Cited 2 times in
Elucidation of obstructive sleep apnoea related blood pressure surge using a novel continuous beat-to-beat blood pressure monitoring system
DC Field | Value | Language |
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dc.contributor.author | 박성하 | - |
dc.date.accessioned | 2022-12-22T01:40:49Z | - |
dc.date.available | 2022-12-22T01:40:49Z | - |
dc.date.issued | 2022-03 | - |
dc.identifier.issn | 0263-6352 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/191297 | - |
dc.description.abstract | Background: Obstructive sleep apnoea (OSA) episode related blood pressure (BP) surge may mediate the association of OSA with cardiovascular disease. However, BP is not measured during a clinical sleep study. Method: We tested the feasibility of incorporating the Caretaker physiological monitor, which utilizes a novel continuous beat-to-beat (b-b) BP monitoring technology, into polysomnography (PSG) and aimed to characterize BP surges related to obstructive respiratory events. B-b BP was concurrently collected and merged with PSG data on a posthoc basis. We compared BP surge between mean respiratory (apnoea, hypopnea and desaturation-alone events) and nonrespiratory events (spontaneous or leg movement-related arousals). We examined the association of the degree of oxygen desaturation with BP surge in a given respiratory event combining all events. A total of 17 consecutive patients (12 men, mean 52 years old, nine diagnostic and eight split-night PSGs) undergoing clinically indicated PSG were included after excluding one patient with poor signal quality due to excessive movement. Results: Caretaker was well tolerated. Mean respiratory BP surge ranged from 5 to 19 mmHg [Median (IQR) = 13.9 (9.5--16.2)]. Mean BP surge between the respiratory and nonrespiratory events was similar [13.8 (4.5) vs. 14.9 (5.3) mmHg, P = 0.13]. Accounting for the count distribution of desaturation/BP surge data pair events, there was a linear correlation between the degree of oxygen desaturation and BP surge (R = 0.57, P < 0.001). In eight patients undergoing split-night sleep studies, the number of BP surge events (≥10 mmHg/h) decreased during continuous positive airway pressure in all but one patient. Conclusion: We demonstrated highly variable OSA-related BP surge patterns using the Caretaker's b-b BP monitoring technology that has the potential to be integrated into sleep studies. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | JOURNAL OF HYPERTENSION | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Blood Pressure / physiology | - |
dc.subject.MESH | Blood Pressure Determination* | - |
dc.subject.MESH | Continuous Positive Airway Pressure | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Polysomnography | - |
dc.subject.MESH | Sleep Apnea, Obstructive* | - |
dc.title | Elucidation of obstructive sleep apnoea related blood pressure surge using a novel continuous beat-to-beat blood pressure monitoring system | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Younghoon Kwon | - |
dc.contributor.googleauthor | Martin Baruch | - |
dc.contributor.googleauthor | Patrick L Stafford | - |
dc.contributor.googleauthor | Heather Bonner | - |
dc.contributor.googleauthor | Yeilim Cho | - |
dc.contributor.googleauthor | Sula Mazimba | - |
dc.contributor.googleauthor | Jeongok G Logan | - |
dc.contributor.googleauthor | Daichi Shimbo | - |
dc.contributor.googleauthor | Sung-Ha Park | - |
dc.contributor.googleauthor | Gen-Min Lin | - |
dc.contributor.googleauthor | Ali Azarbarzin | - |
dc.contributor.googleauthor | David A Calhoun | - |
dc.contributor.googleauthor | Richard Berry | - |
dc.contributor.googleauthor | Robert M Carey | - |
dc.identifier.doi | 10.1097/HJH.0000000000003041 | - |
dc.contributor.localId | A01512 | - |
dc.relation.journalcode | J01448 | - |
dc.identifier.eissn | 1473-5598 | - |
dc.identifier.pmid | 34751170 | - |
dc.identifier.url | https://journals.lww.com/jhypertension/Fulltext/2022/03000/Elucidation_of_obstructive_sleep_apnoea_related.13.aspx | - |
dc.contributor.alternativeName | Park, Sung Ha | - |
dc.contributor.affiliatedAuthor | 박성하 | - |
dc.citation.volume | 40 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 520 | - |
dc.citation.endPage | 527 | - |
dc.identifier.bibliographicCitation | JOURNAL OF HYPERTENSION, Vol.40(3) : 520-527, 2022-03 | - |
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