Research Article
BibTex RIS Cite

Evaluation of left ventricular diastolic functions in patients with obstructive sleep apnea with tissue Doppler echocardiography and pulmonary vein diastolic flow rates

Year 2020, Volume: 2 Issue: 3, 61 - 67, 28.06.2020
https://doi.org/10.38053/acmj.718110

Abstract

Objective: To
evaluate left ventricular (LV) diastolic functions in patients with obstructive
sleep apnea syndrome (OSAS) using pulmonary vein diastolic flow Doppler (PVDD)
technique and tissue Doppler echocardiography (DDE) technique.



Material
and Method;
Forty patients, who were diagnosed as OSAS with
polysomnography and have not yet been treated, and 28 healthy individuals were
included in the study. Patients underwent PVDD and DDE examinations.



Results;
There was no statistically difference between the groups in terms of LV
systolic and diastolic diameters and ejection fractions obtained by M-mode
measurements. Decreased early diastolic Ea-m wave velocities and Ea-m / Aa-m
rates of septal and lateral annulus (p <0.001 and p <0.001, respectively)
in cases with OSAS, examined in LV, Aa-m wave wave for late diastolic filling
an increase in speed was observed (p <0.05). There was no change in systolic
wave velocities obtained from lateral and septal wall. No relation was found
between apnea-hypopnea index and LV DDE parameters. Pulmonary vein systolic
wave (PVs) was found higher in the control group, while pulmonary vein
diastolic wave (PVd) was higher in patients with OSAS, although not
statistically significant (p> 0.05). Although PVs / PVd ratio was greater than
1 in both groups, it was found lower in patients with OSAS (p <0.05).
Pulmonary vein atrial wave (PVa) was significantly higher in patients with
OSAS.



Conclusion:
OSAS is a condition that impairs LV diastolic functions, regardless of the
severity of the disease, even if there is no underlying heart disease.
Pulmonary vein Doppler and tissue Doppler echocardiography can be used to
evaluate left ventricular diastolic dysfunction.

References

  • 1. Guilleminault C, Tilkian A, Dement WC. The sleep apnea syndromes. Ann Rev Med 1976; 27: 465–84.
  • 2. Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328: 1230-5.
  • 3. Young T, Peppard PE, Taheri S. Excess weight and sleep-disordered breathing. J Appl Physiol 2005; 99: 1592-9.
  • 4. Duran J, Esnaola S, Rubio R, Iztueta A. Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr. Am J Respir Crit Care Med 2001; 163: 685-9.
  • 5. Mooe T, Franklin KA, Holmström K, et al. Sleep disordered breathing and coronary artery disease: long-term prognosis. Am J Respir Crit Care Med 2001; 164: 1910-3.
  • 6. Saito T, Yoshikawa T, Sakamoto Y, et al. Sleep apnea in patients with acute myocardial infarction. Crit Care Med 1991; 19: 938-41.
  • 7. Gottlieb DJ, Yenokyan G, Newman AB, et al. Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: The Sleep Heart Health Study. Circulation 2010; 122: 352-60.
  • 8. Hrynkiewicz-Szymanska A, Szymanski FM, Filipiak KJ, et al. Can obstructive sleep apnea be a cause of in-stent thrombosis? Sleep Breath 2011; 15: 607-9.
  • 9. Carlson JT, Hedner J, Elam M, et al. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993; 103: 1763-8.
  • 10. Somers VK, Dyken ME, Clary MP, Abboud FM. Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 1995;96: 1897-904.
  • 11. Schulz R, Mahmoudi S, Hattar K, et al. Enhanced release of superoxide from polymorphonuclear neutrophils in obstructivesleep apnea. Impact of continuous positive airway pressuretherapy. Am J Respir Crit Care Med 2000; 162: 566-70.
  • 12. Lavie L. Oxidative stress inflammation and endothelial dysfunction in obstructive sleep apnea. Front Biosci (Elite Ed) 2012; 4: 1391-403.
  • 13. Nieto FJ, Herrington DM, Redline S, et al. Sleep apnea and markers of vascular endothelial function in a large community sample of older adults. Am J Respir Crit CareMed 2004; 169: 354-60.
  • 14. Fletcher EC, Bao G, Li R. Renin activity and blood pressure in response to chronic episodic hypoxia. Hypertension 1999; 34: 309-14.
  • 15. Moller DS, Lind P, Strunge B, Pedersen EB. Abnormal vasoactive hormones and 24-hour blood pressure in obstructive sleep apnea. Am J Hypertens 2003; 16: 274-80.
  • 16. Oh JK. Evaluation of diastolic function: old and new methods. Rev Port Cardiol 2001; 20: 117-26. 17. García-Fernández MA, Azevedo J, Moreno M, et al. Doppler tissue imaging. Rev Port Cardiol 2001; 20: I33-47.
  • 18. Waggoner AD, Bierig SM. Tissue Doppler imaging: a useful echocardiographic method for the cardiac sonographer to assess systolic and diastolic ventricular function. J Am Soc Echocardiogr 2001; 14: 1143-52.
  • 19. Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med 2012; 8: 597–619.
  • 20. Qaseem A, Holty JE, Owens DK, et al. Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians. Ann Intern Med 2013; 159: 471–83.
  • 21. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2015; 28: 1–39.
  • 22. Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr 2009; 22: 107–33.
  • 23. Koshino Y, Villarraga HR, Orban M, et al. Changes in left and right ventricular mechanics during the Mueller maneuver in healthy adults: a possible mechanism for abnormal cardiac function in patients with obstructive sleep apnea. Circ Cardiovasc Imaging 2010; 3: 282–9.
  • 24. Ljunggren M, Lindahl B, Theorell-Haglöw J, Lindberg E. Association between obstructive sleep apnea and elevated levels of type B natriuretic peptide in a community-based sample of women. Sleep 2012; 35: 1521–7.
  • 25. Kylintireas I, Craig S, Nethononda R, et al. Atherosclerosis and arterial stiffness in obstructive sleep apnea--a cardiovascular magnetic resonance study. Atherosclerosis 2012; 222: 483–9.
  • 26. Lauer MS, Anderson KM, Kannel WB, Levy D. The impact of obesity on left ventricular mass and geometry. The Framingham Heart Study. JAMA 1991; 266: 231–6.
  • 27. Jain A, Avendano G, Dharamsey S, et al. Left ventricular diastolic function in hypertension and role of plasma glucose and insulin. Circulation 1996; 93: 1392–6.
  • 28. Lee M, Gardin JM, Lynch JC, et al. Diabetes mellitus and echocardiographic left ventricular function in free-living elderly men and women: The Cardiovascular Health Study. Am Heart J 1997; 133: 36–43.
  • 29. Mandiov L, Eber! i FR, Seiler C, Hess OM: Diastolic heart fialure. Cardiovascular Research 2000; 45: 813-25.
  • 30. Vitarelli A, Gheorghiade M: Diastolic heart failure. Standard Doppler approach and beyond. Am J Cardiol 1998; 81: ll5-21.
  • 31. Dougherty AH, Naccarelli GV, Gray EL, Hicks CH, Goldstein RA: Congestive heart failure with normal systolic function. Am J Cardiol 1984; 54: 778-82.
  • 32. Vasan RS, Benjarnin EJ, Levy D. Prevalence, elinical). features and prognosis of diastolic heart failure an epidemiologic perspective. J Am Coll Cardiol 1995; 26: 1565-74.
  • 33. Isaaz K, Thompson A, Ethevenot G, et al. Doppler echocardiographic measurement of low velocity motion of the left ventricular posterior wall. Am J Cardiol 1989; 64: 66-75.
  • 34. McDicken WN, Sutherland GR, Moran CM, Gordon LN. Colour Doppler velocity imaging of the myocardium. Ultrasound Med Biol 1992;18: 651-4.
  • 35. Dursunoglu D, Dursunoglu N, Evrengul H, et al. Impact of obstructive sleep apnoea on left ventricular mass and global function. Eur Respir J 2005; 26: 283-8.
  • 36. Butt M, Dwivedi G, Shantsila A, et al. Left ventricular systolic and diastolic function in obstructive sleep apnea:impact of continuous positive airway pressure therapy. Circ Heart Fail 2012; 5: 226-33.
  • 37. Sascău R, Zota IM, Stătescu C, et al. Review of echocardiographic findings in patients with obstructive sleep apnea. Can Respir J 2018; 2018: 1206217. https://doi.org/10.1155/2018/1206217.
  • 38. Bodez D, Lang S, Meuleman C, et al. Left ventricular diastolic dysfunction in obstructive sleep apnoea syndrome by an echocardiographic standardized approach: An observational study. Arch Cardiovasc Dis 2015;108: 480–90.
  • 39. Arias MA, Garcia-Rio F, Alonso-Fernandez A, et al. Obstructive sleep apnea syndrome affects left ventricular diastolic function: effects of nasal continuous positive airway pressure in men. Circulation 2005;112: 375-83.
  • 40. Baguet JP, Barone-Rochette G, Levy P, et al. Left ventricular diastolic dysfunction is linked to severity of obstructive sleep apnoea. Eur Respir J 2010; 36: 1323-9.
  • 41. Fung JW, Li TS, Choy DK, et al. Severe obstructive sleep apnea is associated with left ventricular diastolic dysfunction. Chest 2002;121: 422-9.
  • 42. Varol E, Akcay S, Ozaydin M, et al. Influence of obstructive sleep apnea on left ventricular massand global function: sleep apnea and myocardial performance index. Heart Vessels 2010; 25: 400-4.
  • 43. Wachter R, Lüthje L, Klemmstein D, et al. Impact of obstructive sleep apnoea on diastolic function. Eur RespirJ 2013; 41: 376–83.
  • 44. Lisi E, Faini A, Bilo G, et al. Diastolic dysfunction in controlled hypertensive patients with mild-moderate obstructive sleep apnea. Int J Cardiol 2015;187: 686–92.
  • 45. Varghese MJ, Sharma G, Shukla G, et al. Longitudinal ventricular systolic dysfunction in patients with very severe obstructive sleep apnea: a case control study using speckle tracking imaging. Indian Heart J 2017; 69: 305–10.
  • 46. Vural MG, Cetin S, Keser N, et al. Left ventricular torsion in patients with obstructive sleep apnoea before and after continuous positive airway pressure therapy: assessment by two-dimensional speckle tracking echocardiography. Acta Cardiologica 2017; 72: 638–47.
  • 47. Vitarelli A, D’Orazio S, Caranci F, et al. Left ventricular torsion abnormalities in patients with obstructive sleep apnea syndrome: an early sign of subclinical dysfunction. Int J Cardiol 2013; 165: 512–8.
  • 48. Oliveira W, Campos O, Cintra F, et al. Impact of continuous positive airway pressure treatment on left atrial volume and function in patients with obstructive sleep apnoea assessed by real-time three-dimensional echocardiography. Heart 2009; 95: 1872-8.
  • 49. Park SJ, Miyazaki C, Bruce CJ, et al. Left ventricular torsion by two-dimensional speckle tracking echocardiography in patients with diastolic dysfunction and normal ejection fraction. J Am Soc Echocardiography 2008; 21: 1129-37.
  • 50. Bella JN1, Palmieri V, Roman MJ, et al. Mitral ratio of peak early to late diastolic filling velocity as a predictor of mortality in middle-aged and elderly adults: the Strong Heart Study. Circulation 2002; 23;105:1928-33.
  • 51. Dini FL, Michelassi C, Micheli G, Rovai D. Prognostic value of pulmonary venous flow Doppler signal in left ventricular dysfunction: contribution of the difference in duration of pulmonary venous and mitral flow at atrial contraction. J Am Coll Cardiol 2000; 36: 1295-302.
  • 52. Okura H1, Takada Y, Kubo T, et al. Tissue Doppler-derived index of left ventricular filling pressure, E/E', predicts survival of patients with non-valvular atrial fibrillation. Heart 2006; 92: 1248-52.

Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi

Year 2020, Volume: 2 Issue: 3, 61 - 67, 28.06.2020
https://doi.org/10.38053/acmj.718110

Abstract

Amaç; Obstrüktif uyku apne sendromu (OUAS) olan hastalarda, pulmoner ven
diyastolik akım Doppler (PVDD) tekniği ve doku Doppler ekokardiyografi (DDE)
tekniği kullanılarak sol ventrikül (SV) diyastolik fonksiyonlarının
değerlendirilmesidir.



Gereç ve Yöntem: Çalışmaya polisomnografi ile OUAS tanısı konulan
ve henüz tedavi uygulanmamış 40 hasta ve 28 sağlıklı birey kontrol grubu olarak
alındı. Hastalara PVDD ve DDE incelemesi yapıldı.



Bulgular: Gruplar arasında M-mode ölçümleri ile elde edilen SV sistolik ve
diyastolik çapları, ejeksiyon fraksiyonları açısından fark saptanmadı. OUAS’ li
olgularda SV’ de incelenen septal ve lateral anulusa ait erken diyastolik Ea-m
dalga hızlarında ve Ea-m/Aa-m oranlarında azalma (sırasıyla p<0.001 ve
p<0.001), geç diyastolik doluma ait Aa-m dalga dalga hızlarında artma
gözlendi (p<0,05). Lateral ve septal duvardan elde edilen sistolik dalga
hızlarında değişiklik saptanmadı. Apne-hipopne indeksi ile SV DDE parametreleri
arasında ilişki saptanmadı. Pulmoner ven sistolik dalgası (PVs) kontrol
grubunda, Pulmoner ven diyastolik dalgası (PVd) ise OUAS’ li hastalarda
istatiksel olarak anlamlı olmasa da daha yüksek tespit edildi(p>0,05).
PVs/PVd oranı her iki grupta da 1’den büyük olmakla birlikte, OUAS’ li
hastalarda daha düşük bulundu(p<0,05). Pulmoner ven atriyal dalgası (PVa)
ise OUAS’ li hastalarda anlamlı olarak daha yüksek saptandı.



Sonuç: OUAS, altta yatan herhangi bir kalp hastalığı olmasa da hastalığın
şiddetinden bağımsız olarak SV diyastolik fonksiyonlarını bozan bir durumdur.
Sol ventrikül diyastolik disfonksiyonun değerlendirilmesi için pulmoner ven
Doppler ve doku Doppler ekokardiyografi kullanılabilir.

References

  • 1. Guilleminault C, Tilkian A, Dement WC. The sleep apnea syndromes. Ann Rev Med 1976; 27: 465–84.
  • 2. Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328: 1230-5.
  • 3. Young T, Peppard PE, Taheri S. Excess weight and sleep-disordered breathing. J Appl Physiol 2005; 99: 1592-9.
  • 4. Duran J, Esnaola S, Rubio R, Iztueta A. Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr. Am J Respir Crit Care Med 2001; 163: 685-9.
  • 5. Mooe T, Franklin KA, Holmström K, et al. Sleep disordered breathing and coronary artery disease: long-term prognosis. Am J Respir Crit Care Med 2001; 164: 1910-3.
  • 6. Saito T, Yoshikawa T, Sakamoto Y, et al. Sleep apnea in patients with acute myocardial infarction. Crit Care Med 1991; 19: 938-41.
  • 7. Gottlieb DJ, Yenokyan G, Newman AB, et al. Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: The Sleep Heart Health Study. Circulation 2010; 122: 352-60.
  • 8. Hrynkiewicz-Szymanska A, Szymanski FM, Filipiak KJ, et al. Can obstructive sleep apnea be a cause of in-stent thrombosis? Sleep Breath 2011; 15: 607-9.
  • 9. Carlson JT, Hedner J, Elam M, et al. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993; 103: 1763-8.
  • 10. Somers VK, Dyken ME, Clary MP, Abboud FM. Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 1995;96: 1897-904.
  • 11. Schulz R, Mahmoudi S, Hattar K, et al. Enhanced release of superoxide from polymorphonuclear neutrophils in obstructivesleep apnea. Impact of continuous positive airway pressuretherapy. Am J Respir Crit Care Med 2000; 162: 566-70.
  • 12. Lavie L. Oxidative stress inflammation and endothelial dysfunction in obstructive sleep apnea. Front Biosci (Elite Ed) 2012; 4: 1391-403.
  • 13. Nieto FJ, Herrington DM, Redline S, et al. Sleep apnea and markers of vascular endothelial function in a large community sample of older adults. Am J Respir Crit CareMed 2004; 169: 354-60.
  • 14. Fletcher EC, Bao G, Li R. Renin activity and blood pressure in response to chronic episodic hypoxia. Hypertension 1999; 34: 309-14.
  • 15. Moller DS, Lind P, Strunge B, Pedersen EB. Abnormal vasoactive hormones and 24-hour blood pressure in obstructive sleep apnea. Am J Hypertens 2003; 16: 274-80.
  • 16. Oh JK. Evaluation of diastolic function: old and new methods. Rev Port Cardiol 2001; 20: 117-26. 17. García-Fernández MA, Azevedo J, Moreno M, et al. Doppler tissue imaging. Rev Port Cardiol 2001; 20: I33-47.
  • 18. Waggoner AD, Bierig SM. Tissue Doppler imaging: a useful echocardiographic method for the cardiac sonographer to assess systolic and diastolic ventricular function. J Am Soc Echocardiogr 2001; 14: 1143-52.
  • 19. Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med 2012; 8: 597–619.
  • 20. Qaseem A, Holty JE, Owens DK, et al. Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians. Ann Intern Med 2013; 159: 471–83.
  • 21. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2015; 28: 1–39.
  • 22. Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr 2009; 22: 107–33.
  • 23. Koshino Y, Villarraga HR, Orban M, et al. Changes in left and right ventricular mechanics during the Mueller maneuver in healthy adults: a possible mechanism for abnormal cardiac function in patients with obstructive sleep apnea. Circ Cardiovasc Imaging 2010; 3: 282–9.
  • 24. Ljunggren M, Lindahl B, Theorell-Haglöw J, Lindberg E. Association between obstructive sleep apnea and elevated levels of type B natriuretic peptide in a community-based sample of women. Sleep 2012; 35: 1521–7.
  • 25. Kylintireas I, Craig S, Nethononda R, et al. Atherosclerosis and arterial stiffness in obstructive sleep apnea--a cardiovascular magnetic resonance study. Atherosclerosis 2012; 222: 483–9.
  • 26. Lauer MS, Anderson KM, Kannel WB, Levy D. The impact of obesity on left ventricular mass and geometry. The Framingham Heart Study. JAMA 1991; 266: 231–6.
  • 27. Jain A, Avendano G, Dharamsey S, et al. Left ventricular diastolic function in hypertension and role of plasma glucose and insulin. Circulation 1996; 93: 1392–6.
  • 28. Lee M, Gardin JM, Lynch JC, et al. Diabetes mellitus and echocardiographic left ventricular function in free-living elderly men and women: The Cardiovascular Health Study. Am Heart J 1997; 133: 36–43.
  • 29. Mandiov L, Eber! i FR, Seiler C, Hess OM: Diastolic heart fialure. Cardiovascular Research 2000; 45: 813-25.
  • 30. Vitarelli A, Gheorghiade M: Diastolic heart failure. Standard Doppler approach and beyond. Am J Cardiol 1998; 81: ll5-21.
  • 31. Dougherty AH, Naccarelli GV, Gray EL, Hicks CH, Goldstein RA: Congestive heart failure with normal systolic function. Am J Cardiol 1984; 54: 778-82.
  • 32. Vasan RS, Benjarnin EJ, Levy D. Prevalence, elinical). features and prognosis of diastolic heart failure an epidemiologic perspective. J Am Coll Cardiol 1995; 26: 1565-74.
  • 33. Isaaz K, Thompson A, Ethevenot G, et al. Doppler echocardiographic measurement of low velocity motion of the left ventricular posterior wall. Am J Cardiol 1989; 64: 66-75.
  • 34. McDicken WN, Sutherland GR, Moran CM, Gordon LN. Colour Doppler velocity imaging of the myocardium. Ultrasound Med Biol 1992;18: 651-4.
  • 35. Dursunoglu D, Dursunoglu N, Evrengul H, et al. Impact of obstructive sleep apnoea on left ventricular mass and global function. Eur Respir J 2005; 26: 283-8.
  • 36. Butt M, Dwivedi G, Shantsila A, et al. Left ventricular systolic and diastolic function in obstructive sleep apnea:impact of continuous positive airway pressure therapy. Circ Heart Fail 2012; 5: 226-33.
  • 37. Sascău R, Zota IM, Stătescu C, et al. Review of echocardiographic findings in patients with obstructive sleep apnea. Can Respir J 2018; 2018: 1206217. https://doi.org/10.1155/2018/1206217.
  • 38. Bodez D, Lang S, Meuleman C, et al. Left ventricular diastolic dysfunction in obstructive sleep apnoea syndrome by an echocardiographic standardized approach: An observational study. Arch Cardiovasc Dis 2015;108: 480–90.
  • 39. Arias MA, Garcia-Rio F, Alonso-Fernandez A, et al. Obstructive sleep apnea syndrome affects left ventricular diastolic function: effects of nasal continuous positive airway pressure in men. Circulation 2005;112: 375-83.
  • 40. Baguet JP, Barone-Rochette G, Levy P, et al. Left ventricular diastolic dysfunction is linked to severity of obstructive sleep apnoea. Eur Respir J 2010; 36: 1323-9.
  • 41. Fung JW, Li TS, Choy DK, et al. Severe obstructive sleep apnea is associated with left ventricular diastolic dysfunction. Chest 2002;121: 422-9.
  • 42. Varol E, Akcay S, Ozaydin M, et al. Influence of obstructive sleep apnea on left ventricular massand global function: sleep apnea and myocardial performance index. Heart Vessels 2010; 25: 400-4.
  • 43. Wachter R, Lüthje L, Klemmstein D, et al. Impact of obstructive sleep apnoea on diastolic function. Eur RespirJ 2013; 41: 376–83.
  • 44. Lisi E, Faini A, Bilo G, et al. Diastolic dysfunction in controlled hypertensive patients with mild-moderate obstructive sleep apnea. Int J Cardiol 2015;187: 686–92.
  • 45. Varghese MJ, Sharma G, Shukla G, et al. Longitudinal ventricular systolic dysfunction in patients with very severe obstructive sleep apnea: a case control study using speckle tracking imaging. Indian Heart J 2017; 69: 305–10.
  • 46. Vural MG, Cetin S, Keser N, et al. Left ventricular torsion in patients with obstructive sleep apnoea before and after continuous positive airway pressure therapy: assessment by two-dimensional speckle tracking echocardiography. Acta Cardiologica 2017; 72: 638–47.
  • 47. Vitarelli A, D’Orazio S, Caranci F, et al. Left ventricular torsion abnormalities in patients with obstructive sleep apnea syndrome: an early sign of subclinical dysfunction. Int J Cardiol 2013; 165: 512–8.
  • 48. Oliveira W, Campos O, Cintra F, et al. Impact of continuous positive airway pressure treatment on left atrial volume and function in patients with obstructive sleep apnoea assessed by real-time three-dimensional echocardiography. Heart 2009; 95: 1872-8.
  • 49. Park SJ, Miyazaki C, Bruce CJ, et al. Left ventricular torsion by two-dimensional speckle tracking echocardiography in patients with diastolic dysfunction and normal ejection fraction. J Am Soc Echocardiography 2008; 21: 1129-37.
  • 50. Bella JN1, Palmieri V, Roman MJ, et al. Mitral ratio of peak early to late diastolic filling velocity as a predictor of mortality in middle-aged and elderly adults: the Strong Heart Study. Circulation 2002; 23;105:1928-33.
  • 51. Dini FL, Michelassi C, Micheli G, Rovai D. Prognostic value of pulmonary venous flow Doppler signal in left ventricular dysfunction: contribution of the difference in duration of pulmonary venous and mitral flow at atrial contraction. J Am Coll Cardiol 2000; 36: 1295-302.
  • 52. Okura H1, Takada Y, Kubo T, et al. Tissue Doppler-derived index of left ventricular filling pressure, E/E', predicts survival of patients with non-valvular atrial fibrillation. Heart 2006; 92: 1248-52.
There are 51 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Article
Authors

Yücel Yılmaz 0000-0003-2340-027X

İsmet Sarıkaya 0000-0001-6166-3420

Namık Kemal Eryol

Publication Date June 28, 2020
Published in Issue Year 2020 Volume: 2 Issue: 3

Cite

APA Yılmaz, Y., Sarıkaya, İ., & Eryol, N. K. (2020). Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi. Anadolu Güncel Tıp Dergisi, 2(3), 61-67. https://doi.org/10.38053/acmj.718110
AMA Yılmaz Y, Sarıkaya İ, Eryol NK. Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi. Anatolian Curr Med J. June 2020;2(3):61-67. doi:10.38053/acmj.718110
Chicago Yılmaz, Yücel, İsmet Sarıkaya, and Namık Kemal Eryol. “Obstrüktif Uyku Apne Sendromunda Sol ventrikül Diyastolik fonksiyonlarının Doku Doppler Ekokardiyografi Ve Pulmoner Ven Diyastolik akım hızları Ile değerlendirilmesi”. Anadolu Güncel Tıp Dergisi 2, no. 3 (June 2020): 61-67. https://doi.org/10.38053/acmj.718110.
EndNote Yılmaz Y, Sarıkaya İ, Eryol NK (June 1, 2020) Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi. Anadolu Güncel Tıp Dergisi 2 3 61–67.
IEEE Y. Yılmaz, İ. Sarıkaya, and N. K. Eryol, “Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi”, Anatolian Curr Med J, vol. 2, no. 3, pp. 61–67, 2020, doi: 10.38053/acmj.718110.
ISNAD Yılmaz, Yücel et al. “Obstrüktif Uyku Apne Sendromunda Sol ventrikül Diyastolik fonksiyonlarının Doku Doppler Ekokardiyografi Ve Pulmoner Ven Diyastolik akım hızları Ile değerlendirilmesi”. Anadolu Güncel Tıp Dergisi 2/3 (June 2020), 61-67. https://doi.org/10.38053/acmj.718110.
JAMA Yılmaz Y, Sarıkaya İ, Eryol NK. Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi. Anatolian Curr Med J. 2020;2:61–67.
MLA Yılmaz, Yücel et al. “Obstrüktif Uyku Apne Sendromunda Sol ventrikül Diyastolik fonksiyonlarının Doku Doppler Ekokardiyografi Ve Pulmoner Ven Diyastolik akım hızları Ile değerlendirilmesi”. Anadolu Güncel Tıp Dergisi, vol. 2, no. 3, 2020, pp. 61-67, doi:10.38053/acmj.718110.
Vancouver Yılmaz Y, Sarıkaya İ, Eryol NK. Obstrüktif uyku apne sendromunda sol ventrikül diyastolik fonksiyonlarının doku Doppler ekokardiyografi ve pulmoner ven diyastolik akım hızları ile değerlendirilmesi. Anatolian Curr Med J. 2020;2(3):61-7.

Interuniversity Board (UAK) Equivalency: 1b [Original research article published in journals scanned by international field indexes (included in indices other than the ones mentioned in 1a) - 10 POINTS].


The Directories (indexes) and Platforms we are included in are at the bottom of the page.


DRJI_Logo.png

images?q=tbn%3AANd9GcRWim7w8Nom2D_r9TU9zUwWMOHMJ8iKKIpguhpKWgjUk7boKUd7r7Q9vnfb&usqp=CAU&ec=45668930

asos-index.png

images?q=tbn%3AANd9GcTN0XfC7LTwLrnzxtwDZ4r2blTmXJAUSeC3lcQDSNsXdN2K_p3_

  worldcat.gif

general.png          logo-large-explore.png


1*mvsP194Golg0Dmo2rjJ-oQ.jpeg

     

images?q=tbn%3AANd9GcQpdiyYauDxE8R_l6TzyujZwADZDe53xx9gDg&usqp=CAU


Journal is indexed in;


Crossref (DOI), Google Scholar, EuroPub, Directory of Research Journal İndexing (DRJI), Worldcat (OCLC), General Impact Factor, OpenAIRE, ASOS Index, ROAD, Turkiye Citation Index, Turk Medline


Ulakbim-TR DizinIndex Copernicus, EBSCO, DOAJ is under evaluation.


Journal articles are evaluated as "Double-Blind Peer Review"

.

There is no charge for sending articles, submitting, evaluating and publishing.


Assoc Prof Dr  Muhammed KIZILGÜL was qualified as an Associated Editor in ACMJ on 15/02/2020,

Assoc. Prof. Dr. Ercan YUVANÇ leaved, Assoc. Prof. Dr. Alpaslan TANOĞLU became the Editör in Chief in ACMJ on 13/05/2020.