Nocturnal oxyhemoglobin desaturation during sleep in congestive heart failure patients
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
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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Fisioterapia em Movimento |
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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 |
_version_ |
1799138748006400000 |