12890-021-01755-5https://doaj.org/toc/1471-2466Abstract Objective Obstructive sleep apnoea (OSA) is one cause of pulmonary hypertension (PH) and can also emerge along with PH. The clinical diagnosis and treatment of OSA in patients with PH are still controversial. The purpose of this clinical observation study was to observe and summarize the incidence and clinical characteristics of OSA in patients with PH and to explore possible predictors of PH combined with OSA. Methods Patients with PH diagnosed by right heart catheterization who underwent overnight cardiorespiratory monitoring from December 2018 to December 2020 were enrolled. OSA was defined as an apnoea–hypopnoea index of ≥ 5/h with ≥ 50% of apnoeic events being obstructive. Baseline clinical characteristics and parameters were collected to compare PH patients with and without OSA. Logistic regression analysis was run to determine the risk factors for OSA in PH patients. Results A total of 35 (25%) of 140 patients had OSA. OSA is relatively frequent in patients with PH, especially in patients with chronic thromboembolic pulmonary hypertension and patients with lung disease– or hypoxia-associated PH. The patients who had OSA were mostly male and had a higher age and a lower daytime arterial oxygen pressure. Logistic regression analysis found that older age, male sex, and lower daytime arterial blood oxygen pressure correlated with OSA in PH patients. Conclusion OSA is common in patients with PH. Lower daytime arterial oxygen pressure is a risk factor for OSA in older male patients with PH.Lu YanZhihui ZhaoQing ZhaoQi JinYi ZhangXin LiAnqi DuanQin LuoZhihong LiuBMCarticlePulmonary hypertensionObstructive sleep apnoeaRisk factorsDiseases of the respiratory systemRC705-779ENBMC Pulmonary Medicine, Vol 21, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Pulmonary hypertension
Obstructive sleep apnoea
Risk factors
Diseases of the respiratory system
RC705-779
spellingShingle Pulmonary hypertension
Obstructive sleep apnoea
Risk factors
Diseases of the respiratory system
RC705-779
Lu Yan
Zhihui Zhao
Qing Zhao
Qi Jin
Yi Zhang
Xin Li
Anqi Duan
Qin Luo
Zhihong Liu
The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
description Abstract Objective Obstructive sleep apnoea (OSA) is one cause of pulmonary hypertension (PH) and can also emerge along with PH. The clinical diagnosis and treatment of OSA in patients with PH are still controversial. The purpose of this clinical observation study was to observe and summarize the incidence and clinical characteristics of OSA in patients with PH and to explore possible predictors of PH combined with OSA. Methods Patients with PH diagnosed by right heart catheterization who underwent overnight cardiorespiratory monitoring from December 2018 to December 2020 were enrolled. OSA was defined as an apnoea–hypopnoea index of ≥ 5/h with ≥ 50% of apnoeic events being obstructive. Baseline clinical characteristics and parameters were collected to compare PH patients with and without OSA. Logistic regression analysis was run to determine the risk factors for OSA in PH patients. Results A total of 35 (25%) of 140 patients had OSA. OSA is relatively frequent in patients with PH, especially in patients with chronic thromboembolic pulmonary hypertension and patients with lung disease– or hypoxia-associated PH. The patients who had OSA were mostly male and had a higher age and a lower daytime arterial oxygen pressure. Logistic regression analysis found that older age, male sex, and lower daytime arterial blood oxygen pressure correlated with OSA in PH patients. Conclusion OSA is common in patients with PH. Lower daytime arterial oxygen pressure is a risk factor for OSA in older male patients with PH.
format article
author Lu Yan
Zhihui Zhao
Qing Zhao
Qi Jin
Yi Zhang
Xin Li
Anqi Duan
Qin Luo
Zhihong Liu
author_facet Lu Yan
Zhihui Zhao
Qing Zhao
Qi Jin
Yi Zhang
Xin Li
Anqi Duan
Qin Luo
Zhihong Liu
author_sort Lu Yan
title The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
title_short The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
title_full The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
title_fullStr The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
title_full_unstemmed The clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
title_sort clinical characteristics of patients with pulmonary hypertension combined with obstructive sleep apnoea
publisher BMC
publishDate 2021
url https://doaj.org/article/c5f32cac27384f3b9bca6616940f4c58
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