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[PMID]:27771703
[Au] Autor:Sakura M; Inaba M; Yoda K; Ichii M; Yamada S; Yamakawa T; Ishimura E; Okuno S; Shoji S
[Ad] Endereço:Department of Metabolism, Endocrinology, Molecular Medicine and Nephrology, Osaka City University Graduate School of Medicine, Osaka, Japan.
[Ti] Título:High Coronary Heart Disease Risk in Hemodialysis Patients with Central Sleep Apnea: A Pilot Study.
[So] Source:Am J Nephrol;44(5):388-395, 2016.
[Is] ISSN:1421-9670
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The high prevalence of sleep apnea is reported in hemodialysis patients despite the low prevalence of obesity. The present study compared the occurrence of central sleep apnea (CSA) in hemodialysis patients with that in non-hemodialysis patients, and its association with new-onset coronary heart disease (CHD) events. METHODS: Seventy-three hemodialysis and 444 non-hemodialysis patients were examined for CSA and obstructive sleep apnea (OSA) occurrence using polysomnography. Hemodialysis patients were monitored for the occurrence of new-onset CHD events. RESULTS: Hemodialysis patients had a significantly higher central apnea-hypopnea index (AHI; 0.7, range 0.2-3.1) than age-, sex- and obstructive AHI-matched non-hemodialysis patients (0.1, range 0-1.0; p < 0.001), in contrast with an insignificant difference for obstructive AHI. Furthermore, the prevalence of CSA was significantly higher in the hemodialysis (21.9%) than in the non-hemodialysis group (9.7%; p = 0.004). A significant and negative association existed between log (central AHI + 1) and Kt/V in hemodialysis patients. In the Kaplan-Meier analysis, hemodialysis patients with CSA had a significantly higher rate of new-onset CHD events than those without CSA. Cox proportional-hazards regression analysis identified CSA prevalence as an independent risk factor for the development of a new-onset CHD event, independent of OSA. CONCLUSIONS: The present study demonstrated that hemodialysis patients had a significantly higher CSA prevalence than non-hemodialysis patients despite similar obstructive AHI, and that hemodialysis patients with CSA had a significantly higher risk for new-onset CHD events than those without CSA independent of obstructive AHI, suggesting CSA as a potential CHD risk specifically in hemodialysis patients.
[Mh] Termos MeSH primário: Doença das Coronárias/etiologia
Falência Renal Crônica/complicações
Apneia Central do Sono/complicações
[Mh] Termos MeSH secundário: Idoso
Doença das Coronárias/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Japão/epidemiologia
Estimativa de Kaplan-Meier
Estudos Longitudinais
Masculino
Meia-Idade
Projetos Piloto
Polissonografia
Modelos de Riscos Proporcionais
Apneia Central do Sono/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28882233
[Au] Autor:Emdin M; Mirizzi G; Giannoni A; Poletti R; Iudice G; Bramanti F; Passino C
[Ad] Endereço:Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana Gabriele Monasterio, Pisa, Italy. Electronic address: emdin@ftgm.it.
[Ti] Título:Prognostic Significance of Central Apneas Throughout a 24-Hour Period in Patients With Heart Failure.
[So] Source:J Am Coll Cardiol;70(11):1351-1364, 2017 Sep 12.
[Is] ISSN:1558-3597
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Large trials using noninvasive mechanical ventilation to treat central apnea (CA) occurring at night ("sleep apnea") in patients with systolic heart failure (HF) have failed to improve prognosis. The prevalence and prognostic value of CA during daytime and over an entire 24-h period are not well described. OBJECTIVES: This study evaluated the occurrence and prognostic significance of nighttime, daytime, and 24-h CA episodes in a large cohort of patients with systolic HF. METHODS: Consecutive patients receiving guideline-recommended treatment for HF (n = 525; left ventricular ejection fraction [LVEF] of 33 ± 9%; 66 ± 12 years of age; 77% males) underwent prospective evaluation, including 24-h respiratory recording, and were followed-up using cardiac mortality as an endpoint. RESULTS: The 24-h prevalence of predominant CAs (apnea/hypopnea index [AHI] ≥5 events/h, with CA of >50%) was 64.8% (nighttime: 69.1%; daytime: 57.0%), whereas the prevalence of predominant obstructive apneas (OA) was 12.8% (AHI ≥5 events/h with OAs >50%; nighttime: 14.7%; daytime: 5.9%). Episodes of CA were associated with neurohormonal activation, ventricular arrhythmic burden, and systolic/diastolic dysfunction (all p < 0.05). During a median 34-month follow-up (interquartile range [IQR]: 17 to 36 months), 50 cardiac deaths occurred. Nighttime, daytime, and 24-h moderate-to-severe CAs were associated with increased cardiac mortality (AHI of 
[Mh] Termos MeSH primário: Insuficiência Cardíaca Sistólica/complicações
Apneia Central do Sono/epidemiologia
Função Ventricular Esquerda/fisiologia
[Mh] Termos MeSH secundário: Idoso
Causas de Morte/tendências
Ecocardiografia
Eletrocardiografia Ambulatorial
Feminino
Seguimentos
Insuficiência Cardíaca Sistólica/diagnóstico
Insuficiência Cardíaca Sistólica/fisiopatologia
Ventrículos do Coração/diagnóstico por imagem
Ventrículos do Coração/fisiopatologia
Seres Humanos
Itália/epidemiologia
Masculino
Meia-Idade
Polissonografia
Prevalência
Prognóstico
Estudos Prospectivos
Apneia Central do Sono/etiologia
Apneia Central do Sono/fisiopatologia
Taxa de Sobrevida/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE


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[PMID]:28797401
[Au] Autor:Schertel A; Horvath CM; Pichler Hefti J; Aubert JD; Brill AK
[Ad] Endereço:Department of Pulmonary Medicine, University Hospital and University of Berne, Berne, Switzerland. Electronic address: anke.schertel@insel.ch.
[Ti] Título:A 58-Year-Old Man With Position-Dependent Nocturnal Dyspnea.
[So] Source:Chest;152(2):e51-e55, 2017 Aug.
[Is] ISSN:1931-3543
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE PRESENTATION: A 58-year-old man with idiopathic pulmonary fibrosis, who had received a right-sided single-lung transplant 2 years earlier, was referred to the sleep clinic for the assessment of nocturnal position-dependent episodes of dyspnea and frequent arousals when lying on his right side. There was no subjective worsening of daytime respiratory symptoms, but he complained of fatigue and unrefreshing sleep. His Epworth Sleepiness Scale score was 12/24. After lung transplantation he had a favorable course while receiving immunosuppression with prednisolone, everolimus, and mycophenolate mofetil. In addition, he had received diagnoses of stable coronary artery disease and moderate chronic kidney failure.
[Mh] Termos MeSH primário: Dispneia Paroxística/etiologia
Postura
Apneia Central do Sono/diagnóstico por imagem
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Imagem de Perfusão/métodos
Apneia Central do Sono/complicações
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE


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[PMID]:28637078
[Au] Autor:Linz B; Böhm M; Linz D
[Ti] Título:[Update: Cardiovascular Sleep Medicine].
[Ti] Título:Update: Kardiovaskuläre Schlafmedizin..
[So] Source:Dtsch Med Wochenschr;142(12):912-923, 2017 Jun.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The prevalence of sleep-disordered breathing (SDB) is high in patients with cardiovascular diseases. Typical symptoms like daytime sleepiness can be absent and those patients may report unspecific, therapy-resistant symptoms related to their underlying disease. Particularly sleep-related symptoms like nocturia, nocturnal dyspnea and pectangina can be present. Based on the results of recently published studies, the treatment of central sleep apnea in patients with symptomatic, systolic heart failure by adaptive servo-ventilation is no longer recommended. Although the treatment of obstructive sleep apnea did not prevent cardiovascular events, it improved snoring, daytime sleepiness and health-related quality of life. Furthermore, studies imply that treatment of SDB should be considered as an adjunct treatment modality in patients with hypertension and atrial fibrillation. Due to the high prevalence, screening for SDB can help to identify patients at high cardiovascular risk.
[Mh] Termos MeSH primário: Doenças Cardiovasculares/etiologia
Apneia Central do Sono/complicações
Apneia Obstrutiva do Sono/complicações
[Mh] Termos MeSH secundário: Terapia Comportamental
Doenças Cardiovasculares/diagnóstico
Doenças Cardiovasculares/fisiopatologia
Terapia Combinada
Pressão Positiva Contínua nas Vias Aéreas
Seres Humanos
Fatores de Risco
Apneia Central do Sono/diagnóstico
Apneia Central do Sono/fisiopatologia
Apneia Central do Sono/terapia
Apneia Obstrutiva do Sono/diagnóstico
Apneia Obstrutiva do Sono/fisiopatologia
Apneia Obstrutiva do Sono/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-124260


  5 / 1159 MEDLINE  
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[PMID]:28629918
[Au] Autor:Liu D; Armitstead J; Benjafield A; Shao S; Malhotra A; Cistulli PA; Pepin JL; Woehrle H
[Ad] Endereço:ResMed Science Center, Singapore.
[Ti] Título:Trajectories of Emergent Central Sleep Apnea During CPAP Therapy.
[So] Source:Chest;152(4):751-760, 2017 Oct.
[Is] ISSN:1931-3543
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The emergence of central sleep apnea (CSA) during positive airway pressure (PAP) therapy has been observed clinically in approximately 10% of obstructive sleep apnea titration studies. This study assessed a PAP database to investigate trajectories of treatment-emergent CSA during continuous PAP (CPAP) therapy. METHODS: U.S. telemonitoring device data were analyzed for the presence/absence of emergent CSA at baseline (week 1) and week 13. Defined groups were as follows: obstructive sleep apnea (average central apnea index [CAI] < 5/h in week 1, < 5/h in week 13); transient CSA (CAI ≥ 5/h in week 1, < 5/h in week 13); persistent CSA (CAI ≥ 5/h in week 1, ≥ 5/h in week 13); emergent CSA (CAI < 5/h in week 1, ≥ 5/h in week 13). RESULTS: Patients (133,006) used CPAP for ≥ 90 days and had ≥ 1 day with use of ≥ 1 h in week 1 and week 13. The proportion of patients with CSA in week 1 or week 13 was 3.5%; of these, CSA was transient, persistent, or emergent in 55.1%, 25.2%, and 19.7%, respectively. Patients with vs without treatment-emergent CSA were older, had higher residual apnea-hypopnea index and CAI at week 13, and more leaks (all P < .001). Patients with any treatment-emergent CSA were at higher risk of therapy termination vs those who did not develop CSA (all P < .001). CONCLUSIONS: Our study identified a variety of CSA trajectories during CPAP therapy, identifying several different clinical phenotypes. Identification of treatment-emergent CSA by telemonitoring could facilitate early intervention to reduce the risk of therapy discontinuation and shift to more efficient ventilator modalities.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas/métodos
Monitorização Fisiológica/métodos
Apneia Central do Sono/fisiopatologia
Telemedicina/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Polissonografia
Apneia Central do Sono/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE


  6 / 1159 MEDLINE  
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[PMID]:28488317
[Au] Autor:Gessner V; Bitter T; Horstkotte D; Oldenburg O; Fox H
[Ad] Endereço:Clinic for Cardiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
[Ti] Título:Impact of sleep-disordered breathing in patients with acute myocardial infarction: a retrospective analysis.
[So] Source:J Sleep Res;26(5):657-664, 2017 Oct.
[Is] ISSN:1365-2869
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Sleep-disordered breathing (SDB) is associated with an increased risk of cardiovascular events. Previous studies showed that severe SDB has a negative impact on myocardial salvage and progression of left ventricular dysfunction after acute myocardial infarction (AMI). This study investigated the frequency of SDB and the effects of SDB on left ventricular function after AMI. This retrospective study enrolled all patients with AMI who had undergone cardiorespiratory polygraphy for SDB diagnosis. The apnea-hypopnea index was used as a standard metric of SDB severity. SDB was classified as mild (apnea-hypopnea index >5 to <15 per h), moderate (≥15 to <30 per h) or severe (apnea-hypopnea index ≥30 per h). According to the majority of events, SDB was classified as predominant obstructive sleep apnea, central sleep apnea or mixed sleep apnea (mixed SDB). A total of 223 patients with AMI (112 with ST elevation and 111 without ST elevation; 63.2 ± 11.2 years, 82% male, left ventricular ejection fraction 49 ± 12%) were enrolled. SDB was present in 85.6%, and was moderate-to-severe in 63.2%; 40.8% had obstructive sleep apnea, 41.7% had central sleep apnea and 3.1% had mixed SDB. Left ventricular ejection fraction was lower in patients with AMI with severe SDB (45 ± 14%) versus those without SDB (57 ± 7%; P < 0.005). In addition, lower left ventricular ejection fraction (≤45%) was associated with increased frequency (apnea-hypopnea index ≥5 per h in 96%) and severity (apnea-hypopnea index ≥30 per h in 48%) of SDB in general and a higher percentage of central sleep apnea (57%) in particular. SDB is highly frequent in patients with AMI. SDB severity appeared to be linked to impaired left ventricular function, especially in patients with central sleep apnea.
[Mh] Termos MeSH primário: Infarto do Miocárdio/complicações
Infarto do Miocárdio/fisiopatologia
Síndromes da Apneia do Sono/complicações
Síndromes da Apneia do Sono/fisiopatologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Polissonografia
Estudos Retrospectivos
Síndromes da Apneia do Sono/diagnóstico
Apneia Central do Sono/complicações
Apneia Central do Sono/fisiopatologia
Apneia Obstrutiva do Sono/complicações
Apneia Obstrutiva do Sono/fisiopatologia
Disfunção Ventricular Esquerda
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170511
[St] Status:MEDLINE
[do] DOI:10.1111/jsr.12540


  7 / 1159 MEDLINE  
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[PMID]:28477779
[Au] Autor:Germany R
[Ad] Endereço:Cardiovascular Division, University of Oklahoma College of Medicine, 800 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA. Electronic address: Robin-germany@ouhsc.edu.
[Ti] Título:Non-Mask-based Therapies for Central Sleep Apnea in Patients with Heart Failure.
[So] Source:Sleep Med Clin;12(2):255-264, 2017 Jun.
[Is] ISSN:1556-4088
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Central sleep apnea is common in heart failure and contributes to morbidity and mortality. Symptoms are often similar to those associated with heart failure and a high index of suspicion is needed. Testing is typically done in the sleep laboratory, but home testing equipment can distinguish between central and obstructive events. Treatments are limited. Mask-based therapies have been the primary treatment. Oxygen has some data but lacks long-term studies. Neurostimulation of the phrenic nerve is a new technology that has demonstrated improvement. Coordination of care between sleep specialists and cardiologists is important as the field of central sleep apnea continues to develop.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/complicações
Apneia Central do Sono/terapia
[Mh] Termos MeSH secundário: Dióxido de Carbono/uso terapêutico
Seres Humanos
Neuroestimuladores Implantáveis
Máscaras
Estudos Multicêntricos como Assunto
Oxigênio/uso terapêutico
Nervo Frênico
Respiração com Pressão Positiva
Ensaios Clínicos Controlados Aleatórios como Assunto
Apneia Central do Sono/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
142M471B3J (Carbon Dioxide); S88TT14065 (Oxygen)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170508
[St] Status:MEDLINE


  8 / 1159 MEDLINE  
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[PMID]:28477778
[Au] Autor:Randerath W; Herkenrath S
[Ad] Endereço:Clinic for Pneumology and Allergology, Centre of Sleep Medicine and Respiratory Care, Bethanien Hospital, Institute of Pneumology, University of Cologne, Aufderhöher Str. 169, Solingen 42699, Germany. Electronic address: randerath@klinik-bethanien.de.
[Ti] Título:Device Therapy for Sleep-Disordered Breathing in Patients with Cardiovascular Diseases and Heart Failure.
[So] Source:Sleep Med Clin;12(2):243-254, 2017 Jun.
[Is] ISSN:1556-4088
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pathophysiologic components of upper airway obstruction, reduced tidal volume, and disturbed respiratory drive characterize sleep-disordered breathing. Positive airway pressure (PAP) devices address these components by stabilizing the upper airways (continuous PAP), applying air volumes and mandatory breaths (bilevel PAP), or counterbalancing ventilation (adaptive servoventilation). Although PAP therapies have been shown to improve breathing disturbances, daytime symptoms, and left ventricular function in obstructive sleep apnea and cardiovascular diseases, the effects on mortality are controversial, especially in heart failure and central sleep apnea. Optimal treatment is selected based on polysomnographic findings and symptoms, and applied based on the underlying pathophysiologic components.
[Mh] Termos MeSH primário: Doenças Cardiovasculares/complicações
Insuficiência Cardíaca/complicações
Síndromes da Apneia do Sono/terapia
[Mh] Termos MeSH secundário: Seres Humanos
Respiração com Pressão Positiva/instrumentação
Síndromes da Apneia do Sono/complicações
Apneia Central do Sono/terapia
Apneia Obstrutiva do Sono/terapia
Função Ventricular Esquerda
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170508
[St] Status:MEDLINE


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[PMID]:28477776
[Au] Autor:Rowley JA; Badr MS
[Ad] Endereço:Division of Pulmonary, Critical Care & Sleep Medicine, Harper University Hospital, Wayne State University School of Medicine, 3990 John R, 3 Hudson, Detroit, MI 48201, USA. Electronic address: jrowley@med.wayne.edu.
[Ti] Título:Central Sleep Apnea in Patients with Congestive Heart Failure.
[So] Source:Sleep Med Clin;12(2):221-227, 2017 Jun.
[Is] ISSN:1556-4088
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Central sleep apnea and Cheyne-Stokes respiration are commonly observed breathing patterns during sleep in patients with congestive heart failure. Common risk factors are male gender, older age, presence of atrial fibrillation, and daytime hypocapnia. Proposed mechanisms include augmented peripheral and central chemoreceptor sensitivity, which increase ventilator instability during both wakefulness and sleep; diminished cerebrovascular reactivity and increased circulation time, which impair the normal buffering of Paco and hydrogen ions and delay the detection of changes in Paco during sleep; and rostral fluid shifts that predispose to hypocapnia.
[Mh] Termos MeSH primário: Respiração de Cheyne-Stokes/complicações
Insuficiência Cardíaca/complicações
Apneia Central do Sono/complicações
[Mh] Termos MeSH secundário: Fibrilação Atrial/complicações
Seres Humanos
Hipocapnia/complicações
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170508
[St] Status:MEDLINE


  10 / 1159 MEDLINE  
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[PMID]:28395495
[Au] Autor:Xu ZF; Li XD; Wu YX; Tai J; Zhang YM; Peng XX; Zheng L; Shi J; Ni X
[Ad] Endereço:Department of Respiratory, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.
[Ti] Título:[Characteristics of sleep apnea events in non-snoring children].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;52(3):220-224, 2017 Mar 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To investigate the characteristics of sleep-related respiratory events in normal children and to provide normal polysomnographic parameters for diagnosing sleep-disordered breathing in children. Normal subjects between 3 and 14 years old were enrolled from 1 July 2014 to 31 December 2015 and the subjects received overnight polysomnography at the sleep center of our hospital. They were children of our hospital employees or were recruited from the communities who did not have sleep and respiratory disorders. The children were divided into preschool group (3-5 years) and school-age group (6-14 years). Apnea index (AI), obstructive apnea index (OAI), central apnea index (CAI), and mixed apnea index (MAI) were compared between the two groups. Data for continuous variables that showed normal distribution were expressed as x ± . ( , ) were used when data were not normally distributed. Continuous variables that showed normal distribution were compared by using an independent-sample t-test. Wilcoxon-test was performed when data exhibited non-normal distribution. Differences in categorical data were tested with Chi-square test. correlation test was applied for the correlation analysis. <0.05 was considered statistically significant. A total of 115 normal children took part in the study including 40 in preschool group and 75 in school-age group. Children in both groups had a few sleep apnea events, most of which were central apneas, accounting for 80% and 70% of the total respiratory events respectively. Central apnea index in preschool children were significantly higher than that of school-age children ( <0.001), with median of 0.6 times/h and 0.1 times/h, respectively. Median OAI of both groups were 0.0 times/h without significant difference ( =0.748). Obstructive apnea events occurred mainly in the supine position in both groups. Normal children may have a few apnea events in sleep that were predominantly central apnea. CAI of preschool children is significantly higher than that of school-age children. Obstructive sleep apnea is rare in normal children, and sleep apnea occurs mainly in the supine position.
[Mh] Termos MeSH primário: Apneia Central do Sono/fisiopatologia
Apneia Obstrutiva do Sono/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Fatores Etários
Distribuição de Qui-Quadrado
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Polissonografia
Apneia Central do Sono/diagnóstico
Apneia Obstrutiva do Sono/diagnóstico
Ronco
Estatísticas não Paramétricas
Decúbito Dorsal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2017.03.011



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde