4.2 Article

Ventilatory and cerebrovascular responses to hypercapnia in patients with obstructive sleep apnoea: Effect of CPAP therapy

Journal

RESPIRATORY PHYSIOLOGY & NEUROBIOLOGY
Volume 165, Issue 1, Pages 73-81

Publisher

ELSEVIER SCIENCE BV
DOI: 10.1016/j.resp.2008.10.011

Keywords

Hypercapnia; CPAP therapy; Cerebrovascular response; Ventilatory responses

Funding

  1. Alberta Heritage Foundation for Medical Research (AHFMR)
  2. Heart and Stroke Foundation of Alberta, Northwest Territories and Nunavut
  3. Canadian Foundation for Innovation
  4. Canadian Institutes of Health Research
  5. Heart and Stroke Foundation of Canada

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The purpose of this study was to assess whether the cerebrovascular response to hypercapnia is blunted in OSA patients and if this could alter the ventilatory response to hypercapnia before and after CPAP therapy. We measured the cerebrovascular, cardiovascular and ventilatory responses to hypercapnia in 8 patients with OSA (apnoea-hypopnoea index = 101 +/- 10) before and after 4-6 weeks of CPAP therapy and in 10 control subjects who did not undergo CPAP therapy. The cerebrovascular and ventilatory responses to hypercapnia were not different between OSA and controls at baseline or follow-up. The cardiovascular response to hypercapnia was significantly increased in the OSA group by CPAP therapy (mean arterial pressure response: 1.30 +/- 0.16 vs. 2.04 +/- 0.36 mm Hg Torr(-1); p = 0.007). We conclude that in normocapnic, normotensive OSA patients without cardiovascular disease, the ventilatory, cerebrovascular, and cardiovascular responses to hypercapnia are normal, but the cardiovascular response to hypercapnia is heightened following 1 month of CPAP therapy. (C) 2008 Elsevier B.V. All rights reserved.

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