A critical review of peripheral arterial tone and pulse transit time as indirect diagnostic methods for detecting sleep disordered breathing and characterizing sleep structure

Pépin, Jean‐Louis; Tamisier, Renaud; Borel, Jean‐Christian; Baguet, J.C.; Lévy, Patrick

doi:10.1097/mcp.0b013e3283318585

Cited by 48 publications

(40 citation statements)

References 40 publications

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“…PTT has been suggested as a surrogate marker of inspiratory effort [23]. It has been documented as a reliable marker of inspiratory efforts in sleep studies performed in children with sleepdisordered breathing [9,24,25] and in adults [23,26]. Our data support the use of PTT as a marker of inspiratory effort under bi-level positive pressure ventilation.…”

Section: Discussionsupporting

confidence: 73%

“…However, as previously mentioned, routine use of Poes is questionable because of associated sleep disruption and leaks around the mask induced by the oesophageal probe. PTT has been suggested as a surrogate marker of inspiratory effort [23]. It has been documented as a reliable marker of inspiratory efforts in sleep studies performed in children with sleepdisordered breathing [9,24,25] and in adults [23,26].…”

Section: Discussionmentioning

confidence: 99%

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Pulse transit time as a measure of respiratory effort under noninvasive ventilation

et al. 2012

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Among the respiratory events that may occur during nocturnal noninvasive ventilation (NIV), differentiating between central and obstructive events requires appropriate indicators of respiratory effort. The aim of the present study was to assess pulse transit time (PTT) as an indicator of respiratory effort under NIV in comparison with oesophageal pressure (P(oes)). During wakefulness, PTT was compared to P(oes) during spontaneous breathing and under NIV with or without induced leaks in 11 healthy individuals. In addition, the contribution of PTT versus P(oes) to differentiation of central from obstructive respiratory events occurring under NIV during sleep was evaluated in 10 patients with obesity hypoventilation syndrome (OHS). From spontaneous breathing to NIV without leaks, respiratory effort decreased significantly whereas, with increasing level of leaks, there was a significant increase in respiratory effort. Changes in PTT accurately reflected changes in P(oes). In OHS patients during nocturnal NIV, intraclass correlation coefficients between P(oes) and PTT were 0.970 for total number of events and 0.970 for percentage of central events. PTT accurately reflects the unloading of respiratory muscles induced by NIV and the increase in respiratory effort during leaks. PTT during sleep is also useful to differentiate central from obstructive respiratory events occurring under NIV

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Pulse transit time as a measure of respiratory effort under noninvasive ventilation

et al. 2012

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“…As such, use of the cardiorespiratory coupling properties of the ECG signal may identify children with OSA [34]. Similarly, changes in pulse transit time were advocated as reliable reporters of respiratory effort and arousals, and potential surrogates for the diagnosis of SDB in children [35,36]. More recently, use of ODI4 and pulse transit time as an indicator of microarousals has been proposed as an efficient indicator for the presence of pediatric OSA [37].…”

Section: Electrocardiography and Pulse Transit Timementioning

confidence: 98%

Home sleep testing for the diagnosis of pediatric obstructive sleep apnea

Gozal

Kheirandish‐Gozal

Kaditis

2015

Current Opinion in Pulmonary Medicine

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“…Furthermore, obtaining derivations from pulse plethysmographic parameters can provide useful autonomic markers of sympathetic tone and information on sleep fragmentation. [117][118][119][120][121] …”

Section: Oximetry and Capnographymentioning

confidence: 99%

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

et al. 2015

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During the last few decades, attention has increasingly focused on noninvasive ventilation (NIV) in the treatment of chronic respiratory failure. The University of Leuven and the University Hospitals Leuven therefore chose this topic for a 2-day working group session during their International Symposium on Sleep-Disordered Breathing. Numerous European experts took part in this session and discussed (1) NIV in amyotrophic lateral sclerosis (when to start NIV, NIV and sleep, secretion management, and what to do when NIV fails), (2) recent insights in NIV and COPD (high-intensity NIV, NIV in addition to exercise training, and NIV during exercise training), (3) monitoring of NIV (monitoring devices, built-in ventilator software, leaks, and asynchronies) and identifying events during NIV; and (4) recent and future developments in NIV (target-volume NIV, electromyography-triggered NIV, and autoregulating algorithms)

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A critical review of peripheral arterial tone and pulse transit time as indirect diagnostic methods for detecting sleep disordered breathing and characterizing sleep structure

Abstract: Cardiovascular markers of autonomic control during sleep permit not only the diagnosis of obstructive sleep apnea and estimation of sleep structure but are also linked with the prevalence of daytime hypertension.

Cited by 48 publications

References 40 publications

Pulse transit time as a measure of respiratory effort under noninvasive ventilation

Pulse transit time as a measure of respiratory effort under noninvasive ventilation

Home sleep testing for the diagnosis of pediatric obstructive sleep apnea

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

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