Early myocardial functional alterations in patients with obstructive sleep apnea syndrome.
BACKGROUND
There is limited information regarding myocardial alterations in patients with obstructive sleep apnea syndrome (OSAS) in the absence of pulmonary and cardiac comorbidity. In this study, we aimed to evaluate potential myocardial alterations of these patients and investigate the possible effects of OSAS-related pathological variations on left and right ventricular functions.


METHODS
We studied 107 consecutive patients who were referred to our sleep laboratory for clinically suspected OSAS and 30 controls without any history or symptoms of sleep-related disorders. Severity of OSAS was quantified by polysomnography. Patients with apnea-hypopnea index (AHI) < 5 were included in the OSAS (-) group (Group 1, n = 22). Subjects with AHI > or = 5 were considered as OSAS and classified according to their AHI as mild-to-moderate (AHI > or = 5 and AHI < 30) (Group 2, n = 45) and severe (AHI > or = 30) OSAS groups (Group 3, n = 40). Conventional M-mode, 2D, and Doppler mitral inflow parameters, tissue Doppler velocities, myocardial peak systolic strain, and strain rate values of various segments were measured and compared between groups.


RESULTS
Patients with OSAS displayed impairment of left ventricular diastolic function compared with controls. There were no significant differences between groups regarding parameters reflecting left ventricular systolic function. Myocardial strain analysis demonstrated significant decrement regarding apical right ventricular longitudinal peak systolic strain and strain rate values between groups in relation to the severity of OSAS.


CONCLUSIONS
Patients with OSAS display a regional pattern of right ventricular dysfunction correlated with the severity of disease.
Kepez
Alper
A
Eskisehir Yunus Emre Public Hospital, Cardiology Clinic, Eskisehir, Turkey. alperkepez@yahoo.com
Niksarlioglu
Elif Yelda Ozgun
EY
Hazirolan
Tuncay
T
Ranci
Ortenca
O
Kabul
Hasan Kutsi
HK
Demir
Ahmet Uğur
AU
Kaya
Ergün Bariş
EB
Kocabas
Ugur
U
Aytemir
Kudret
K
Sahin
Altay
A
Tokgozoglu
Lale
L
Nazli
Nasih
N
D000328:Adult; D004452:Echocardiography / Q000379:methods; D054459:Elasticity Imaging Techniques / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000000981:diagnostic imaging*; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000000981:diagnostic imaging*; D018497:Ventricular Dysfunction, Right / Q000150:complications* / Q000000981:diagnostic imaging*