Nocturnal pulse rate and symptomatic response in patients with obstructive sleep apnoea treated with continuous positive airway pressure for one year.

Abstract:

BACKGROUND:Obstructive sleep apnoea (OSA) is the most common form of sleep-disordered breathing and a known risk factor for cardiovascular disease. We hypothesised that in patients with OSA the characteristics of nocturnal pulse rate (PR) are associated with changes in blood pressure and daytime sleepiness, following commencement of continuous positive airway pressure (CPAP) therapy. METHODS:Pulse oximetry data, demographics, daytime sleepiness and blood pressure were recorded at baseline and at one year follow up. Patients with OSA were grouped according to positive and negative changes in the PR (ΔPR) response during the first night of pulse oximetry before commencement of CPAP. RESULTS:A total of 115 patients (58 with OSA and 57 matched subjects without OSA) were identified and included in the analysis. The scale of improvement in daytime sleepiness could be predicted by a negative or positive ΔPR, as recorded in the initial screening pulse oximetry [ΔESS -5.8 (5.1) vs. -0.8 (7.2) points, P<0.05]. A negative correlation was observed between mean nocturnal PR and changes in systolic blood pressure (SBP) after one year of CPAP treatment (r=-0.42, P<0.05). CONCLUSIONS:Mean nocturnal PR prior to CPAP initiation was associated with changes in SBP at one year follow up. A descending nocturnal PR in patients with OSA, prior to CPAP initiation, might help to identify a symptomatic response from long term CPAP treatment.

journal_name

J Thorac Dis

authors

Pengo MF,Drakatos P,Kosky C,Williams A,Hart N,Rossi GP,Steier J

doi

10.3978/j.issn.2072-1439.2014.05.09

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

598-605

issue

6

eissn

2072-1439

issn

2077-6624

pii

jtd-06-06-598

journal_volume

6

pub_type

杂志文章
  • Fertility counseling of young breast cancer patients.

    abstract::Approximately 6% of women with breast cancer are diagnosed before the age of 40. Young age is an independent predictor of adverse outcome and most young breast cancer patients receive systemic treatment with chemotherapy, hormonal therapy or both. The loss or impairment of fertility is a potential side effect of antin...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.05.22

    authors: Lambertini M,Anserini P,Levaggi A,Poggio F,Del Mastro L

    更新日期:2013-06-01 00:00:00

  • Interatrial block predicts atrial fibrillation in patients with carotid and coronary artery disease.

    abstract:Background:Interatrial block (IAB) has been previously shown to predict atrial fibrillation (AF) in cardiac populations. This study sought to evaluate the relationship between IAB and new-onset AF in a population of patients undergoing clinically indicated coronary angiography who received carotid ultrasonography. Met...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.06.53

    authors: Alexander B,Baranchuk A,Haseeb S,van Rooy H,Kuchtaruk A,Hopman W,Çinier G,Hetu MF,Li TY,Johri AM

    更新日期:2018-07-01 00:00:00

  • Quantitation and predictors of short-term mortality following extrapleural pneumonectomy, pleurectomy/decortication, and nonoperative management for malignant pleural mesothelioma.

    abstract:Background:For malignant pleural mesothelioma (MPM), the benefit of resection, as well as the optimal surgical technique, remain controversial. In efforts to better refine patient selection, this retrospective observational cohort study queried the National Cancer Database in an effort to quantify and evaluate predicto...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1779

    authors: Wright C,Verma V,Barsky AR,Haque W,Polamraju PV,Ludmir EB,Zaorsky NG,Lehrer EJ,Trifiletti DM,Grover S,Friedberg JS,Simone CB 2nd

    更新日期:2020-11-01 00:00:00

  • Bronchoscopic lung volume reduction: recent updates.

    abstract::Emphysema causes significant morbidity and mortality, incurring both financial and psychosocial costs. Alternatives to medical therapy and surgical lung volume reduction surgery (LVRS) have increased interest in bronchoscopic techniques. Bronchoscopic lung volume reduction (BLVR) is still in its infancy and additional...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.02.72

    authors: Ramaswamy A,Puchalski J

    更新日期:2018-04-01 00:00:00

  • Detection, classification, and management of rejection after lung transplantation.

    abstract::Rejection is a major complication following lung transplantation. Acute cellular rejection, lymphocytic bronchiolitis, and antibody-mediated rejection (AMR) are all risk factors for the subsequent development of chronic lung allograft dysfunction (CLAD). Acute cellular rejection and lymphocytic bronchiolitis have well...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.03.83

    authors: Parulekar AD,Kao CC

    更新日期:2019-09-01 00:00:00

  • How well does pathologic stage predict survival for esophageal adenocarcinoma after neoadjuvant therapy?

    abstract:BACKGROUND:Cancer staging systems are designed to predict survival and stratify patients. The 7(th) edition of the American Joint Commission on Cancer (AJCC7) staging system for esophageal cancer was modeled using survival data on patients who underwent esophagectomy without induction or adjuvant therapy. In the United...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.04.30

    authors: Kim JY,Nelson RA,Kim J,Raz D

    更新日期:2015-04-01 00:00:00

  • Prognostic significance of CT-determined emphysema in patients with small cell lung cancer.

    abstract:Background:Although emphysema and small cell lung cancer (SCLC) are prevalent in smokers, no previous study has investigated the prognostic impact of computed tomography (CT)-determined emphysema in SCLC. This study was undertaken to analyze the prognostic value of emphysema scores as determined by baseline CT scans in...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.01.97

    authors: Lee HY,Kim EY,Kim YS,Ahn HK,Kim YK

    更新日期:2018-02-01 00:00:00

  • Lung transplantation in the most critically-III: forging ahead.

    abstract::Lung transplantation is the gold standard therapy for patients with end-stage lung disease. The use of the lung allocation score (LAS) has permitted improved allocation of scarce pulmonary allografts. Recently, Crawford et al. examined the experience in the United States in lung transplantation in candidates with the ...

    journal_title:Journal of thoracic disease

    pub_type: 评论,杂志文章

    doi:10.21037/jtd.2017.08.12

    authors: Mulvihill MS,Hartwig MG,Daneshmand MA

    更新日期:2017-09-01 00:00:00

  • Risk of spinal cord ischemia after thoracic endovascular aortic repair.

    abstract:Background:Spinal cord ischemia (SCI) is a recognized grave complication after thoracic endovascular aortic repair (TEVAR). The present study aimed to evaluate the incidence and investigate risk of SCI after TEVAR based on current prophylactic strategies designed against established risk factors. Methods:The study ret...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.10.99

    authors: Xue L,Luo S,Ding H,Zhu Y,Liu Y,Huang W,Li J,Xie N,He P,Fan X,Fan R,Nie Z,Luo J

    更新日期:2018-11-01 00:00:00

  • The prognostic role of angiolymphatic invasion in N0 esophageal carcinoma: a meta-analysis and systematic review.

    abstract:Background:Angiolymphatic invasion (ALI) plays an important role in lymph node metastasis. The presence of an ALI predicts a high risk for lymph node metastasis and a poor prognosis in patients with lymph node negative esophageal carcinoma. The independent prognostic value of ALI in node-negative patients remains contr...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.08.50

    authors: Wang A,Tan Y,Zhang Y,Xu D,Fang Y,Chen X,Wang S

    更新日期:2019-08-01 00:00:00

  • Prognostic significance of IMP-3 expression pattern in esophageal squamous cell carcinoma.

    abstract:Background:Esophageal cancer is one of the most malignant gastroenterological cancers. To improve the treatment outcomes of patients with esophageal squamous cell carcinoma (ESCC), a biomarker capable of predicting the malignant potential of the cancer cells is needed. The aim of the present study was to investigate th...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.09.25

    authors: Sakakibara T,Ozawa S,Oguma J,Nakui M,Yamamoto S,Makuuchi H,Kajiwara H,Nakamura N

    更新日期:2019-09-01 00:00:00

  • Lobectomy versus sublobar resection in patients with non-small cell lung cancer: a systematic review.

    abstract::Surgery is the gold standard treatment of lung cancer. The minimally invasive technique does not only concern access to the chest but also the limits of parenchymal resection. The study debates on the safety and oncological adequacy of sublobar resections in bronchogenic carcinoma patients. A systematic analysis of th...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2020.02.54

    authors: Divisi D,De Vico A,Zaccagna G,Crisci R

    更新日期:2020-06-01 00:00:00

  • Bicaval dual lumen cannula in adult veno-venous extracorporeal membrane oxygenation-clinical pearls for safe cannulation.

    abstract::Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been traditionally delivered with two independent cannulae at different venous insertion sites. The bicaval dual lumen cannula has gained popularity as a cannula for simultaneous venous drainage and reinfusion of blood via the internal jugular vein (IJV). I...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.02.70

    authors: Ngai CW,Ng PY,Sin WC

    更新日期:2018-03-01 00:00:00

  • Effect of high- versus low-volume saline administration on acute kidney injury after cardiac surgery.

    abstract:Background:Fluid resuscitation is critical to perioperative maintenance of adequate preload and cardiac output after cardiac surgery. Liberal use of saline, however, is reportedly associated with an increased risk of acute kidney injury (AKI) in critically ill patients. This study examined the effects of high- versus l...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.10.113

    authors: Lim JY,Kang PJ,Jung SH,Choo SJ,Chung CH,Lee JW,Kim JB

    更新日期:2018-12-01 00:00:00

  • A meta-analysis of video-assisted thoracoscopic decortication versus open thoracotomy decortication for patients with empyema.

    abstract:BACKGROUND:Thoracic pleural empyema is a collection of pus within a thoracic cavity. In stage 2 (fibrinopurulent) and stage 3 (organizational), decortication is the only choice. But there is no consensus on whether to choose video-assisted thoracoscopic decortication (VATD) or open thoracotomy decortication (OTD). We s...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.06.109

    authors: Pan H,He J,Shen J,Jiang L,Liang W,He J

    更新日期:2017-07-01 00:00:00

  • Clinical implications of differentiating between types of post-tracheostomy tracheal stenosis.

    abstract:Background:Post-tracheostomy tracheal stenosis (PTTS) can be divided into four types according to stenosis mechanism and site: subglottic, stoma, cuff, and tip granuloma. However, there is little information available regarding clinical differences among types of PTTS; therefore, we evaluated the clinical differences b...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.10.99

    authors: Shin B,Kim K,Jeong BH,Eom JS,Song WJ,Kim H

    更新日期:2017-11-01 00:00:00

  • Resection of a giant bilateral retrovascular intrathoracic goiter causing severe upper airway obstruction, 2 years after subtotal thyroidectomy: a case report and review of the literature.

    abstract::The intrathoracic (or substernal) goiter is more often benign; but it can be malignant in 2-22% of patients. There is history of prior thyroid surgery in 10% to more than 30% of patients. Intrathoracic goiters cause adjacent structure compression more frequently than the cervical goiters, due to the limited space of t...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2012.s004

    authors: Tsakiridis K,Visouli AN,Zarogoulidis P,Karapantzos E,Mpakas A,Machairiotis N,Stylianaki A,Christofis C,Katsikogiannis N,Courcoutsakis N,Zarogoulidis K

    更新日期:2012-11-01 00:00:00

  • Transbronchial cryobiopsy for diffuse parenchymal lung disease: a state-of-the-art review of procedural techniques, current evidence, and future challenges.

    abstract::Transbronchial lung biopsy with a cryoprobe, or cryobiopsy, is a promising new bronchoscopic biopsy technique capable of obtaining larger and better-preserved samples than previously possible using traditional biopsy forceps. Over two dozen case series and several small randomized trials are now available describing e...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.06.96

    authors: Lentz RJ,Argento AC,Colby TV,Rickman OB,Maldonado F

    更新日期:2017-07-01 00:00:00

  • Feasibility and efficacy of helical intensity-modulated radiotherapy for stage III non-small cell lung cancer in comparison with conventionally fractionated 3D-CRT.

    abstract:BACKGROUND:The standard treatment for stage III non-small-cell lung cancer (NSCLC) is still 60 Gy in conventional fractions combined with concurrent chemotherapy; however, the resulting local controls are disappointing. The aim of this study was to compare and assess the feasibility and efficacy of hypofractionated che...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.46

    authors: He J,Huang Y,Chen Y,Shi S,Ye L,Hu Y,Zhang J,Zeng Z

    更新日期:2016-05-01 00:00:00

  • Ventilator-associated events: prevalence and mortality in Japan.

    abstract:Background:In 2013, the Centers for Disease Control and Prevention (CDC) issued the concept of the ventilator-associated events (VAEs) as a quality indicator (QI) in the intensive care unit (ICU). A number of studies have been conducted in the United States and other Western countries to evaluate its practicality. Howe...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.12.40

    authors: Nakahashi S,Imai H,Imanaka H,Ohshimo S,Satou T,Shima M,Yanagisawa M,Yamashita C,Ogura T,Yamada T,Shime N

    更新日期:2018-12-01 00:00:00

  • Solitary fibrous tumor of the pleura: An analysis of forty patients.

    abstract:OBJECTIVE:To study the clinical characteristics, treatment and prognosis of patients with solitary fibrous tumor of the pleura (SFTP) in order to improve the diagnostic accuracy and treatment of SFTP. METHODS:A retrospective analysis of clinical and imaging features, serum biochemical changes, pathological characteris...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2012.01.05

    authors: Chu X,Zhang L,Xue Z,Ren Z,Sun YE,Wang M,Liu M

    更新日期:2012-04-01 00:00:00

  • In vitro comparison of everting vs. non-everting suture techniques for the implantation of a supra-annular biological heart valve.

    abstract:Background:The aim of this study was to evaluate the hemodynamic effect of different suturing techniques for aortic valve replacement (AVR) in vitro. Whether or not the applied suturing technique impacts the outflow tract diameter by narrowing the annulus diameter was examined. Methods:The commonly applied non-evertin...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.03.55

    authors: Puluca N,Münsterer A,Prinzing A,Sexton ZA,Lange R,Meyer-Saraei R,Scharfschwerdt M

    更新日期:2020-05-01 00:00:00

  • Evaluating and assessing the prevalence of bedside ultrasound in emergency departments in China.

    abstract:Background:To survey the prevalence of bedside ultrasound assessment in emergency departments (EDs) in China. Methods:We designed an online survey for emergency physicians based in the China. The questionnaire included sixteen items querying common ED bedside ultrasound practices. Respondents were recruited via weblin...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.04.88

    authors: Shi D,Walline JH,Yu X,Xu J,Song PP,Zhu H

    更新日期:2018-05-01 00:00:00

  • Ultrasound techniques in the evaluation of the mediastinum, part I: endoscopic ultrasound (EUS), endobronchial ultrasound (EBUS) and transcutaneous mediastinal ultrasound (TMUS), introduction into ultrasound techniques.

    abstract::Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node staging affects the management of patients with both operable and inoperable lung cancer ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.09.40

    authors: Dietrich CF,Annema JT,Clementsen P,Cui XW,Borst MM,Jenssen C

    更新日期:2015-09-01 00:00:00

  • How to obtain adequate biopsy specımen in suspected thymic tumors.

    abstract::Pathologic diagnosis of thymic tumors (TTs) can be made by surgical or nonsurgical procedures. About 20% of TTs had been diagnosed by pretreatment biopsy methods while the rest had gone to surgery for diagnosis and treatment. However, in the last two decades there was an increase in pretreatment procedures for optimal...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd-2019-thym-14

    authors: Bilaçeroğlu S

    更新日期:2020-12-01 00:00:00

  • Impact of attenuated plaques on TIMI grade flow and clinical outcomes of coronary artery disease patients: a systematic review and meta analysis.

    abstract:BACKGROUND:Plaques with a large necrotic core or lipid pool and thin-cap fibroatheroma manifest as attenuated plaques on intravascular ultrasound (IVUS). Their impact on TIMI grade flow and clinical outcomes remains undefined. We performed a systematic review and meta-analysis to summarize the association between atten...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.02.51

    authors: Jia R,Nie X,Li H,Zhu H,Pu L,Li X,Han J,Yang D,Meng S,Jin Z

    更新日期:2016-03-01 00:00:00

  • McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis.

    abstract:BACKGROUND:Minimally invasive esophagectomy (MIE) has consistently been associated with improved perioperative outcome and similar oncological safety compared to open esophagectomy. However, it is currently unclear what type of MIE is preferred for patients with resectable esophageal cancer. METHODS:Literature was sea...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.03.173

    authors: van Workum F,Berkelmans GH,Klarenbeek BR,Nieuwenhuijzen GAP,Luyer MDP,Rosman C

    更新日期:2017-07-01 00:00:00

  • Heart rate variability as a potential diagnostic tool to predict compensatory hyperhidrosis after sympathectomy in patients with primary focal hyperhidrosis.

    abstract:Background:Primary focal hyperhidrosis (PFH) is associated with autonomic nervous activity, and studies investigating this association in patients with PFH are very important. Heart rate variability (HRV) is a simple and noninvasive electrocardiographic test showing activity and balance in the autonomic nervous system,...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-2038

    authors: Jeong SC,Kim JJ,Kim YH,Kim IS,Han JW,Moon SW

    更新日期:2020-11-01 00:00:00

  • Rhinovirus is associated with severe adult community-acquired pneumonia in China.

    abstract:Background:Human rhinovirus (HRV) is one of the most common viral etiologies detected in community-acquired pneumonia (CAP) adult cases. However, few is known about the characteristics of HRV-associated CAP. To describe the clinical features of HRV-associated CAP in immunocompetent adults admitted to multiple medical c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.10.107

    authors: Wang K,Xi W,Yang D,Zheng Y,Zhang Y,Chen Y,Yan C,Tian G,An S,Li X,An F,Du J,Hu K,Cao J,Ren L,Huang F,Gao Z

    更新日期:2017-11-01 00:00:00

  • Idiopathic pulmonary fibrosis: a holistic approach to disease management in the antifibrotic age.

    abstract::Idiopathic pulmonary fibrosis (IPF) is the most common cause of interstitial lung disease (ILD) and carries a worse prognosis than many cancers. Until recently, there were no active treatment options available for patients with IPF, meaning palliation or lung transplantation in selected patients were the only options....

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.10.111

    authors: Shaw J,Marshall T,Morris H,Hayton C,Chaudhuri N

    更新日期:2017-11-01 00:00:00