Cardiopulmonary coupling analysis: changes before and after treatment with a mandibular advancement device View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-04-04

AUTHORS

Woo Hyun Lee, Jae-Cheul Ahn, Jaewoon We, Chae-Seo Rhee, Chul Hee Lee, Pil-Young Yun, In-Young Yoon, Jeong-Whun Kim

ABSTRACT

PurposeThe aim of this study is to evaluate the changes of sleep quality in patients using a mandibular advancement device (MAD) for obstructive sleep apnea (OSA) based upon cardiopulmonary coupling (CPC).MethodsA total of 52 patients (mean age 53.7 ± 9.6 years, range 33–74 years) were included in this study. Of them, there were 47 males (90.4 %). All subjects were diagnosed with OSA after in-laboratory full-night polysomnography and reevaluated after 3-month use of a MAD. At baseline, apnea-hypopnea index (AHI) was 33.6 ± 17.0, Epworth sleepiness scale was 10.5 ± 4.8, and Pittsburgh sleep quality index was 5.8 ± 2.8. The CPC parameters were extracted from single-lead electrocardiography of polysomnography. We compared CPC parameters at baseline with those after 3-month use of a MAD.ResultsAll respiratory indices improved with the use of MAD. However, there were no differences in the sleep architectures except N3 sleep (3.7 ± 4.3 to 6.9 ± 6.4 %, p < 0.001). The CPC parameters showed a significant improvement with the use of MAD. Low-frequency coupling (59.5 ± 16.1 to 47.7 ± 14.8 %, p < 0.001) and elevated low-frequency coupling (44.6 ± 18.4 to 32.6 ± 15.7 %, p < 0.001) significantly decreased. High-frequency coupling (28.6 ± 16.0 to 36.5 ± 15.7 %, p = 0.004) and very low frequency coupling (11.7 ± 7.2 to 15.3 ± 6.6 %, p = 0.028) significantly increased. The change of AHI significantly correlated with changes of the CPC parameters: negatively correlated with high-frequency coupling change (r = −0.572, p < 0.001) and positively correlated with low-frequency and elevated low-frequency coupling changes (r = 0.604 and 0.497, respectively; p < 0.001 in both). However, the changes of Epworth sleepiness scale and Pittsburgh sleep quality index after MAD therapy showed no significant correlation with the changes in the CPC parameters.ConclusionsTo our knowledge, this is the first study to evaluate the quality of sleep in patients using a MAD for their OSA based upon CPC analysis. Low-frequency coupling decreased as AHI improved, while high-frequency coupling increased as AHI improved. The CPC parameters showed that the sleep quality was improved by MAD therapy. More... »

PAGES

891-896

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11325-014-0961-5

DOI

http://dx.doi.org/10.1007/s11325-014-0961-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029509406

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24699839


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75 quality of sleep
76 respiratory index
77 scale
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80 single-lead electrocardiography
81 sleep
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83 sleep architecture
84 sleep quality
85 study
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