Neural Respiratory Drive and Arousal in Patients with Obstructive Sleep Apnea Hypopnea
Author(s) -
Sichang Xiao,
Baiting He,
Joerg Steier,
John Moxham,
Michael I. Polkey,
Yuanming Luo
Publication year - 2015
Publication title -
sleep
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.222
H-Index - 207
eISSN - 1550-9109
pISSN - 0161-8105
DOI - 10.5665/sleep.4746
Subject(s) - hypopnea , obstructive sleep apnea , apnea , polysomnography , medicine , anesthesia , arousal , sleep apnea , cardiology , psychology , neuroscience
It has been hypothesized that arousals after apnea and hypopnea events in patients with obstructive sleep apnea are triggered when neural respiratory drive exceeds a certain level, but this hypothesis is based on esophageal pressure data, which are dependent on flow and lung volume. We aimed to determine whether a fixed threshold of respiratory drive is responsible for arousal at the termination of apnea and hypopnea using a flow independent technique (esophageal diaphragm electromyography, EMGdi) in patients with obstructive sleep apnea.
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