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Abstract:
:Cardiac autonomic indexes, including cardiac parasympathetic index and cardiac sympathetic index, have been reported to accurately identify patients with sleep disorders such as obstructive sleep apnea. Our study aimed to assess cardiac autonomic indexes in patients with obstructive sleep apnea before and during a single full-night continuous positive airway pressure therapy using a combined approach. Our simultaneous heart rate variability-polysomnographic study included 16 never-treated obstructive sleep apnea patients. Two patients dropped out. Patients underwent combined recordings in two consecutive days, at baseline and during a single full-night of acute continuous positive airway pressure treatment. We calculated cardiac parasympathetic index and cardiac sympathetic index as night/day ratio for high-frequency and low-frequency heart rate variability spectral components, respectively. Continuous positive airway pressure treatment significantly reduced cardiac autonomic indexes values in comparison with baseline values (cardiac parasympathetic index: p < .0001; cardiac sympathetic index: p = .001). After acute continuous positive airway pressure treatment, the percentage of decrease of cardiac parasympathetic index was greater than that of cardiac sympathetic index (51.02 ± 15.72 versus 34.64 ± 26.93). A positive statistical correlation was also found between decrease of cardiac parasympathetic index and decrease of apnea-hypopnea index after continuous positive airway pressure (p < .001). This study improves the knowledge on cardiac autonomic modulation during acute continuous positive airway pressure therapy in obstructive sleep apnea. Our results demonstrate that both autonomic indexes decreased significantly after a single-night of acute continuous positive airway pressure therapy. Cardiac parasympathetic index more than cardiac sympathetic index was related to decrease of apnea-hypopnea index after continuous positive airway pressure therapy, thus representing a potential help in everyday clinical practice.
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最新影响因子:5.296 | 期刊ISSN:0962-1105 | CiteScore:3.36 |
出版周期:Quarterly | 是否OA:YES | 出版年份:1992 |
期刊官方网址:http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291365-2869
自引率:3.90% | 研究方向:医学-临床神经学 |
出版地区:ENGLAND |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Official Journal of the European Sleep Research Society. The Journal of Sleep Research is an international journal that encourages important research papers presenting new findings in the field of sleep and wakefulness (including biological rhythms and dreaming). The Journal reflects the progress in this rapidly expanding field, promoting the exchange of ideas between scientists at a global level.
欧洲睡眠研究学会官方期刊。《睡眠研究杂志》(Journal of Sleep Research)是一份国际期刊,鼓励发表有关睡眠和觉醒(包括生物节律和做梦)领域新发现的重要研究论文。该杂志反映了这一迅速扩大的领域的进展,促进了全球科学家之间的思想交流。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
CLINICAL NEUROLOGY (临床神经病学) 3区 NEUROSCIENCES (神经科学) 3区 |
60/197 100/261 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
100 | 97 | 3 |
引文计数(2018)
文献(2015-2017)
958次引用
285篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Neuroscience
小类(学科):Cognitive Neuroscience
|
#24/90
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2 |
大类(学科):Neuroscience
小类(学科):Behavioral Neuroscience
|
#8/68
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研究方向:睡眠
影响因子:2.995
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ISSN:1084-9785
研究方向:医学-核医学
发表一篇学和医学成像类SCI论文
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