Efficacy of portable sleep monitoring device in diagnosing central sleep apnea in patients with congestive heart failure

被引:1
作者
Tung, Pi-Hung [1 ]
Hsieh, Meng-Jer [1 ,2 ]
Chuang, Li-Pang [1 ,2 ,3 ]
Lin, Shih-Wei [1 ,2 ]
Hung, Kuo-Chun [4 ]
Lu, Cheng-Hui [4 ]
Lee, Wen-Chen [4 ]
Hu, Han-Chung [1 ,2 ]
Wen, Ming-Shien [3 ,4 ]
Chen, Ning-Hung [1 ,2 ,5 ]
机构
[1] Linkou Chang Gung Mem Hosp, Sleep Ctr, Dept Pulm & Crit Care Med, Taoyuan, Taiwan
[2] Linkou Chang Gung Mem Hosp, Dept Resp Therapy, Taoyuan, Taiwan
[3] Chang Gung Univ, Sch Med, Taoyuan, Taiwan
[4] Linkou Chang Gung Mem Hosp, Dept Internal Med, Div Cardiol, Taoyuan, Taiwan
[5] Chang Gung Univ, Sch Tradit Chinese Med, Taoyuan, Taiwan
关键词
sleep apnea; central sleep apnea; heart failure; portable monitor device; polysomnography; AMERICAN ACADEMY; VALIDATION;
D O I
10.3389/fneur.2022.1043413
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
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