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https://doi.org/10.37358/Rev.Chim.1949

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Revista de Chimie (Rev. Chim.), Year 2018, Volume 69, Issue 4, 1014-1017

https://doi.org/10.37358/RC.18.4.6249

Gabriela Jimborean, Simona Szasz, Mioara Szathmary, Alpar Csipor, Oana Cristina Arghir, Roxana Maria Nemes, Paraschiva Postolache, Edith Simona Ianos

Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania

Abstract:

Association between chronic obstructive pulmonary disease (COPD) and sleep apnea SA (overlap syndrome - OS) includes serious clinical manifestations and high mortality due to early respiratory failure, cardiovascular and metabolic complications from both diseases. 90 COPD patients (85.5% males) were strongly suspected to have concomitant SA after clinical examination and sleep questionnaires. We performed a cardio-ventilatory poligraphy during sleep. 82 patients (91.1%) from our OS group had obstructive sleep apnea (OSA), 8 patients (8.9%) mixed apnea and 20% had also OHS. 17 (18.8%) of OS were overweight and 66 (73.3%) obese. A third of them were in a very active group of age: 49 patients (54.4%) under 60 year-old and 11 patients (12.2%) between 61-65 year/old. We noted severe complication/comorbidities in our OS group: 63.3% hypertension, 43.3% core pulmonale, 31.1% arrhythmia, 32.2% cardiac failure, 38.8% dyslipidemia, 31.1% diabetes. The second night investigation permitted titration for the targeted pressures for CPAP therapy (Continuous Positive Airways Pressure). Treatment of OS patients had an interdisciplinary approach: CPAP in OSA, BPAP (Bi-level Positive Airways Pressure) in OHS, inhaled bronchodilators, treatment of cardiovascular comorbities, pulmonary rehabilitation, weight loss, tobacco/alcohol cessation counseling, and oxygen therapy in remaining hypoxemic patients. 51.2% of patients had not accessibility for long time CPAP (lack of coverage by the public health system). OS included clinical aspects of severity due to both COPD and OSA. Clinical investigation, sleep questionnaires, assessment of the diurnal somnolence and sleep cardiorespiratory poligraphy are recommended in all COPD patients. Obesity was the main risk factor for OSA in COPD patients.
Keywords:
COPD; obstructive sleep apneea; obesity; overlap syndrome

Issue: 2018, Volume 69, Issue 4
Pages: 1014-1017
Publication date: 2018/5/15
https://doi.org/10.37358/RC.18.4.6249
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Creative Commons License
This article is published under the Creative Commons Attribution 4.0 International License
Citation Styles
Cite this article as:
JIMBOREAN, G., SZASZ, S., SZATHMARY, M., CSIPOR, A., ARGHIR, O.C., NEMES, R.M., POSTOLACHE, P., IANOS, E.S., Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania, Rev. Chim., 69(4), 2018, 1014-1017.

Vancouver
Jimborean G, Szasz S, Szathmary M, Csipor A, Arghir OC, Nemes RM, Postolache P, Ianos ES. Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania. Rev. Chim.[internet]. 2018 Apr;69(4):1014-1017. Available from: https://doi.org/10.37358/RC.18.4.6249


APA 6th edition
Jimborean, G., Szasz, S., Szathmary, M., Csipor, A., Arghir, O.C., Nemes, R.M., Postolache, P. & Ianos, E.S. (2018). Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania. Revista de Chimie, 69(4), 1014-1017. https://doi.org/10.37358/RC.18.4.6249


Harvard
Jimborean, G., Szasz, S., Szathmary, M., Csipor, A., Arghir, O.C., Nemes, R.M., Postolache, P., Ianos, E.S. (2018). 'Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania', Revista de Chimie, 69(4), pp. 1014-1017. https://doi.org/10.37358/RC.18.4.6249


IEEE
G. Jimborean, S. Szasz, M. Szathmary, A. Csipor, O.C. Arghir, R.M. Nemes, P. Postolache, E.S. Ianos, "Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania". Revista de Chimie, vol. 69, no. 4, pp. 1014-1017, 2018. [online]. https://doi.org/10.37358/RC.18.4.6249


Text
Gabriela Jimborean, Simona Szasz, Mioara Szathmary, Alpar Csipor, Oana Cristina Arghir, Roxana Maria Nemes, Paraschiva Postolache, Edith Simona Ianos,
Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania,
Revista de Chimie,
Volume 69, Issue 4,
2018,
Pages 1014-1017,
ISSN 2668-8212,
https://doi.org/10.37358/RC.18.4.6249.
(https://revistadechimie.ro/Articles.asp?ID=6249)
Keywords: COPD; obstructive sleep apneea; obesity; overlap syndrome


RIS
TY - JOUR
T1 - Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania
A1 - Jimborean, Gabriela
A2 - Szasz, Simona
A3 - Szathmary, Mioara
A4 - Csipor, Alpar
A5 - Arghir, Oana Cristina
A6 - Nemes, Roxana Maria
A7 - Postolache, Paraschiva
A8 - Ianos, Edith Simona
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2018
VL - 69
IS - 4
SP - 1014
EP - 1017
UR - https://doi.org/10.37358/RC.18.4.6249
KW - COPD
KW - obstructive sleep apneea
KW - obesity
KW - overlap syndrome
ER -


BibTex
@article{RevCh2018P1014,
author = {Jimborean Gabriela and Szasz Simona and Szathmary Mioara and Csipor Alpar and Arghir Oana Cristina and Nemes Roxana Maria and Postolache Paraschiva and Ianos Edith Simona},
title = {Association Between Chronic Obstructive Pulmonary Disease and Sleep Apnea - Overlap Syndrome- Experience of Pulmonology Clinic Tg. Mures, Romania},
journal = {Revista de Chimie},
volume = {69},
number = {4},
pages = {1014-1017},
year = {2018},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.18.4.6249},
url = {https://revistadechimie.ro/Articles.asp?ID=6249}
}
 
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