Mean apnea-hypopnea duration (but not apnea-hypopnea index) is associated with worse hypertension in patients with obstructive sleep apnea.

Abstract:

:To determine which polysomnography parameters are associated with severity of hypertension.This retrospective study collected data on all patients admitted to our urban, academic center in Beijing with hypertension who had undergone polysomnograms (PSG) and were diagnosed with obstructive sleep apnea (OSA) (apnea-hyponea index [AHI] ≥5/hour). We then compared polysomnographic parameters (AHI, oxygen desaturation index [ODI], lowest oxygen saturation [LOS], and mean apnea-hypopnea duration [MAD]) by hypertension severity in this cohort.There were 596 subjects who met entry criteria. Age, sex distribution, body mass index (BMI), history of current smoking and alcohol were similar among groups. Subjects with longer MAD suffered from more severe hypertension (P = 0.011). There were no relationship between AHI, ODI, and LOS and hypertension in our cohort. There were no significant differences in age, sex, BMI, history of current smoking and alcohol use between hypertension groups. MAD had a small but significant independent association (odds ratio [OR] = 1.072, 95% confidence interval [CI] 1.019-1.128, P = 0.007) with moderate to severe hypertension, using logistic regression analysis that accounted for age, sex, BMI, history of current smoking and alcohol, AHI, and LOS.Chinese inpatients with longer MAD by PSG face higher odds of moderate to severe hypertension. The mechanism of these effects may be due to aggravated nocturnal hypoxaemia and hypercapnia, as well as disturbed sleep architecture. These results suggest that additional information available in the polysomnogram, such as MAD, should be considered when evaluating OSA patients.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Wu H,Zhan X,Zhao M,Wei Y

doi

10.1097/MD.0000000000005493

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

e5493

issue

48

eissn

0025-7974

issn

1536-5964

pii

00005792-201611290-00029

journal_volume

95

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Successful closure of ileostomy in a patient with intestinal Behçet's disease after therapy with adalimumab: A case report.

    abstract:RATIONALE:Behçet's disease (BD) is a chronic immune-mediated inflammatory disorder involving multiple organ systems. In BD, intestinal ulcers can present as a refractory lesion capable of perforation, which makes the choice of treatment difficult. PATIENT CONCERNS:A 34-year-old male who was diagnosed with intestinal B...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014624

    authors: Yan Z,Cui BB,Yu YY,Yin G,Cen XM,Xie QB

    更新日期:2019-03-01 00:00:00

  • Leiomyosarcoma in the mandible: A rare case report.

    abstract::Leiomyosarcoma (LMS) is a malignancy which very rarely occurs in maxillofacial location, and the course of the disease is not very characteristic.In this case report, we present a 58-year-old female patient with a painless tumor of the left angle of the mandible causing slight asymmetry of the face. She also reported ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004011

    authors: Lewandowski B,Brodowski R,Pakla P,Stopyra W,Gawron I

    更新日期:2016-07-01 00:00:00

  • Effect of hypertension on outcomes of high-risk patients after BCG-treated bladder cancer: a single-institution long follow-up cohort study.

    abstract::Immunotherapy with Bacillus Calmette-Guérin (BCG) is the most efficacious treatment for high-risk bladder cancer (BC) (Ta/T1 or carcinoma in situ) to reduce the risk of recurrence. Our aim was to evaluate whether hypertension and diabetes influence the outcome of patients with noninvasive BC treated with BCG instillat...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000589

    authors: Dal Moro F,Bovo A,Crestani A,Vettor R,Gardiman MP,Zattoni F

    更新日期:2015-03-01 00:00:00

  • Fatal vascular complications during transradial percutaneous coronary intervention: A case report.

    abstract:RATIONALE:Vascular complications of transradial percutaneous coronary intervention (PCI) are rare and usually occur at the access site below the elbow. However, vessels along the tract of the wire or catheter can be injured at any point, causing various types of bleeding complications. PATIENT CONCERNS:A 57-year-old m...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021205

    authors: Choi S,Joh JH,Choe JW

    更新日期:2020-07-10 00:00:00

  • PET/CT-negative malignant spine tumor with pathologic fracture: A case report of malignant solitary bone plasmacytoma.

    abstract:RATIONALE:We report on a patient with a positron emission tomography/computed tomography scans (PET/CT)-negative malignant spine tumor, which had even caused a pathologic fracture, and was eventually confirmed on surgical biopsy. PATIENT CONCERNS:A 67-year-old man visited our emergency department with sudden onset of ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013374

    authors: Kim KU,Choi JH,Lee GW

    更新日期:2018-12-01 00:00:00

  • Acupuncture for reduction of opioid consumption in chronic pain: A systematic review and meta-analysis protocol.

    abstract:BACKGROUND:This review aims to evaluate the effectiveness and safety of acupuncture treatment for reducing opioid consumption in patients with chronic pain. METHODS:We will search the following electronic databases from their inception to November 2019: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Tria...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018237

    authors: Lee S,Jo DH

    更新日期:2019-12-01 00:00:00

  • Effect of multiple clinical factors on recurrent angina after percutaneous coronary intervention: A retrospective study from 398 ST-segment elevation myocardial infarction patients.

    abstract::Recurrent angina (RA) has an important influence on health status of patients after percutaneous coronary intervention (PCI). This study aimed to retrospectively investigate the effect of multiple clinical factors on both short-term and long-term development of RA.A total of 398 ST-segment elevation myocardial infarct...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005015

    authors: Zhang J,Liu C,Pan C,Bai M,Zhang J,Peng Y,Zheng D,Zhang Z

    更新日期:2016-10-01 00:00:00

  • Primary pulmonary hepatoid adenocarcinoma: A case report and review of the literature.

    abstract:RATIONALE:Hepatoid adenocarcinoma of lung (HAL) is a rare malignant tumor, which can be defined as a primary alpha-fetoprotein (AFP)-producing lung carcinoma. The majority of hepatoid adenocarcinoma (HAC) expressed AFP in tumor cells, but AFP expression is not required for its diagnosis according to the modified diagno...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000015053

    authors: Yang K,Jiang H,Li Q

    更新日期:2019-04-01 00:00:00

  • A Case of Plasmodium Falciparum Malaria Presentation.

    abstract::New York City is a multicultural city where people of different ethnicities and backgrounds from all over the world live together. Of the different ethnicities, it is home to a large population of Western African immigrants. This case report is that of an elderly female of Western African descent presenting to Lincoln...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001415

    authors: Salaria ON,Salaria SN,Basir R,Khaja M

    更新日期:2015-08-01 00:00:00

  • Can orthopedic surgeons help create a better head start for osteoporosis treatment after hip fracture?

    abstract:BACKGROUND:Treatment for osteoporosis in the community in patients who were operated for hip fracture appears to be suboptimal at best. Evidence regarding treatment beyond the 1st year after surgery is scarce. We examined the association between discharge recommendations for treatment of osteoporosis in patients suffer...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004141

    authors: Rinat B,Rubin G,Orbach H,Giwnewer U,Rozen N

    更新日期:2016-07-01 00:00:00

  • Treatment of chronic obstructive pulmonary disease in patients with different fractional exhaled nitric oxide levels.

    abstract::Some patients with chronic obstructive pulmonary disease (COPD) have eosinophilic inflammation which may be evaluated via the measurement of fractional exhaled nitric oxide (FeNO) like asthma. The aim of this prospective study was to assess whether FeNO levels can be used to identify patients with COPD with eosinophil...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011922

    authors: Wu YK,Su WL,Huang CY,Yang MC,Chen SY,Lan CC

    更新日期:2018-11-01 00:00:00

  • Contrast-enhanced ultrasound for evaluation of high-intensity focused ultrasound treatment of benign uterine diseases: retrospective analysis of contrast safety.

    abstract::As a noninvasive treatment technique, ultrasound-guided high-intensity focused ultrasound (HIFU) has been considered as a routine treatment for uterine fibroids and adenomyosis in China. Contrast-enhanced ultrasound (CEUS) has been proposed as another option to assess the treatment efficacy during HIFU treatment. The ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000729

    authors: Cheng CQ,Zhang RT,Xiong Y,Chen L,Wang J,Huang GH,Li KQ,Zhang L,Bai J

    更新日期:2015-04-01 00:00:00

  • The first case report of a large deletion of the BRCA1 gene in Croatia: A case report.

    abstract:RATIONALE:Breast cancer is one of the most common cancers in women, and it is the leading cause of cancer related deaths in Croatia. BRCA1 and BRCA2 gene mutations are the most common cause of hereditary breast cancer. PATIENT CONCERNS:In this report we describe a Croatian patient with no apparent family history of ca...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008667

    authors: Musani V,Sušac I,Ozretić P,Eljuga D,Levanat S

    更新日期:2017-12-01 00:00:00

  • The effects of psychotherapy for depressed or posttraumatic stress disorder women with childhood sexual abuse history: Meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Depression and posttraumatic stress disorder (PTSD) are the most common mental disorders of women suffered from childhood sexual abuse histories. It has been widely recognized that depression and PTSD may decrease patients' quality of life. The objective of this study is conducted to explore the effects of p...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000019776

    authors: Lu JY,Tung TH,Shen SA,Huang C,Chen PS

    更新日期:2020-04-01 00:00:00

  • Integrase inhibitor-based regimens result in more rapid virologic suppression rates among treatment-naïve human immunodeficiency virus-infected patients compared to non-nucleoside and protease inhibitor-based regimens in a real-world clinical setting: A r

    abstract::The integrase strand transfer inhibitor (INSTI) class of antiretroviral therapy (ART) may result in faster time to virologic suppression compared with regimens that contain protease inhibitors (PIs) or non-nucleoside reverse transcriptase inhibitors (NNRTIs). However, differences in time to achieve virologic suppressi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013016

    authors: Jacobson K,Ogbuagu O

    更新日期:2018-10-01 00:00:00

  • Tissue selecting technique mega-window stapler combined with anal canal epithelial preservation operation for the treatment of severe prolapsed hemorrhoids: A study protocol for a randomized controlled trial.

    abstract:INTRODUCTION:Hemorrhoidal disease is one of the most common and frequently occurring benign anorectal disorders, presented with bleeding and prolapsed, and surgery is the main and effective method for severe prolapsed hemorrhoids. Yet, the recurrence rate after procedure for prolapse and hemorrhoids (PPH) is significan...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023122

    authors: Ji L,Li L,Weng L,Hu Y,Huang H,Wei J

    更新日期:2020-11-06 00:00:00

  • Efficacy of oral ketamine compared to midazolam for sedation of children undergoing laceration repair: A double-blind, randomized, controlled trial.

    abstract:OBJECTIVE:To assess the efficacy of oral ketamine versus oral midazolam for sedation during laceration repair at a pediatric emergency department. METHODS:Children between 1 and 10 years requiring laceration repair were randomly assigned to 2 groups, treated either with oral midazolam (0.7 mg/kg) or with oral ketamine...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000003984

    authors: Rubinstein O,Barkan S,Breitbart R,Berkovitch S,Toledano M,Weiser G,Karadi N,Nassi A,Kozer E

    更新日期:2016-06-01 00:00:00

  • C5 palsy after C5/6/7 posterior foraminal decompression: A case report.

    abstract:RATIONALE:Although C5 palsy is a common complication of cervical spine surgery, its cause has not been confirmed. There are various hypotheses for its mechanism, including spinal cord impairment and nerve involvement. Therefore, prophylactic foraminotomy is one of the methods recommended for preventing C5 palsy. Howeve...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018817

    authors: Oshina M,Segawa T,Oshima Y,Tanaka S,Inanami H

    更新日期:2020-01-01 00:00:00

  • Extrapleural solitary fibrous tumor in thymic area: A case report.

    abstract:RATIONALE:Solitary fibrous tumor (SFT) is a rare benign soft tissue mesenchymal neoplasm. There have been a few reports of extrapleural SFTs although it can occur anywhere in the body. PATIENT CONCERNS:A 30-year-old male presented with an anterior neck mass since one month. DIAGNOSES:Based on physical and radiologic ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006995

    authors: Jung EK,Kim YY,Lee DH,Lee KH,Lee JK

    更新日期:2017-05-01 00:00:00

  • Arterial occlusion after total knee arthroplasty despite minimal invasive technique in aneurysm at popliteal artery: Case report.

    abstract:RATIONALE:Arterial occlusion, a rare condition after total knee arthroplasty (TKA), may cause fatal outcomes if not treated on time. We report a case of arterial occlusion after undergoing navigated TKA with no tourniquet use, in a patient at high risk of postoperative arterial occlusion due to the patient's ipsilatera...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012719

    authors: Cho MR,Kim KT,Choi WK

    更新日期:2018-10-01 00:00:00

  • An ethmoid mucocele causing diplopia: A case report.

    abstract:RATIONALE:Mucocele is a disease lined primarily by epithelium, and occurs mainly when the sinus ostium is obstructed. PATIENT CONCERNS:We report a case of a 37-year-old man who presented with painless proptosis of the right eye and diplopia. DIAGNOSES:The preoperative finding was mucocele of the ethmoid sinus. INTER...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009353

    authors: Kim JS,Kim EJ,Kwon SH

    更新日期:2017-12-01 00:00:00

  • Combined Analysis of EGFR and PTEN Status in Patients With KRAS Wild-Type Metastatic Colorectal Cancer.

    abstract::To determine the relationship between the expression of phosphatase and tensin homologue (PTEN) and epidermal growth factor receptor (EGFR) in metastatic colorectal cancer (mCRC) and the clinical outcome of cetuximab-containing chemotherapy. A total of 158 consecutive mCRC patients with wild-type KRAS status who recei...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001698

    authors: Chen Y,Shi Y,Lin J,Ye YB,Wang XJ,Chen G,Guo ZQ

    更新日期:2015-10-01 00:00:00

  • Genetic association between cluster of differentiation 86 variations and sepsis risk: A case-control study.

    abstract::The aim of this study was to investigate the correlation between cluster of differentiation 86 (CD86) gene rs1129055 and rs2715267 single nucleotide polymorphisms and sepsis susceptibility.One hundred twenty-five sepsis patients and 120 healthy controls were enrolled in this case-control study. CD86 polymorphisms rs11...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017482

    authors: Zou X,Cai J,Li B,Wu S

    更新日期:2019-10-01 00:00:00

  • Short- and long-term impacts of adenoidectomy with/without tonsillectomy on immune function of young children

    abstract::To investigate the short- and long-term impacts of adenoidectomy with/without tonsillectomy on the immune functions of young children < 3 years of age.This longitudinal prospective study included 40 pediatric patients (age <3 y) undergoing adenoidectomy with/without tonsillectomy for snoring and sleep apnea. Serum imm...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015530

    authors: Yan Y,Song Y,Liu Y,Su J,Cui L,Wang J,Geng J,Liu X,Shi Y,Quan S,Hang A,Zuo L

    更新日期:2019-05-01 00:00:00

  • Degeneration of corticofugal fibers in a patient with primary progressive freezing gait: A case report.

    abstract:RATIONALE:To report a patient with primary progressive freezing gait (PPFG) whose degeneration of corticofugal tract (CFT) from the supplementary motor area (SMA) was demonstrated using diffusion tensor tractography (DTT). PATIENT CONCERNS:A 66-year-old woman presented with a solitary symptom of a sudden transient bre...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006840

    authors: Seo JP,Chang MC

    更新日期:2017-05-01 00:00:00

  • Capillary hemangioma arising from the lesser omentum in an adult: A case report.

    abstract:RATIONALE:Although capillary hemangiomas, common lesions involving the proliferation of small capillary vessels and a single layer of endothelial cells, can arise in any organ, they are rarely reported in the greater or lesser omentum. Here in, we report a case of capillary hemangioma arising from the lesser omentum in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018693

    authors: Nagano H,Goi T,Taguchi S,Tsubaki T,Tsuchiyama T,Uematsu H,Noriki S

    更新日期:2020-01-01 00:00:00

  • Nocardiosis of the central nervous system: experience from a general hospital and review of 84 cases from the literature.

    abstract::Central nervous system (CNS) nocardiosis is a rare disease entity caused by the filamentous bacteria Nocardia species. We present a case series of 5 patients from our hospital and a review of the cases of CNS nocardiosis reported in the literature from January 2000 to December 2011. Our results indicate that CNS nocar...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000000012

    authors: Anagnostou T,Arvanitis M,Kourkoumpetis TK,Desalermos A,Carneiro HA,Mylonakis E

    更新日期:2014-01-01 00:00:00

  • Clinicopathological and prognostic significance of homeobox transcript antisense RNA expression in various cancers: A meta-analysis.

    abstract:BACKGROUND:Increased expression of the homeobox (HOX) transcript antisense RNA (HOTAIR) has been reported in multiple types of malignancies and enhances the proliferation and migration of cancer cells. However, the association between HOTAIR expression and tumor progression and prognosis remains controversial. We perfo...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000007084

    authors: Min SN,Wei T,Wang XT,Wu LL,Yu GY

    更新日期:2017-06-01 00:00:00

  • Medical Comics as Tools to Aid in Obtaining Informed Consent for Stroke Care.

    abstract::Informed consent has now become common in medical practice. However, a gap still exists between doctors and patients in the understanding of clinical conditions. We designed medical comics about "subarachnoid hemorrhage" and "intracerebral hemorrhage" to help doctors obtain informed consent intuitively, quickly, and c...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001077

    authors: Furuno Y,Sasajima H

    更新日期:2015-07-01 00:00:00

  • The Role of MicroRNAS in Ankylosing Spondylitis.

    abstract::Ankylosing spondylitis (AS) is a common and genetically heterozygous inflammatory rheumatic disease characterized by new bone formation, ankylosis and inflammation of hip, sacroiliac joints and spine. Until now, there is no method for early diagnosis of AS and the effective treatment available for AS patients remain l...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000003325

    authors: Li Z,Wong SH,Shen J,Chan MTV,Wu WKK

    更新日期:2016-04-01 00:00:00