Nocturnal desaturations in COPD: Still an open question?
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作者:
Braghiroli A.
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机构:
Salvatore Maugeri Foundation, I.R.C.C.S., Scientific Institute of Veruno, Veruno
Salvatore Maugeri Foundation, Centro Medico, VerunoSalvatore Maugeri Foundation, I.R.C.C.S., Scientific Institute of Veruno, Veruno
Braghiroli A.
[1
,2
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机构:
[1] Salvatore Maugeri Foundation, I.R.C.C.S., Scientific Institute of Veruno, Veruno
[2] Salvatore Maugeri Foundation, Centro Medico, Veruno
The relevance of sleep oxyhemoglobin desaturations in COPD patients is still a matter of debate. The best definition for clinical outcomes is the occurrence of episodes lasting at least 5 minutes and reaching SaO2 levels less than or equal to 85%. Focusing on longer and milder episodes (at least 30% of the night with SaO2 < 90%) did not provide clinical relevance. One possible consequence of desaturation episodes could be a worsening of pulmonary hemodynamics, but O2 dips could just be a marker of a mechanical derangement associated with a worse prognosis. Data confirming the association of these episodes with the clinical type of COPD and with inflammatory mediator modulation are still lacking.
机构:
Univ Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ 85719 USA
Lovelace Resp Res Inst, Albuquerque, NM USAUniv Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ 85719 USA
Polverino, Francesca
Sam, Afshin
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Univ Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ 85719 USAUniv Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ 85719 USA
Sam, Afshin
Guerra, Stefano
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机构:
Univ Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ 85719 USA
ISGlobal, Barcelona, Spain
Pompeu Fabra Univ, Barcelona, SpainUniv Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ 85719 USA
机构:
Fdn Salvatore Maugeri, Div Pneumol Riabilitat, IRCCS, Ist Sci Veruno NO, I-28010 Veruno, NO, ItalyFdn Salvatore Maugeri, Div Pneumol Riabilitat, IRCCS, Ist Sci Veruno NO, I-28010 Veruno, NO, Italy