Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients

Detalhes bibliográficos
Autor(a) principal: Julioti Urbano, Jéssica
Data de Publicação: 2017
Outros Autores: Nanami Uchiyama, Lilian, Soares Silva, Anderson, Oliveira Peixoto, Roger André, Nacif, Sergio Roberto, Franco Oliveira, Luis Vicente
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Fisioterapia em Movimento
Texto Completo: https://periodicos.pucpr.br/fisio/article/view/21870
Resumo: Introduction: Sleep breathing disorders occur in 45% of patients with heart failure, with 36%–50% manifesting Cheyne-Stokes respiration with central sleep apnea and 12% exhibiting obstructive sleep apnea. Several studies have shown that sleep pathophysiology may negatively affect the cardiovascular system and that cardiac dysfunction alters sleep and respiration. Objective: The aim of this study was to examine oxyhemoglobin desaturation during sleep in patients with congestive heart failure (CHF) using overnight pulse oximetry. Methods: Overnight pulse oximetry was conducted in the patients’ homes with wrist pulse oximeters and finger probes that were placed around the forefingers of 15 patients with CHF and ejection fractions less than 50%, who were classified as New York Heart Association functional classes II and III. Results: The patients were divided into two groups. The first group consisted of seven patients with oxyhemoglobin desaturation indices of over 5 events/h, and the second group contained eight patients with oxyhemoglobin desaturation indices of 5 or less events/h. Student’s t-tests did not show any significant differences between the groups. The patients’ body mass indices correlated positively with the total desaturation episodes and desaturation time less than 90% and correlated negatively with the arterial oxygen saturation nadir. Conclusion: Pulse oximetry monitoring during sleep can be used to detect sleep breathing disorders in stable patients with CHF.
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spelling Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patientsIntroduction: Sleep breathing disorders occur in 45% of patients with heart failure, with 36%–50% manifesting Cheyne-Stokes respiration with central sleep apnea and 12% exhibiting obstructive sleep apnea. Several studies have shown that sleep pathophysiology may negatively affect the cardiovascular system and that cardiac dysfunction alters sleep and respiration. Objective: The aim of this study was to examine oxyhemoglobin desaturation during sleep in patients with congestive heart failure (CHF) using overnight pulse oximetry. Methods: Overnight pulse oximetry was conducted in the patients’ homes with wrist pulse oximeters and finger probes that were placed around the forefingers of 15 patients with CHF and ejection fractions less than 50%, who were classified as New York Heart Association functional classes II and III. Results: The patients were divided into two groups. The first group consisted of seven patients with oxyhemoglobin desaturation indices of over 5 events/h, and the second group contained eight patients with oxyhemoglobin desaturation indices of 5 or less events/h. Student’s t-tests did not show any significant differences between the groups. The patients’ body mass indices correlated positively with the total desaturation episodes and desaturation time less than 90% and correlated negatively with the arterial oxygen saturation nadir. Conclusion: Pulse oximetry monitoring during sleep can be used to detect sleep breathing disorders in stable patients with CHF.Editora PUCPRESS2017-09-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2187010.1590/0103-5150.029.003.AO18Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 29 No. 3 (2016)Fisioterapia em Movimento; v. 29 n. 3 (2016)1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/21870/21006Copyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessJulioti Urbano, JéssicaNanami Uchiyama, LilianSoares Silva, AndersonOliveira Peixoto, Roger AndréNacif, Sergio RobertoFranco Oliveira, Luis Vicente2022-03-07T19:01:46Zoai:ojs.periodicos.pucpr.br:article/21870Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:01:46Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false
dc.title.none.fl_str_mv Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
title Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
spellingShingle Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
Julioti Urbano, Jéssica
title_short Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
title_full Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
title_fullStr Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
title_full_unstemmed Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
title_sort Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
author Julioti Urbano, Jéssica
author_facet Julioti Urbano, Jéssica
Nanami Uchiyama, Lilian
Soares Silva, Anderson
Oliveira Peixoto, Roger André
Nacif, Sergio Roberto
Franco Oliveira, Luis Vicente
author_role author
author2 Nanami Uchiyama, Lilian
Soares Silva, Anderson
Oliveira Peixoto, Roger André
Nacif, Sergio Roberto
Franco Oliveira, Luis Vicente
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Julioti Urbano, Jéssica
Nanami Uchiyama, Lilian
Soares Silva, Anderson
Oliveira Peixoto, Roger André
Nacif, Sergio Roberto
Franco Oliveira, Luis Vicente
description Introduction: Sleep breathing disorders occur in 45% of patients with heart failure, with 36%–50% manifesting Cheyne-Stokes respiration with central sleep apnea and 12% exhibiting obstructive sleep apnea. Several studies have shown that sleep pathophysiology may negatively affect the cardiovascular system and that cardiac dysfunction alters sleep and respiration. Objective: The aim of this study was to examine oxyhemoglobin desaturation during sleep in patients with congestive heart failure (CHF) using overnight pulse oximetry. Methods: Overnight pulse oximetry was conducted in the patients’ homes with wrist pulse oximeters and finger probes that were placed around the forefingers of 15 patients with CHF and ejection fractions less than 50%, who were classified as New York Heart Association functional classes II and III. Results: The patients were divided into two groups. The first group consisted of seven patients with oxyhemoglobin desaturation indices of over 5 events/h, and the second group contained eight patients with oxyhemoglobin desaturation indices of 5 or less events/h. Student’s t-tests did not show any significant differences between the groups. The patients’ body mass indices correlated positively with the total desaturation episodes and desaturation time less than 90% and correlated negatively with the arterial oxygen saturation nadir. Conclusion: Pulse oximetry monitoring during sleep can be used to detect sleep breathing disorders in stable patients with CHF.
publishDate 2017
dc.date.none.fl_str_mv 2017-09-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/21870
10.1590/0103-5150.029.003.AO18
url https://periodicos.pucpr.br/fisio/article/view/21870
identifier_str_mv 10.1590/0103-5150.029.003.AO18
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/21870/21006
dc.rights.driver.fl_str_mv Copyright (c) 2022 PUCPRESS
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 PUCPRESS
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora PUCPRESS
publisher.none.fl_str_mv Editora PUCPRESS
dc.source.none.fl_str_mv Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 29 No. 3 (2016)
Fisioterapia em Movimento; v. 29 n. 3 (2016)
1980-5918
reponame:Fisioterapia em Movimento
instname:Pontifícia Universidade Católica do Paraná (PUC-PR)
instacron:PUC_PR
instname_str Pontifícia Universidade Católica do Paraná (PUC-PR)
instacron_str PUC_PR
institution PUC_PR
reponame_str Fisioterapia em Movimento
collection Fisioterapia em Movimento
repository.name.fl_str_mv Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)
repository.mail.fl_str_mv rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br
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