Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2003-3-7
pubmed:abstractText
Sleep-disordered breathing is associated with an altered sympathovagal balance determined by the nocturnal cyclic alternating of apneas and hyperventilation. The aim of this study was to determine whether the autonomic modulation of heart rate during obstructive apneas (OA) and central apneas (CA) in patients with sleep-disordered breathing is different. Therefore, by using the time-varying Wigner-Ville transform spectral analysis we described, in 17 patients, the time course of the low-frequency (LF) and the high-frequency (HF) components of the interbeat interval (R-R interval) reflecting, at large, respectively, the sympathetic and the parasympathetic modulation, during OA (n = 185) and CA (n = 51) and during the postapneic hyperventilation. In both types of apneas we found cyclic lengthening/shortening in R-R interval, during apneas/postapneic hyperventilation, respectively, with more marked bradycardia during OA (R-R: 1,011 +/- 23 versus 893 +/- 30 ms2, p < 0.01). In OA the HF oscillations decreased from the apnea to the postapneic hyperventilation (from 1,964 +/- 244 to 387 +/- 98 ms2, p < 0.0001), whereas the LF oscillations increased (from 2,649 +/- 230 to 9,820 +/- 716 ms2, p < 0.0001). Conversely, in CA the HF oscillations increased from the apnea to the postapneic hyperventilation (from 452 +/- 177 to 1,485 +/- 406 ms2, p < 0.0001), whereas the LF component remained unchanged. These results show markedly different autonomic alterations during and after OA versus CA, suggesting a surge in sympathetic modulation after the obstructive episodes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1073-449X
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
167
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
902-10
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12505858-Aged, pubmed-meshheading:12505858-Analysis of Variance, pubmed-meshheading:12505858-Arousal, pubmed-meshheading:12505858-Autonomic Nervous System, pubmed-meshheading:12505858-Blood Gas Analysis, pubmed-meshheading:12505858-Bradycardia, pubmed-meshheading:12505858-Factor Analysis, Statistical, pubmed-meshheading:12505858-Heart Rate, pubmed-meshheading:12505858-Humans, pubmed-meshheading:12505858-Linear Models, pubmed-meshheading:12505858-Male, pubmed-meshheading:12505858-Middle Aged, pubmed-meshheading:12505858-Polysomnography, pubmed-meshheading:12505858-Respiratory Mechanics, pubmed-meshheading:12505858-Severity of Illness Index, pubmed-meshheading:12505858-Signal Processing, Computer-Assisted, pubmed-meshheading:12505858-Sleep Apnea, Central, pubmed-meshheading:12505858-Sleep Apnea, Obstructive, pubmed-meshheading:12505858-Sleep Stages
pubmed:year
2003
pubmed:articleTitle
Autonomic modulation of heart rate during obstructive versus central apneas in patients with sleep-disordered breathing.
pubmed:affiliation
Istituto di Malattie Respiratorie, Via Passo Gravina 187, 95125 Catania, Italy. luciaspicuzza@tiscalinet.it
pubmed:publicationType
Journal Article, Comparative Study