Neurobehavioral and autonomic alterations in adults with obstructive sleep apnea.

作者: Juan Idiaquez , Irving Santos , Julia Santin , Rodrigo Del Rio , Rodrigo Iturriaga

DOI: 10.1016/J.SLEEP.2014.05.030

关键词: Epworth Sleepiness ScalePsychologyNeuropsychological testObstructive sleep apneaCardiologyCognitive testHeart rate variabilityPolysomnographyBeck Depression InventoryHeart rateInternal medicineAnesthesia

摘要: Abstract Objective Obstructive sleep apnea (OSA) is associated with sympathetic hyperactivity, excessive nocturnal sweating, sleepiness, and neurobehavioral cognitive alterations. However, it not well known if consequences of OSA are independent from autonomic Thus, we assessed the association between polysomnographic, autonomic, tests performance in patients. Methods Fifty eight patients (53 male) were administered questionnaires assessing demographic, Epworth, Beck Depression Inventory, Syndrom Kurz test (SKT), Trail Making part B (TMT-B), Frontal Assessment Battery (FAB) tests. Spectral analysis heart rate variability (HRV) night sweating symptoms (NSwS) score used to assess function. Results Global function (SKT) was normal mild-moderate (M-OSA) severe (S-OSA) In S-OSA AHI correlated TMT-B ( r  = 0.30 P  = −0.31  = −0.45  =   = 0.29  = −0.39  = −0.49 Conclusion dysfunction predominance drive occur Abnormal frontal hyperactivity related oxygen desaturation, but each other. We conclude that changes imbalance take place independently other, suggesting different pathophysiological pathways.

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