Obstructive sleep apnoea-related respiratory events and desaturation severity are associated with the cardiac response

Hietakoste, S. ; Karhu, T. ; Sillanmäki, S. ; Bailón, R. (Universidad de Zaragoza) ; Penzel, T. ; Töyräs, J. ; Leppänen, T. ; Myllymaa, S. ; Kainulainen, S.

Resumen: Obstructive sleep apnoea (OSA) causes, among other things, intermittent blood oxygen desaturations, increasing the sympathetic tone. Yet the effect of desaturations on heart rate variability (HRV), a simple and noninvasive method for assessing sympathovagal balance, has not been comprehensively studied. We aimed to study whether desaturation severity affects the immediate HRV.MethodsWe retrospectively analysed the electrocardiography signals in 5-min segments (n=39 132) recorded during clinical polysomnographies of 642 patients with suspected OSA. HRV parameters were calculated for each segment. The segments were pooled into severity groups based on the desaturation severity (i.e.the integrated area under the blood oxygen saturation curve) and the respiratory event rate within the segment. Covariate-adjusted regression analyses were performed to investigate possible confounding effects.ResultsWith increasing respiratory event rate, the normalised high-frequency band power (HFNU) decreased from 0.517 to 0.364 (p<0.01), the normalised low-frequency band power (LFNU) increased from 0.483 to 0.636 (p<0.01) and the mean RR interval decreased from 915 to 869 ms (p<0.01). Similarly, with increasing desaturation severity, the HFNUdecreased from 0.499 to 0.364 (p<0.01), the LFNUincreased from 0.501 to 0.636 (p<0.01) and the mean RR interval decreased from 952 to 854 ms (p<0.01). Desaturation severity-related findings were confirmed by considering the confounding factors in the regression analyses.ConclusionThe short-term HRV response differs based on the desaturation severity and the respiratory event rate in patients with suspected OSA. Therefore, a more detailed analysis of HRV and desaturation characteristics could enhance OSA severity estimation.

Idioma: Inglés

DOI: 10.1183/23120541.00121-2022

Año: 2022

Publicado en: ERJ Open Research 8, 4 (2022), 00121[12 pp.]
ISSN: 2312-0541

Factor impacto JCR: 4.6 (2022)

Categ. JCR: RESPIRATORY SYSTEM rank: 22 / 66 = 0.333 (2022) - Q2 - T2

Factor impacto CITESCORE: 5.2 - Medicine (Q2)

Factor impacto SCIMAGO: 1.304 - Pulmonary and Respiratory Medicine (Q1)

Financiación: info:eu-repo/grantAgreement/ES/DGA-FSE/T39-20R
Financiación: info:eu-repo/grantAgreement/EC/H2020/965417/EU/Revolution of sleep diagnostics and personalized health care based on digital diagnostics and therapeutics with health data integration/SLEEP REVOLUTION

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Teoría Señal y Comunicac. (Dpto. Ingeniería Electrón.Com.)