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Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration
OBJECTIVES: 1. to describe the frequency of sleep apnea in patients with acromegaly; 2. to identify the proportion of candidates for treatment with positive airway pressure; 3. to report our experience with the positive pressure titration process in acromegaly patients. METHODS: A cross-sectional st...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Bentham Open
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3386499/ https://www.ncbi.nlm.nih.gov/pubmed/22754597 http://dx.doi.org/10.2174/1874306401206010028 |
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author | Hernández-Gordillo, Daniel Ortega-Gómez, María del Rocío Galicia-Polo, Lourdes Castorena-Maldonado, Armando Vergara-López, Alma Guillén-González, Miguel Ángel Torre-Bouscoulet, Luis |
author_facet | Hernández-Gordillo, Daniel Ortega-Gómez, María del Rocío Galicia-Polo, Lourdes Castorena-Maldonado, Armando Vergara-López, Alma Guillén-González, Miguel Ángel Torre-Bouscoulet, Luis |
author_sort | Hernández-Gordillo, Daniel |
collection | PubMed |
description | OBJECTIVES: 1. to describe the frequency of sleep apnea in patients with acromegaly; 2. to identify the proportion of candidates for treatment with positive airway pressure; 3. to report our experience with the positive pressure titration process in acromegaly patients. METHODS: A cross-sectional study that included the acromegaly cohort at the Centro Medico Nacional “20 de Noviembre” in Mexico City (n=44). A standard polysomnography (PSG) was carried out for each patient. A second PSG was done for purposes of CPAP titration. RESULTS: A total of 35 patients were studied (80% of the cohort, 20 [57%] women). Polysomnography results showed that 34 subjects (97%, 95%CI 91-100%) had apnea hypopnea indexes (AHI) ≥ 5. No patient had central apnea. We identified 19 subjects with AHI ≥5 and Epworth ≥10, for a frequency of obstructive sleep apnea syndrome of 54% (95%CI 36-71%). A total of 31 patients (88%; 95%CI 77-99%) were deemed to be candidates for positive pressure treatment, but only 8 of them accepted CPAP. They required pressures that ranged from 10 to 18 cmH(2)O. CONCLUSIONS: Our results confirm a high prevalence of sleep apnea in patients with acromegaly, and provide evidence that the majority of those patients are candidates for treatment with positive pressure. Contrary to what has been reported, we identified no patients with central apnea. |
format | Online Article Text |
id | pubmed-3386499 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Bentham Open |
record_format | MEDLINE/PubMed |
spelling | pubmed-33864992012-06-29 Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration Hernández-Gordillo, Daniel Ortega-Gómez, María del Rocío Galicia-Polo, Lourdes Castorena-Maldonado, Armando Vergara-López, Alma Guillén-González, Miguel Ángel Torre-Bouscoulet, Luis Open Respir Med J Article OBJECTIVES: 1. to describe the frequency of sleep apnea in patients with acromegaly; 2. to identify the proportion of candidates for treatment with positive airway pressure; 3. to report our experience with the positive pressure titration process in acromegaly patients. METHODS: A cross-sectional study that included the acromegaly cohort at the Centro Medico Nacional “20 de Noviembre” in Mexico City (n=44). A standard polysomnography (PSG) was carried out for each patient. A second PSG was done for purposes of CPAP titration. RESULTS: A total of 35 patients were studied (80% of the cohort, 20 [57%] women). Polysomnography results showed that 34 subjects (97%, 95%CI 91-100%) had apnea hypopnea indexes (AHI) ≥ 5. No patient had central apnea. We identified 19 subjects with AHI ≥5 and Epworth ≥10, for a frequency of obstructive sleep apnea syndrome of 54% (95%CI 36-71%). A total of 31 patients (88%; 95%CI 77-99%) were deemed to be candidates for positive pressure treatment, but only 8 of them accepted CPAP. They required pressures that ranged from 10 to 18 cmH(2)O. CONCLUSIONS: Our results confirm a high prevalence of sleep apnea in patients with acromegaly, and provide evidence that the majority of those patients are candidates for treatment with positive pressure. Contrary to what has been reported, we identified no patients with central apnea. Bentham Open 2012-06-08 /pmc/articles/PMC3386499/ /pubmed/22754597 http://dx.doi.org/10.2174/1874306401206010028 Text en © Hernández-Gordillo et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited. |
spellingShingle | Article Hernández-Gordillo, Daniel Ortega-Gómez, María del Rocío Galicia-Polo, Lourdes Castorena-Maldonado, Armando Vergara-López, Alma Guillén-González, Miguel Ángel Torre-Bouscoulet, Luis Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration |
title | Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration |
title_full | Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration |
title_fullStr | Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration |
title_full_unstemmed | Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration |
title_short | Sleep Apnea in Patients with Acromegaly. Frequency, Characterization and Positive Pressure Titration |
title_sort | sleep apnea in patients with acromegaly. frequency, characterization and positive pressure titration |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3386499/ https://www.ncbi.nlm.nih.gov/pubmed/22754597 http://dx.doi.org/10.2174/1874306401206010028 |
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