Monitoring of Nocturnal Oxygen Desaturation Using Pulse Oximeter and Apnomonitor in Patients with Chronic Pulmonary Disease

Miyahara, Yoshihisa; Miyahara, Yoshiyuki; Naito, Tatsuji; Ikeda, Satoshi

doi:10.1159/000196478

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…4 The association between severity of nocturnal desaturations and pulmonary hypertension also applies in ILD subjects. 5 • Metabolic syndrome: This is characterized by a group of metabolic disorders including central obesity, impaired fasting glucose, dyslipidemia (hypertriglyceridemia and low high-density lipoprotein), and hypertension, resulting in overall increased risk of cardiovascular mortality. There is an increasing association between OSA and metabolic syndrome.…”

Section: Mechanism Of Sleep Disorders In Medical Illnessmentioning

confidence: 99%

Sleep Overlap Syndrome and Association with Other Medical Disorders

Taskar¹,

Phanthok²,

Duran³

2019

International Journal of Head and Neck Surgery

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Section: Mechanism Of Sleep Disorders In Medical Illnessmentioning

confidence: 99%

Sleep Overlap Syndrome and Association with Other Medical Disorders

Taskar¹,

Phanthok²,

Duran³

2019

International Journal of Head and Neck Surgery

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“…Forced respiratory efforts against air ow obstruction in OSA possibly cause recurrent tractional injury to the periphery of the lung, which is also expected to cause lung damage and aggregate ILD 10 . Moreover, it is known that nocturnal hypoxia is strongly related to the presence of pulmonary hypertension 11,12 . Therefore, early detection of OSA is crucial for preventing the progression of ILD.…”

Section: Introductionmentioning

confidence: 99%

Clinical factors predicting the severity of obstructive sleep apnea in interstitial lung disease

Iijima

Tamaoka

Shimada

et al. 2022

Preprint

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Background and Objectives: Obstructive sleep apnea (OSA) is known to be one of the common complications of interstitial lung disease (ILD). Although it is suspected that the incidence of OSA and the progression of ILD are closely related to each other, the clinical features of ILD with such complications are not fully understood. The aim of this study is to clarify specific clinical factors in ILD patients that predict the complication and the severity of OSA.Study Design and Method: ILD patients in our institute were prospectively investigated for the incidence of OSA by polysomnography (PSG).Results: All 33 patients were diagnosed with OSA. Univariate regression analysis showed a lower Diffusing capacity of the lung for carbon monoxide (DLco) and a lower respiratory rate (RR) predicted a higher HI and a higher AI, respectively. Multivariate regression analysis showed a lower DLco and a lower RR also predicted a higher apnea hypopnea index (AHI).Conclusions: A high prevalence of OSA was exhibited in our study of ILD patients. Lacking rapid breathing pattern and impaired diffusing capacity were predictive factors for the severity of OSA. The examination of sleep disorders should be actively considered for these patients.Short title: The relationship between ILD and OSA

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“…Idiopathic interstitial pneumonias represent a difficult group of diseases where the disease evolution is unpredictable and there are no good treatment options. Sleep-related hypoxemia is well-described in patients with interstitial lung disease although benefit of treating OSA on the course of fibrotic disease is unknown [1]. Poor sleep quality in patients with fibrotic disorders especially idiopathic pulmonary fibrosis (IPF) contributes to poor daytime functioning [2,3].…”

Section: Introductionmentioning

confidence: 99%

Sleep Apnea Management in “Possible IPF” and “Idiopathic NSIP”: A Case- Series

Sundar

Schol²,

Willis³

et al. 2014

J Sleep Disord Ther

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Purpose:The clinical course of patients with possible idiopathic pulmonary fibrosis (IPF) and idiopathic nonspecific interstitial pneumonia (NSIP) is not well understood. While these patients are clinically followed for disease progression before rendering therapy, the import of sleep-disordered breathing on the disease course is unknown. Methods:Retrospective analysis of possible IPF and idiopathic NSIP patients seen at a single center with review of clinical data pertinent to therapy for co-morbid sleep-disordered breathing was done. Results: 7 patients with possible IPF based upon radiologic possible UIP patterns (5 male and 2 female) and 6 patients with idiopathic NSIP (5 female and 1 male) were followed for an average duration of 40 and 30 months respectively. 6/7 patients with possible IPF required continuous positive airway pressure (CPAP) therapy for sleepdisordered breathing and out of this 5/6 were compliant with therapy. Of idiopathic NSIP patients, 2/6 presented with acute exacerbations. All 6 patients required therapy for OSA out of which 5/6 were treated with CPAP and 1 treated with supplemental oxygen. Patients with possible IPF appeared to stabilize their disease following treatment of OSA and none of the study patients experienced any recurrence of acute exacerbations on CPAP therapy. Conclusions:OSA can be an important problem in patients with possible IPF and idiopathic NSIP. Treatment with nocturnal CPAP therapy in these patients with concomitant OSA may result in stability of underlying interstitial lung disease.

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Monitoring of Nocturnal Oxygen Desaturation Using Pulse Oximeter and Apnomonitor in Patients with Chronic Pulmonary Disease

Cited by 7 publications

References 10 publications

Sleep Overlap Syndrome and Association with Other Medical Disorders

Sleep Overlap Syndrome and Association with Other Medical Disorders

Clinical factors predicting the severity of obstructive sleep apnea in interstitial lung disease

Sleep Apnea Management in “Possible IPF” and “Idiopathic NSIP”: A Case- Series

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