Source:http://linkedlifedata.com/resource/pubmed/id/10617166
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2000-2-1
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pubmed:abstractText |
Increasing respiratory effort is the likely stimulus for arousal in patients with sleep-disordered breathing. Changes in the phase angle waveform (an indirect measure of respiratory effort) may provide a useful non-EEG indicator of respiratory-related arousal. The aim of this study was to investigate the relationship between phase angle change (using a continuous measurement technique) and EEG arousal. Polysomnographic sleep recordings (including: EEG, EOG, EMG, respiratory effort [ribcage and abdominal movement], respiratory paradox [continuous phase angle measurement], oral-nasal airflow, and oxygen saturation) were performed in a purpose built laboratory on 30 patients with sleep-disordered breathing (15 patients with obstructive sleep apnoea/hypopnoea syndrome [OSAHS]; 15 chronic heavy snorers without OSAHS) and 15 age and weight matched, non-snoring normal subjects. All data, including the temporal relationship between phase angle change and EEG arousal, were analyzed manually (4,545 phase angle changes and 6,473 EEG arousals). There was a highly significant correlation (p<0.001) between phase angle index (changes/hour of sleep) and EEG arousal index (arousals/hour of sleep). However, mean phase angle index allowed a much clearer differentiation between the three subject groups, with the mean phase angle index providing a six-fold difference between normal and OSAHS groups, while the EEG arousal index gave only a two-fold difference. In support of the suggestion that phase angle changes represent respiratory-related sleep disruption, more than twice as many EEG arousals were associated with a change in the phase angle waveform in patients with sleep-disordered breathing than in normal subjects. This study highlights the limitations of EEG arousal scoring in the assessment of patients with sleep-disordered breathing and provides further evidence to support phase angle change as an indicator of respiratory-related sleep disruption.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0161-8105
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1059-65
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pubmed:dateRevised |
2009-1-29
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pubmed:meshHeading |
pubmed-meshheading:10617166-Adult,
pubmed-meshheading:10617166-Arousal,
pubmed-meshheading:10617166-Body Mass Index,
pubmed-meshheading:10617166-Chronic Disease,
pubmed-meshheading:10617166-Electroencephalography,
pubmed-meshheading:10617166-Female,
pubmed-meshheading:10617166-Humans,
pubmed-meshheading:10617166-Male,
pubmed-meshheading:10617166-Polysomnography,
pubmed-meshheading:10617166-Respiration,
pubmed-meshheading:10617166-Sleep, REM,
pubmed-meshheading:10617166-Sleep Apnea, Obstructive
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pubmed:year |
1999
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pubmed:articleTitle |
Respiratory paradox as an indicator of arousal from non-REM sleep.
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pubmed:affiliation |
North West Lung Centre, Wythenshawe Hospital, Manchester, UK.
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pubmed:publicationType |
Journal Article,
Comparative Study
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