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October 6, 2009Vascular MedicineOpen Access

Brachial artery diameter, blood flow and flow-mediated dilation in sleep-disordered breathing

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Key result

Sleep-disordered breathing correlates with larger baseline brachial artery diameter but not endothelial dysfunction.

  • P=0.03
  • n=682

Why the study?

Does sleep-disordered breathing severity correlate with altered brachial artery diameter and flow-mediated dilation in a community-based cohort?

Population

682 adults, aged 42-83 years, from the Framingham Heart Study site of the Sleep Heart Health Study.

Comparison

Sleep-disordered breathing severity quantified… vs Lower severity categories of apnea-hypopnea index

Design

Cross-sectional

Authors

HCHassan ChamiEmory UniversityMKMichelle J. KeyesPreventive CardiologyJVJoseph A. VitaPreventive Cardiology

Discussion

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Implication

May indicate vascular remodeling without endothelial dysfunction in sleep-disordered breathing; hypothesis-generating and requires longitudinal validation before clinical consideration.

Study Design

Type

Cross-Sectional (n=682)

Structured PICO

Does sleep-disordered breathing severity correlate with altered brachial artery diameter and flow-mediated dilation in a community-based cohort?

P
Population
682 community-dwelling adults aged 42-83 years evaluated for the association between sleep-disordered breathing and brachial artery diameter and flow-mediated dilation.
E
Exposure
Sleep-disordered breathing (SDB) severity quantified by polysomnographically derived apnea-hypopnea index and hypoxemia index
C
Comparator
Lower severity categories of apnea-hypopnea index (e.g., < 1.5)
O
Outcome
Brachial artery ultrasound measurements including baseline diameter, percent flow-mediated dilation, and baseline and hyperemic flow velocity and volumesurrogate

Main Result

p-value: p=0.03

Sleep-disordered breathing is associated with larger baseline brachial artery diameter, suggesting vascular remodeling, but not with endothelial dysfunction as measured by flow-mediated dilation.

Cite This Study

Chami et al. (2009) conducted a cross-sectional in Sleep-disordered breathing (n=682). Sleep-disordered breathing vs. No or mild sleep-disordered breathing was evaluated on Baseline brachial artery diameter (p=0.03). Sleep-disordered breathing was associated with larger baseline brachial artery diameter (p=0.03), but not with endothelial dysfunction as measured by flow-mediated dilation.

synapsesocial.com/papers/6aa53ce2fff38ca398dd418ahttps://doi.org/10.1177/1358863x09105132
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Sleep Heart Health Study: Design, Rationale, and Methods1997 · 1,355 citations
  2. 2Sleep Apnea and Markers of Vascular Endothelial Function in a Large Community Sample of Older Adults2003 · 277 citations
  3. 3Association of Sleep-Disordered Breathing, Sleep Apnea, and Hypertension in a Large Community-Based Study2000 · 3,383 citations
  4. 4Sleep-disordered Breathing and Cardiovascular Disease2001 · 2,916 citations
  5. 5Impairment of Endothelium-Dependent Vasodilation of Resistance Vessels in Patients With Obstructive Sleep Apnea2000 · 732 citations