Autonomic dysfunction increases cardiovascular risk in the presence of sleep apnea

Milagro, Javier (Universidad de Zaragoza) ; Deviaene, Margot ; Gil, Eduardo (Universidad de Zaragoza) ; Lazaro, Jesús (Universidad de Zaragoza) ; Buyse, Bertien ; Testelmans, Dries ; Borzée, Pascal ; Willems, Rik ; Van Huffel, Sabine ; Bailón, Raquel (Universidad de Zaragoza) ; Varon, Carolina

Resumen: The high prevalence of sleep apnea syndrome (SAS) and its direct relationship with an augmented risk of cardiovascular disease (CVD) have raised SAS as a primary public health problem. For this reason, extensive research aiming to understand the interaction between both conditions has been conducted. The advances in non-invasive autonomic nervous system (ANS) monitoring through heart rate variability (HRV) analysis have revealed an increased sympathetic dominance in subjects suffering from SAS when compared with controls. Similarly, HRV analysis of subjects with CVD suggests altered autonomic activity. In this work, we investigated the altered autonomic control in subjects suffering from SAS and CVD simultaneously when compared with SAS patients, as well as the possibility that ANS assessment may be useful for the early stage identification of cardiovascular risk in subjects with SAS. The analysis was performed over 199 subjects from two independent datasets during night-time, and the effects of the physiological response following an apneic episode, sleep stages, and respiration on HRV were taken into account. Results, as measured by HRV, suggest a decreased sympathetic dominance in those subjects suffering from both conditions, as well as in subjects with SAS that will develop CVDs, which was reflected in a significantly reduced sympathovagal balance (p < 0.05). In this way, ANS monitoring could contribute to improve screening and diagnosis, and eventually aid in the phenotyping of patients, as an altered response might have direct implications on cardiovascular health.

Idioma: Inglés

DOI: 10.3389/fphys.2019.00620

Año: 2019

Publicado en: FRONTIERS IN PHYSIOLOGY 10, Art. 620 (2019), [11 pp.]
ISSN: 1664-042X

Factor impacto JCR: 3.367 (2019)

Categ. JCR: PHYSIOLOGY rank: 20 / 81 = 0.247 (2019) - Q1 - T1

Factor impacto SCIMAGO: 1.211 - Physiology (medical) (Q2) - Physiology (Q2)

Financiación: info:eu-repo/grantAgreement/ES/CSIC-IMB-CNM/ICTS NANBIOSIS-SU8 Unit-CIBER-BBN
Financiación: info:eu-repo/grantAgreement/ES/DGA-FEDER/T39-17R-BSICoS
Financiación: info:eu-repo/grantAgreement/EC/H2020/745755/EU/Wearable Cardiorespiratory Monitor/WECARMON
Financiación: info:eu-repo/grantAgreement/ES/MINECO/BES-2015-073694

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Ingen.Sistemas y Automát. (Dpto. Informát.Ingenie.Sistms.)
Área (Departamento): Área Teoría Señal y Comunicac. (Dpto. Ingeniería Electrón.Com.)