Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure
IntroductionCentral sleep apnea (CSA) is a common and serious comorbidity mainly occurring in patients with heart failure (HF), which tends to be underdiagnosed and has not been widely studied. Overnight polysomnography (PSG) is the gold standard for diagnosing CSA; however, the time and expense of...
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.1043413/full |
| _version_ | 1798003995045789696 |
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| author | Pi-Hung Tung Meng-Jer Hsieh Meng-Jer Hsieh Li-Pang Chuang Li-Pang Chuang Li-Pang Chuang Shih-Wei Lin Shih-Wei Lin Kuo-Chun Hung Cheng-Hui Lu Wen-Chen Lee Han-Chung Hu Han-Chung Hu Ming-Shien Wen Ming-Shien Wen Ning-Hung Chen Ning-Hung Chen Ning-Hung Chen |
| author_facet | Pi-Hung Tung Meng-Jer Hsieh Meng-Jer Hsieh Li-Pang Chuang Li-Pang Chuang Li-Pang Chuang Shih-Wei Lin Shih-Wei Lin Kuo-Chun Hung Cheng-Hui Lu Wen-Chen Lee Han-Chung Hu Han-Chung Hu Ming-Shien Wen Ming-Shien Wen Ning-Hung Chen Ning-Hung Chen Ning-Hung Chen |
| author_sort | Pi-Hung Tung |
| collection | DOAJ |
| description | IntroductionCentral sleep apnea (CSA) is a common and serious comorbidity mainly occurring in patients with heart failure (HF), which tends to be underdiagnosed and has not been widely studied. Overnight polysomnography (PSG) is the gold standard for diagnosing CSA; however, the time and expense of the procedure limit its applicability. Portable monitoring (PM) devices are convenient and easy to use; however, they have not been widely studied as to their effectiveness in detecting CSA in patients with HF. In the current study, we examined the diagnostic value of PM as a screening tool to identify instances of CSA among patients with HF.MethodsA total of 22 patients under stable heart failure conditions with an ejection fraction of <50% were enrolled. All patients underwent PM and overnight PSG within a narrow time frame. The measurements of the apnea–hypopnea index (AHI), hypopnea index (HI), central apnea index (CAI), and obstructive apnea index (OAI) obtained from PSG, automatic scoring, and manual scoring of PM were recorded. The results obtained from PSG and those from PM (automatic and manual scoring) were compared to assess the accuracy of PM.ResultsAmong the patients, CSA in 11 patients was found by PSG. The AHI measurements performed using manual scoring of PM showed a significant correlation with those performed using PSG (r = 0.69; P = 0.01). Nonetheless, mean AHI measurements showed statistically significant differences between PSG and automatic scoring of PM (40.0 vs. 23.7 events/hour, respectively; P < 0.001), as well as between automatic and manual scoring of PM (23.7 vs. 29.5 events/hour; P < 0.001). Central sleep apnea was detected by PM; however, the results were easily misread as obstructive apnea, particularly in automatic scoring.ConclusionPM devices could be used to identify instances of central sleep apnea among patients with HF. The results from PM were well-correlated with standard PSG results, and manual scoring was preferable to automated scoring. |
| first_indexed | 2024-04-11T12:16:34Z |
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| language | English |
| last_indexed | 2024-04-11T12:16:34Z |
| publishDate | 2022-12-01 |
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| series | Frontiers in Neurology |
| spelling | doaj.art-bb09a7f9b80b481193302d2676cb2fd02022-12-22T04:24:18ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-12-011310.3389/fneur.2022.10434131043413Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failurePi-Hung Tung0Meng-Jer Hsieh1Meng-Jer Hsieh2Li-Pang Chuang3Li-Pang Chuang4Li-Pang Chuang5Shih-Wei Lin6Shih-Wei Lin7Kuo-Chun Hung8Cheng-Hui Lu9Wen-Chen Lee10Han-Chung Hu11Han-Chung Hu12Ming-Shien Wen13Ming-Shien Wen14Ning-Hung Chen15Ning-Hung Chen16Ning-Hung Chen17Department of Pulmonary and Critical Care Medicine, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Pulmonary and Critical Care Medicine, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Respiratory Therapy, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Pulmonary and Critical Care Medicine, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Respiratory Therapy, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Pulmonary and Critical Care Medicine, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Respiratory Therapy, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDivision of Cardiology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDivision of Cardiology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDivision of Cardiology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Pulmonary and Critical Care Medicine, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Respiratory Therapy, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Cardiology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Pulmonary and Critical Care Medicine, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanDepartment of Respiratory Therapy, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanSchool of Traditional Chinese Medicine, Chang Gung University, Taoyuan, TaiwanIntroductionCentral sleep apnea (CSA) is a common and serious comorbidity mainly occurring in patients with heart failure (HF), which tends to be underdiagnosed and has not been widely studied. Overnight polysomnography (PSG) is the gold standard for diagnosing CSA; however, the time and expense of the procedure limit its applicability. Portable monitoring (PM) devices are convenient and easy to use; however, they have not been widely studied as to their effectiveness in detecting CSA in patients with HF. In the current study, we examined the diagnostic value of PM as a screening tool to identify instances of CSA among patients with HF.MethodsA total of 22 patients under stable heart failure conditions with an ejection fraction of <50% were enrolled. All patients underwent PM and overnight PSG within a narrow time frame. The measurements of the apnea–hypopnea index (AHI), hypopnea index (HI), central apnea index (CAI), and obstructive apnea index (OAI) obtained from PSG, automatic scoring, and manual scoring of PM were recorded. The results obtained from PSG and those from PM (automatic and manual scoring) were compared to assess the accuracy of PM.ResultsAmong the patients, CSA in 11 patients was found by PSG. The AHI measurements performed using manual scoring of PM showed a significant correlation with those performed using PSG (r = 0.69; P = 0.01). Nonetheless, mean AHI measurements showed statistically significant differences between PSG and automatic scoring of PM (40.0 vs. 23.7 events/hour, respectively; P < 0.001), as well as between automatic and manual scoring of PM (23.7 vs. 29.5 events/hour; P < 0.001). Central sleep apnea was detected by PM; however, the results were easily misread as obstructive apnea, particularly in automatic scoring.ConclusionPM devices could be used to identify instances of central sleep apnea among patients with HF. The results from PM were well-correlated with standard PSG results, and manual scoring was preferable to automated scoring.https://www.frontiersin.org/articles/10.3389/fneur.2022.1043413/fullsleep apneacentral sleep apneaheart failureportable monitor devicepolysomnography |
| spellingShingle | Pi-Hung Tung Meng-Jer Hsieh Meng-Jer Hsieh Li-Pang Chuang Li-Pang Chuang Li-Pang Chuang Shih-Wei Lin Shih-Wei Lin Kuo-Chun Hung Cheng-Hui Lu Wen-Chen Lee Han-Chung Hu Han-Chung Hu Ming-Shien Wen Ming-Shien Wen Ning-Hung Chen Ning-Hung Chen Ning-Hung Chen Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure Frontiers in Neurology sleep apnea central sleep apnea heart failure portable monitor device polysomnography |
| title | Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure |
| title_full | Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure |
| title_fullStr | Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure |
| title_full_unstemmed | Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure |
| title_short | Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure |
| title_sort | efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure |
| topic | sleep apnea central sleep apnea heart failure portable monitor device polysomnography |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.1043413/full |
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