| Respiratory responses to chemical stimulation in patients with obstructive sleep apnoea. | |
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MedLine Citation:
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PMID: 10949866 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Chemical control of breathing in obstructive sleep apnoea (OSA) patients has been studied by many authors. The results of previous studies, especially those dealing with hypoxic drive, are discordant. Respiratory responses were studied during hypercapnic and hypoxic stimulation in a group of 37 normocapnic patients with OSA during wakefulness. The diagnosis of OSA was established by standard polysomnography. These patients had increased apnoea/hypopnoea index (AHI; 51 +/- 22 (mean +/- SD)), obesity (body mass index (BMI) 32.4 +/- 5.6 kg.m-2) and normal lung function tests. The control group consisted of 14 healthy obese subjects (BMI 31.2 +/- 3.3 kg.m-2). Respiratory responses (ventilatory and mouth occlusion pressure (P0.1)) during hypercapnic and hypoxic rebreathing tests were measured with the use of computerized equipment. Respiratory responses during hypercapnic stimulation were similar to those in the control group (change in (delta) minute ventilation (V'E)/delta carbon dioxide tension (PCO2) 23.5 +/- 14.8 versus 22.3 +/- 10.0 L.min-1.kPa-1, delta P0.1/delta PCO2 4.6 +/- 3.6 versus 4.2 +/- 2.6 cmH2O.kPa-1). During isocapnic hypoxic stimulation in OSA patients the mean ventilatory response was higher than in the control group (delta V'E/delta arterial oxygen saturation (Sa,O2) 2.6 +/- 1.7 versus 1.7 +/- 0.7 L.min-1.%-1) but this difference was not statistically significant. Nevertheless, it was found that 13 (35%) OSA patients had increased ventilatory responses. The mean P0.1 response in OSA patients was higher but did not differ significantly from those in the control group (delta P0.1/delta Sa,O2) 0.43 +/- 0.38 versus 0.35 +/- 0.12 cmH2O.%-1). The results demonstrated that respiratory responses to chemical stimulation in awake normocapnic patients with obstructive sleep apnoea were in the normal range, similar to those in control obese subjects. During hypoxic stimulation some of them had increased ventilatory (35%) and mouth occlusion pressure (16%) responses. |
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Authors:
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L Radwan; Z Maszczyk; M Koziej; M Franczuk; A Koziorowski; J Kowalski; J Zieliński |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Università di Napoli, Secondo ateneo Volume: 55 ISSN: 1122-0643 ISO Abbreviation: Monaldi Arch Chest Dis Publication Date: 2000 Apr |
Date Detail:
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Created Date: 2000-09-11 Completed Date: 2000-09-11 Revised Date: 2008-06-02 |
Medline Journal Info:
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Nlm Unique ID: 9307314 Medline TA: Monaldi Arch Chest Dis Country: ITALY |
Other Details:
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Languages: eng Pagination: 96-100 Citation Subset: IM |
Affiliation:
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Lung Function Laboratory, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anoxia / physiopathology Humans Hypercapnia / physiopathology Male Middle Aged Polysomnography Respiratory Function Tests Respiratory Mechanics* Sleep Apnea, Obstructive / physiopathology* |
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