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Heart rate variability responses of individuals with and without saline-induced obstructive sleep apnea

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The present study tests the hypothesis that individuals who develop sleep apnea due to saline infusion during sleep will experience autonomic dysregulation, compared to those without saline-induced sleep apnea. Twenty-one… Click to show full abstract

The present study tests the hypothesis that individuals who develop sleep apnea due to saline infusion during sleep will experience autonomic dysregulation, compared to those without saline-induced sleep apnea. Twenty-one normotensive, nonobese (mean BMI 24.5 kg/m 2 ) men (mean age 37 years) underwent a sleep study. Through random assignment, participants were infused with saline during sleep at the minimum rate to keep the vein open (control) or as a bolus of 22 ml/kg body weight (intervention). Participants crossed over to the other study arm one week later. Heart rate variability (HRV) measurements were computed from continuous electrocardiographic recordings pre- and post-saline infusion in the intervention arm. HRV measures computed were: standard deviation of the RR interval (SDRR), and low (LF) and high frequency (HF) power. Eight participants had increased apnea-hypopnea index by saline infusion (AHI+), and 13 had no change in apnea-hypopnea index by saline infusion (AHI−). Changes in LF power from pre- to post-infusion were not different between the groups. However, while pre-saline infusion values were similar, post-saline infusion values of SDRR and HF power were lower in the AHI+, compared to the AHI− group (Figure 1, P

Keywords: saline infusion; infusion; without saline; rate; saline; sleep apnea

Journal Title: European Respiratory Journal
Year Published: 2017

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