Effect of bariatric surgery on obstructive sleep apnea and hypopnea syndrome, electrocardiogram, and pulmonary arterial pressure
We evaluated the impact of surgically-induced weight loss on Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS), electrocardiographic changes, pulmonary arterial pressure and daytime sleepiness in morbidly obese patients. 16 women and 13 men (n=29) underwent bariatric surgery in a 3-year period. The...
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| Veröffentlicht in: | Obesity surgery 2004-06, Vol.14 (6), p.755-762 |
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| creator | Valencia-Flores, Matilde Orea, Arturo Herrera, Miguel Santiago, Victoria Rebollar, Verónica Castaño, Violeta A Oseguera, Jorge Pedroza, Jorge Sumano, Jorge Resendiz, Montserrat García-Ramos, Guillermo |
| description | We evaluated the impact of surgically-induced weight loss on Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS), electrocardiographic changes, pulmonary arterial pressure and daytime sleepiness in morbidly obese patients.
16 women and 13 men (n=29) underwent bariatric surgery in a 3-year period. The following tests were performed before and 1 year after surgery: nocturnal polysomnography, daytime Multiple Sleep Latency Test (MSLT), and echocardiogram.
Mean age was 37.9+/-11 years (range 20-56). Preoperative body mass index was 56.5+/-12.3 kg/m(2) and it was 39.2+/-8.5 kg/m(2) at 13.7+/-6.6 months follow-up. Performed surgical procedures included: vertical banded gastroplasty in 6, Roux-en-Y gastric bypass in 12, and Distal Roux-en-Y gastric bypass in 11. Weight loss induced by surgery eliminated OSAHS in 46% of obese patients with an important improvement in oxygen saturation. Neck, thorax, waist and hip circumferences decreased significantly after surgical intervention but only neck circumference correlated significantly with the apnea/hypopnea index (Spearman rho=0.63, P |
| doi_str_mv | 10.1381/0960892041590773 |
| format | Article |
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16 women and 13 men (n=29) underwent bariatric surgery in a 3-year period. The following tests were performed before and 1 year after surgery: nocturnal polysomnography, daytime Multiple Sleep Latency Test (MSLT), and echocardiogram.
Mean age was 37.9+/-11 years (range 20-56). Preoperative body mass index was 56.5+/-12.3 kg/m(2) and it was 39.2+/-8.5 kg/m(2) at 13.7+/-6.6 months follow-up. Performed surgical procedures included: vertical banded gastroplasty in 6, Roux-en-Y gastric bypass in 12, and Distal Roux-en-Y gastric bypass in 11. Weight loss induced by surgery eliminated OSAHS in 46% of obese patients with an important improvement in oxygen saturation. Neck, thorax, waist and hip circumferences decreased significantly after surgical intervention but only neck circumference correlated significantly with the apnea/hypopnea index (Spearman rho=0.63, P <0.0001). Electrocardiographic abnormalities were present in 9 patients (31%) before surgery (sinus arrhythmia, ventricular arrhythmias, and sinus arrest). The number of electrocardiographic abnormalities decreased after surgery but new abnormalities appeared in some patients. Systolic pulmonary arterial pressure significantly decreased in the group of patients in whom OSAHS disappeared after surgery. Daytime sleepiness persisted after surgery in most patients.
Bariatric surgery effectively reduces respiratory disturbances during sleep and improves pulmonary hypertension. Electro cardiographic abnormalities change after surgery. Daytime sleepiness appeared not to be related to respiratory disturbances during sleep.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1381/0960892041590773</identifier><identifier>PMID: 15318977</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Blood Pressure ; Body Mass Index ; Comorbidity ; Electrocardiography ; Female ; Gastric Bypass ; Gastrointestinal surgery ; Gastroplasty ; Humans ; Male ; Middle Aged ; Obesity ; Obesity, Morbid - epidemiology ; Obesity, Morbid - surgery ; Polysomnography ; Pulmonary Artery - physiopathology ; Sleep apnea ; Sleep Apnea Syndromes - epidemiology ; Sleep Apnea, Obstructive - epidemiology ; Weight control</subject><ispartof>Obesity surgery, 2004-06, Vol.14 (6), p.755-762</ispartof><rights>Springer 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-8381928d476f974b03ef9d5cf60595c7692f9e42616e903e4e5875faa3b16e6e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15318977$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valencia-Flores, Matilde</creatorcontrib><creatorcontrib>Orea, Arturo</creatorcontrib><creatorcontrib>Herrera, Miguel</creatorcontrib><creatorcontrib>Santiago, Victoria</creatorcontrib><creatorcontrib>Rebollar, Verónica</creatorcontrib><creatorcontrib>Castaño, Violeta A</creatorcontrib><creatorcontrib>Oseguera, Jorge</creatorcontrib><creatorcontrib>Pedroza, Jorge</creatorcontrib><creatorcontrib>Sumano, Jorge</creatorcontrib><creatorcontrib>Resendiz, Montserrat</creatorcontrib><creatorcontrib>García-Ramos, Guillermo</creatorcontrib><title>Effect of bariatric surgery on obstructive sleep apnea and hypopnea syndrome, electrocardiogram, and pulmonary arterial pressure</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>We evaluated the impact of surgically-induced weight loss on Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS), electrocardiographic changes, pulmonary arterial pressure and daytime sleepiness in morbidly obese patients.
16 women and 13 men (n=29) underwent bariatric surgery in a 3-year period. The following tests were performed before and 1 year after surgery: nocturnal polysomnography, daytime Multiple Sleep Latency Test (MSLT), and echocardiogram.
Mean age was 37.9+/-11 years (range 20-56). Preoperative body mass index was 56.5+/-12.3 kg/m(2) and it was 39.2+/-8.5 kg/m(2) at 13.7+/-6.6 months follow-up. Performed surgical procedures included: vertical banded gastroplasty in 6, Roux-en-Y gastric bypass in 12, and Distal Roux-en-Y gastric bypass in 11. Weight loss induced by surgery eliminated OSAHS in 46% of obese patients with an important improvement in oxygen saturation. Neck, thorax, waist and hip circumferences decreased significantly after surgical intervention but only neck circumference correlated significantly with the apnea/hypopnea index (Spearman rho=0.63, P <0.0001). Electrocardiographic abnormalities were present in 9 patients (31%) before surgery (sinus arrhythmia, ventricular arrhythmias, and sinus arrest). The number of electrocardiographic abnormalities decreased after surgery but new abnormalities appeared in some patients. Systolic pulmonary arterial pressure significantly decreased in the group of patients in whom OSAHS disappeared after surgery. Daytime sleepiness persisted after surgery in most patients.
Bariatric surgery effectively reduces respiratory disturbances during sleep and improves pulmonary hypertension. Electro cardiographic abnormalities change after surgery. Daytime sleepiness appeared not to be related to respiratory disturbances during sleep.</description><subject>Adult</subject><subject>Blood Pressure</subject><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Gastroplasty</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - epidemiology</subject><subject>Obesity, Morbid - surgery</subject><subject>Polysomnography</subject><subject>Pulmonary Artery - physiopathology</subject><subject>Sleep apnea</subject><subject>Sleep Apnea Syndromes - epidemiology</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkctLxDAQxoMouq7ePUnw4GmreTWPo8j6AMGLnkuaTrTSNjVphb35pxt1QfA0ZL7ffJPhQ-iEkgvKNb0kRhJtGBG0NEQpvoMWVBFdEMH0Llp8y0XW-QE6TOmNEEYlY_vogJacaqPUAn2uvQc34eBxbWNrp9g6nOb4AnGDw4BDnaY4u6n9AJw6gBHbcQCL7dDg180Yfh5pMzQx9LDC0GWzGJyNTRteou1XP-Q4d30YbLa0cYK8psNjhJT3wBHa87ZLcLytS_R8s366viseHm_vr68eCscZmwqdzzVMN0JJb5SoCQdvmtJ5SUpTOiUN8wYEk1SCyaKAUqvSW8vr3JHAl-j813eM4X2GNFV9mxx0nR0gzKmSUhnDBc_g2T_wLcxxyH-rNKPECFGKDJFfyMWQUgRfjbHt84EVJdV3NNX_aPLI6dZ3rnto_ga2WfAvkGOKmQ</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>Valencia-Flores, Matilde</creator><creator>Orea, Arturo</creator><creator>Herrera, Miguel</creator><creator>Santiago, Victoria</creator><creator>Rebollar, Verónica</creator><creator>Castaño, Violeta A</creator><creator>Oseguera, Jorge</creator><creator>Pedroza, Jorge</creator><creator>Sumano, Jorge</creator><creator>Resendiz, Montserrat</creator><creator>García-Ramos, Guillermo</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200406</creationdate><title>Effect of bariatric surgery on obstructive sleep apnea and hypopnea syndrome, electrocardiogram, and pulmonary arterial pressure</title><author>Valencia-Flores, Matilde ; Orea, Arturo ; Herrera, Miguel ; Santiago, Victoria ; Rebollar, Verónica ; Castaño, Violeta A ; Oseguera, Jorge ; Pedroza, Jorge ; Sumano, Jorge ; Resendiz, Montserrat ; García-Ramos, Guillermo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-8381928d476f974b03ef9d5cf60595c7692f9e42616e903e4e5875faa3b16e6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Blood Pressure</topic><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal surgery</topic><topic>Gastroplasty</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - epidemiology</topic><topic>Obesity, Morbid - surgery</topic><topic>Polysomnography</topic><topic>Pulmonary Artery - physiopathology</topic><topic>Sleep apnea</topic><topic>Sleep Apnea Syndromes - epidemiology</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valencia-Flores, Matilde</creatorcontrib><creatorcontrib>Orea, Arturo</creatorcontrib><creatorcontrib>Herrera, Miguel</creatorcontrib><creatorcontrib>Santiago, Victoria</creatorcontrib><creatorcontrib>Rebollar, Verónica</creatorcontrib><creatorcontrib>Castaño, Violeta A</creatorcontrib><creatorcontrib>Oseguera, Jorge</creatorcontrib><creatorcontrib>Pedroza, Jorge</creatorcontrib><creatorcontrib>Sumano, Jorge</creatorcontrib><creatorcontrib>Resendiz, Montserrat</creatorcontrib><creatorcontrib>García-Ramos, Guillermo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valencia-Flores, Matilde</au><au>Orea, Arturo</au><au>Herrera, Miguel</au><au>Santiago, Victoria</au><au>Rebollar, Verónica</au><au>Castaño, Violeta A</au><au>Oseguera, Jorge</au><au>Pedroza, Jorge</au><au>Sumano, Jorge</au><au>Resendiz, Montserrat</au><au>García-Ramos, Guillermo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of bariatric surgery on obstructive sleep apnea and hypopnea syndrome, electrocardiogram, and pulmonary arterial pressure</atitle><jtitle>Obesity surgery</jtitle><addtitle>Obes Surg</addtitle><date>2004-06</date><risdate>2004</risdate><volume>14</volume><issue>6</issue><spage>755</spage><epage>762</epage><pages>755-762</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>We evaluated the impact of surgically-induced weight loss on Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS), electrocardiographic changes, pulmonary arterial pressure and daytime sleepiness in morbidly obese patients.
16 women and 13 men (n=29) underwent bariatric surgery in a 3-year period. The following tests were performed before and 1 year after surgery: nocturnal polysomnography, daytime Multiple Sleep Latency Test (MSLT), and echocardiogram.
Mean age was 37.9+/-11 years (range 20-56). Preoperative body mass index was 56.5+/-12.3 kg/m(2) and it was 39.2+/-8.5 kg/m(2) at 13.7+/-6.6 months follow-up. Performed surgical procedures included: vertical banded gastroplasty in 6, Roux-en-Y gastric bypass in 12, and Distal Roux-en-Y gastric bypass in 11. Weight loss induced by surgery eliminated OSAHS in 46% of obese patients with an important improvement in oxygen saturation. Neck, thorax, waist and hip circumferences decreased significantly after surgical intervention but only neck circumference correlated significantly with the apnea/hypopnea index (Spearman rho=0.63, P <0.0001). Electrocardiographic abnormalities were present in 9 patients (31%) before surgery (sinus arrhythmia, ventricular arrhythmias, and sinus arrest). The number of electrocardiographic abnormalities decreased after surgery but new abnormalities appeared in some patients. Systolic pulmonary arterial pressure significantly decreased in the group of patients in whom OSAHS disappeared after surgery. Daytime sleepiness persisted after surgery in most patients.
Bariatric surgery effectively reduces respiratory disturbances during sleep and improves pulmonary hypertension. Electro cardiographic abnormalities change after surgery. Daytime sleepiness appeared not to be related to respiratory disturbances during sleep.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15318977</pmid><doi>10.1381/0960892041590773</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Blood Pressure Body Mass Index Comorbidity Electrocardiography Female Gastric Bypass Gastrointestinal surgery Gastroplasty Humans Male Middle Aged Obesity Obesity, Morbid - epidemiology Obesity, Morbid - surgery Polysomnography Pulmonary Artery - physiopathology Sleep apnea Sleep Apnea Syndromes - epidemiology Sleep Apnea, Obstructive - epidemiology Weight control |
| title | Effect of bariatric surgery on obstructive sleep apnea and hypopnea syndrome, electrocardiogram, and pulmonary arterial pressure |
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