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Evaluation of the left ventricle in patients with COPD and nocturnal hypoxemia.

Overview of attention for article published in Jornal de Pneumologia, January 2020
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Title
Evaluation of the left ventricle in patients with COPD and nocturnal hypoxemia.
Published in
Jornal de Pneumologia, January 2020
DOI 10.36416/1806-3756/e20190136
Pubmed ID
Authors

Victória Oliveira Prados, Talita Lima, Larissa Tavares da Silva, Isadora Coelho Matos, Ana Carolina Lobato Maya, José Laerte Rodrigues Silva Júnior, Marcelo Fouad Rabahi

Abstract

Objective To verify association between left ventricular (LV) mass and thickness and the presence of significant nocturnal hypoxemia in patients with COPD with mild diurnal hypoxemia. Methods A cross-sectional study carried out in clinically stable outpatients with COPD and mild hypoxemia (oxygen saturation ≥90 to ≤94%, identified by noninvasive oximetry) in a clinic specialized in the treatment of respiratory diseases in Goiânia-GO. All patients were submitted to clinical evaluation, spirometry, polysomnography, echocardiography, arterial blood gas analysis, 6-minute walk test and chest X-ray. Results Patients with significant nocturnal hypoxemia had echocardiographic parameters associated with increase of LV musculature when compared to patients with mild nocturnal hypoxemia. The LV volume/mass ratio was significantly lower in the group with significant nocturnal hypoxemia (ratio 0.64 ± 0.13 versus 0.72 ± 0.12, p = 0.04), the thickness diastolic diameter of the interventricular septum and the diastolic thickness of the LV posterior wall were significantly higher in this group (9.7 ± 0.92 versus 9.1 ± 0.90 p = 0.03), (9.7 ± 1.0 versus 8.9 ± 1.0, p = 0.01. The time in REM sleep with saturation below 85% significantly predicted septum thickness (adjustment for BMI, age and mean blood pressure, r2 = 0.20; p = 0.046). Conclusion We observed association between severe REM sleep hypoxemia and echocardiographic parameters indicating increased LV mass in individuals with COPD and significant nocturnal hypoxemia. This suggests that this subgroup of individuals may benefit from an echocardiographic evaluation of the left ventricle.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 35%
Student > Ph. D. Student 2 12%
Student > Doctoral Student 1 6%
Researcher 1 6%
Student > Postgraduate 1 6%
Other 0 0%
Unknown 6 35%
Readers by discipline Count As %
Medicine and Dentistry 8 47%
Biochemistry, Genetics and Molecular Biology 1 6%
Immunology and Microbiology 1 6%
Nursing and Health Professions 1 6%
Unknown 6 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 July 2020.
All research outputs
#23,014,265
of 25,658,541 outputs
Outputs from Jornal de Pneumologia
#555
of 718 outputs
Outputs of similar age
#408,430
of 479,094 outputs
Outputs of similar age from Jornal de Pneumologia
#33
of 44 outputs
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