ArticleClinical research in cardiology : official journal of the German Cardiac Society2013
Sleep-disordered breathing in patients undergoing transfemoral aortic valve implantation for severe aortic stenosis.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Prevalence and Impact of Sleep Disordered Breathing in Patients with Severe Aortic Stenosis.PloS one · 2015Trial
- Feasibility of sheathless transfemoral aortic valve implantation in patients with small access vessel diameters.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Trial
- High prevalence of obstructive sleep apnea in a surgical aortic valve replacement cohort: an observational study.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Prevalence of Sleep Disordered Breathing in Patients with Primary Mitral Regurgitation Undergoing Mitral Valve Surgery.Journal of clinical medicine · 2021Article
- Prevalence, Clinical Profile, and In-Hospital Outcomes of Sleep-Disordered Breathing in Patients Undergoing Transcatheter Aortic Valve Implantation in Japan.Circulation reports · 2019Article
- Cardioversion of atrial fibrillation or atrial flutter into sinus rhythm reduces nocturnal central respiratory events and unmasks obstructive sleep apnoea.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Observational
- High prevalence of peripheral arterial disease in patients with obstructive sleep apnoea.Clinical research in cardiology : official journal of the German Cardiac Society · 2015Article
- Severe aortic valve stenosis in the elderly: high prevalence of sleep-related breathing disorders.Clinical interventions in aging · 2015Article
- Worldwide TAVI registries: what have we learned?Clinical research in cardiology : official journal of the German Cardiac Society · 2014Review
- Hotline update of clinical trials and registries presented at the American College of Cardiology Congress 2014.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Article
- Mental health and transcatheter aortic valve replacement: A scoping systematic review.General hospital psychiatryArticle
- Aortic stenosis and sleep disordered breathing: The effects of interventional management.Science progressReview
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Authors and funding
13 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe examined the prevalence of sleep-disordered breathing (SDB) in patients with severe aortic valve stenosis (AS) and the impact of transfemoral aortic valve implantation (TAVI) on SDB.
methods79 patients underwent cardiorespiratory polygraphy (PG) before TAVI (CoreValve™), 62 of them a second PG after the procedure.
resultsForty-nine (62 %) patients had obstructive sleep apnea (OSA), 25 (32 %) central sleep apnea (CSA), and 5 (6 %) presented without significant SDB (apnea-hypopnea index (AHI) < 5/h). Among the 62 patients evaluated before and after TAVI, 36 (58 %) had OSA, 22 (36 %) CSA, and 4 patients (7 %) no SDB. AHI was significantly higher in CSA patients than in OSA patients (34.5 ± 18.3 vs. 18.0 ± 12.6/h, p < 0.001). Successful TAVI had a significant impact on CSA but not on OSA: CSA patients with optimal TAVI results experienced a significant reduction in central respiratory events (AHI 39.6 ± 19.6-23.1 ± 16.0/h, p = 0.035), while no changes were detected in OSA patients (AHI 18.8 ± 13.0-20.25 ± 13.4/h, p = 0.376). In contrast, in patients who developed at least moderate periprosthetic aortic regurgitation (AR > I), CSA increased significantly (AHI 26.3 ± 13.2-39.2 ± 18.4/h, p = 0.036), whereas no acute change was seen in patients with OSA (AHI 10.5 ± 7.8-12.5 ± 5.0/h, p = 0.5).
conclusionOSA and CSA are prevalent in more than 90 % of patients undergoing TAVI for severe aortic valve stenosis. Successful TAVI had no significant impact on OSA but improved CSA. In case of an acute change from pressure overload (aortic stenosis) to acute volume overload (aortic regurgitation after TAVI), central, but not obstructive, sleep apnea deteriorated.
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