Document Detail


Left ventricle remodelling is associated with sleep-disordered breathing in non-ischaemic cardiopathy with systolic dysfunction.
MedLine Citation:
PMID:  20408922     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Sleep-disordered breathing (SDB) is associated with left ventricle (LV) remodelling in patients with normal LV function. Sleep-disordered breathing is common in chronic heart failure (CHF) with systolic LV dysfunction, and may contribute to LV remodelling and CHF progression. Our aim was to determine the consequence of SDB on LV geometry in patients with CHF. We hypothesised that SDB severity was correlated with the degree of LV hypertrophy (LVH). One-hundred and sixty patients with CHF with a non-ischaemic systolic LV dysfunction were assessed by overnight polygraphy and echocardiography. Patients were classified in four groups according to their apnoea-hypopnoea index (AHI): <5 (no-SDB); 5-14 (mild); 15-29 (moderate); ≥30 (severe). Left ventricular mass index (LVM Ind) was calculated using the usual echocardiographic M-Mode parameters. Their mean age, New York Heart Association and left ventricular ejection fraction were, respectively: 56 ± 13 years, 2.4 ± 0.8 and 30 ± 10%, and 77% were men. Body mass index, interventricular septal and posterior LV wall thicknesses, and LVM Ind were significantly increased in severe SDB versus no-SDB. LVM Ind was correlated to the AHI (R = 0.27, P = 0.0006) and, using logistic regression, AHI was the unique independent factor of LVH in this population. In non-ischaemic CHF, SDB severity is associated with LV remodelling.
Authors:
Thibaud Damy; Alexandra Paulino; Laurent Margarit; Xavier Drouot; Maria Stoica; Emmanuelle Vermes; Pascal Gueret; Serge Adnot; Jean-Luc Dubois Rande; Marie-Pia D''ortho; Luc Hittinger
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of sleep research     Volume:  20     ISSN:  1365-2869     ISO Abbreviation:  J Sleep Res     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214441     Medline TA:  J Sleep Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  101-9     Citation Subset:  IM    
Copyright Information:
© 2010 European Sleep Research Society.
Affiliation:
Federation de Cardiologie Service de Physiologie-Explorations Fonctionnelles, AP-HP, Groupe Henri-Mondor Albert-Chenevier INSERM, Unité U955 Universite Paris 12, Faculté de Médecine, Créteil, France.
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