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CPAP reduces augmentation index, left ventricular workload in healthy males

06 Feb 2018

In healthy young males, continuous positive airway pressure (CPAP) acutely reduces augmentation index (AIx), left ventricular workload and heart rate, a recent study has shown.

Radial artery tonometry was used to measure increased resting and CPAP AIx and central blood pressure parameters in 17 healthy males (mean age 32±16 years). AIx was significantly reduced from baseline (103±10 percent) after CPAP at 5 mbar (97±11 percent (p<0.01) and 10 mbar (95±11 percent; p<0.01). Values significantly increased to 100±10 percent during the recovery phase (p<0.01).

Heart rate likewise showed a significant decline after CPAP at 5 and 10 mbar (64±8 bpm at baseline vs 61±10 and 61±8 bpm, respectively; p=0.02 and p<0.01). The increase during the recovery phase was not significant (63±8 bpm; p=0.37).

CPAP also significantly affected pressure-time integral and performance. For instance, using systolic time integral (2,115±231 mm Hg/s per minute at baseline) as a marker, the researchers observed declines in left ventricular workload after 5 mbar (1,978±290 mm Hg/s per minute; p=0.02) and 10 mbar (1,940±218 mm Hg/s per minute; p<0.001) of CPAP.

Ejection duration was also significantly decreased from baseline after 5 and 10 mbar of CPAP (35±3 vs 33±3 and 32±3, respectively; p=0.02 and p<0.01). No significant recovery effect was observed.

In contrast, the subendocardial viability ratio, as represented by the Buckberg Index, increased following CPAP. From 164±28 percent at baseline, the Index scores rose to 182±32 and 186±23 percent (p<0.001 for both) after 5 and 10 mbar of CPAP, respectively.

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Most Read Articles
Tristan Manalac, Yesterday
Of the newly identified genetic loci for primary angle-closure glaucoma (PACG), two are significantly associated with primary angle-closure suspect (PACS), indicating involvement in the earlier stages of the disease, a recent Singapore study has shown.
4 days ago
Use of proton pump inhibitors (PPIs), even at higher cumulative levels, does not increase the risk for dementia, a recent study has shown.
11 Feb 2018
In males with primary or secondary hypogonadism (HG), adherence to topical testosterone therapy (TTh) appears to improve total testosterone and decrease the risk of conditions associated with HG, a recent study has shown.
4 days ago
Persons with congenital heart disease (CHD) are at a higher risk of dementia, particularly early-onset dementia, than the general population, a recent study has shown.