Nocturnal Continuous Positive Airway Pressure (nCPAP) Decreases High-Sensitivity C-Reactive Protein (hs-CRP) in Obstructive Sleep Apnea-Hypopnea Syndrome
Joint Authors
Msaad, Sameh
Chaabouni, Akram
Marrakchi, Rim
Boudaya, Mariem
Kotti, Amina
Feki, Walid
Jamoussi, Kamel
Kammoun, Samy
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-02
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Systemic and airway inflammation has recently been linked to obstructive sleep apnea-hypopnea syndrome (OSAHS) and is considered to be a probable risk factor for OSAHS-induced cardiovascular damage.
High-sensitivity C-reactive protein (hs-CRP), as an inflammatory mediator, may be useful for the prediction of the risk of cardiovascular disease (CVD) and assessment of nocturnal continuous positive airway pressure (nCPAP) therapy effect in OSAHS patients.
Methods.
A prospective, controlled, cross-sectional study was conducted on 64 consecutive adult subjects with suspected sleep-disordered breathing (SDB).
Results.
OSAHS was confirmed in 43 patients (24 normotensive and 19 hypertensive patients) and ruled out in 21 normotensive subjects (controls).
The median plasma level of hs-CRP did not differ significantly between OSAHS patients and controls.
It showed an unmarked rise with the severity of OSAHS (p=0.20) and was not correlated with AHI (p=0.067; r=0.28).
After adjusting for cervical perimeter (CP), waist-to-hip ratio (WHR), and blood sugar level, hs-CRP level of 1 mg/dL or greater was significantly more often observed in OSAHS patients compared with controls (p=0.032; OR=5.60) and was also significantly associated with AHI (p=0.021).
A significant decrease in the median plasma hs-CRP level was observed in CPAP compliant patients (p=0.006).
Of those, only normotensive patients showed a significant decrease in plasma hs-CRP level.
In hypertensive ones, however, the hs-CRP level dropped but not significantly.
Using a linear regression model, the change in hs-CRP level (Δhs-CRP) following a 6-month-nCPAP therapy was found to positively correlate with the baseline hs-CRP level for both hypertensive (p=0.02; r=0.68), and even more normotensive OSAHS patients (p<0.0001; r=0.89).
Conclusion.
nCPAP therapy may have a cardiovascular protective effect in OSAHS patients.
hs-CRP level would be useful as a valuable predictor of success in OSAHS treatment monitoring.
American Psychological Association (APA)
Msaad, Sameh& Chaabouni, Akram& Marrakchi, Rim& Boudaya, Mariem& Kotti, Amina& Feki, Walid…[et al.]. 2020. Nocturnal Continuous Positive Airway Pressure (nCPAP) Decreases High-Sensitivity C-Reactive Protein (hs-CRP) in Obstructive Sleep Apnea-Hypopnea Syndrome. Sleep Disorders،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1208951
Modern Language Association (MLA)
Msaad, Sameh…[et al.]. Nocturnal Continuous Positive Airway Pressure (nCPAP) Decreases High-Sensitivity C-Reactive Protein (hs-CRP) in Obstructive Sleep Apnea-Hypopnea Syndrome. Sleep Disorders No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1208951
American Medical Association (AMA)
Msaad, Sameh& Chaabouni, Akram& Marrakchi, Rim& Boudaya, Mariem& Kotti, Amina& Feki, Walid…[et al.]. Nocturnal Continuous Positive Airway Pressure (nCPAP) Decreases High-Sensitivity C-Reactive Protein (hs-CRP) in Obstructive Sleep Apnea-Hypopnea Syndrome. Sleep Disorders. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1208951
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1208951