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Hypoxic burden and heart rate variability predict stroke incidence in sleep apnoea

Margaux Blanchard, Chloé Gervès-Pinquié, Mathieu Feuilloy, Marc Le Vaillant, Wojciech Trzepizur, Nicole Meslier, François Goupil, Thierry Pigeanne, Frédéric Balusson, Emmanuel Oger, AbdelKebir Sabil, Jean-Marc Girault, Frédéric Gagnadoux on behalf of the ERMES study group
European Respiratory Journal 2021 57: 2004022; DOI: 10.1183/13993003.04022-2020
Margaux Blanchard
1ESEO, Angers, France
2LAUM, UMR CNRS 6613, Le Mans, France
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Chloé Gervès-Pinquié
3Pays de la Loire Respiratory Health Research Institute, Beaucouzé, France
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Mathieu Feuilloy
1ESEO, Angers, France
2LAUM, UMR CNRS 6613, Le Mans, France
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Marc Le Vaillant
3Pays de la Loire Respiratory Health Research Institute, Beaucouzé, France
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Wojciech Trzepizur
4Dept of Respiratory and Sleep Medicine, Angers University hospital, Angers, France
5INSERM Unit 1063, CHU, Angers, France
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Nicole Meslier
4Dept of Respiratory and Sleep Medicine, Angers University hospital, Angers, France
5INSERM Unit 1063, CHU, Angers, France
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  • ORCID record for Nicole Meslier
François Goupil
6Dept of Respiratory Diseases, Le Mans General Hospital, Le Mans, France
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Thierry Pigeanne
7Respiratory Unit, Pôle santé des Olonnes, Olonne sur Mer, France
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Frédéric Balusson
8Rennes University, Rennes University Hospital, EA 7449 (Pharmacoepidemiology and Health Services Research) REPERES, Rennes, France
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Emmanuel Oger
8Rennes University, Rennes University Hospital, EA 7449 (Pharmacoepidemiology and Health Services Research) REPERES, Rennes, France
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AbdelKebir Sabil
9Cloud Sleep Lab, Paris, France
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Jean-Marc Girault
1ESEO, Angers, France
2LAUM, UMR CNRS 6613, Le Mans, France
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Frédéric Gagnadoux
4Dept of Respiratory and Sleep Medicine, Angers University hospital, Angers, France
5INSERM Unit 1063, CHU, Angers, France
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Extract

Obstructive sleep apnoea (OSA) is increasingly recognised as a risk factor for stroke [1]. However, the incidence of stroke in patients investigated for OSA has been assessed in a limited number of studies reporting conflicting results on the association between the apnoea–hypopnoea index (AHI) and stroke incidence [1–3].

Abstract

Indices of sleep apnoea-related hypoxic burden and heart rate variability derived from full-night polysomnography might be useful for identifying sleep apnoea patients at risk for stroke https://bit.ly/3eIYVsc

Acknowledgements

We thank the French National Health Insurance for giving us access to the French administrative health care database. We thank the ERMES study group: Centre Hospitalier Universitaire, Angers: Christine Person, Pascaline Priou; Centre Hospitalier, Le Mans: Olivier Molinier, Audrey Paris. We thank Christelle Gosselin and Jean-Louis Racineux from the Institut de Recherche en Santé Respiratoire des Pays de le Loire. We thank Julien Godey, Laetitia Moreno and Marion Vincent, sleep technicians in the Dept of Respiratory and Sleep Medicine of Angers University Hospital.

Footnotes

  • Conflict of interest: M. Blanchard has nothing to disclose.

  • Conflict of interest: C. Gervès-Pinquié has nothing to disclose.

  • Conflict of interest: M. Feuilloy has nothing to disclose.

  • Conflict of interest: M. Le Vaillant has nothing to disclose.

  • Conflict of interest: W. Trzepizur has nothing to disclose.

  • Conflict of interest: N. Meslier has nothing to disclose.

  • Conflict of interest: F. Goupil has nothing to disclose.

  • Conflict of interest: T. Pigeanne has nothing to disclose.

  • Conflict of interest: F. Balusson has nothing to disclose.

  • Conflict of interest: E. Oger has nothing to disclose.

  • Conflict of interest: A. Sabil has nothing to disclose.

  • Conflict of interest: J-M. Girault has nothing to disclose.

  • Conflict of interest: F. Gagnadoux reports grants and personal fees from Resmed, personal fees and non-financial support from Sefam, Novartis and Air Liquide Sante, personal fees from Cidelec and Actelion, non-financial support from Boehringer Ingelheim and Asten, outside the submitted work.

  • Support statement: This study was supported by a grant from the Pays de la Loire Respiratory Health Research Institute (IRSR), Beaucouzé, France. Funding information for this article has been deposited with the Crossref Funder Registry.

  • Received September 23, 2020.
  • Accepted November 2, 2020.
  • Copyright ©ERS 2021
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Hypoxic burden and heart rate variability predict stroke incidence in sleep apnoea
Margaux Blanchard, Chloé Gervès-Pinquié, Mathieu Feuilloy, Marc Le Vaillant, Wojciech Trzepizur, Nicole Meslier, François Goupil, Thierry Pigeanne, Frédéric Balusson, Emmanuel Oger, AbdelKebir Sabil, Jean-Marc Girault, Frédéric Gagnadoux
European Respiratory Journal Mar 2021, 57 (3) 2004022; DOI: 10.1183/13993003.04022-2020

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Hypoxic burden and heart rate variability predict stroke incidence in sleep apnoea
Margaux Blanchard, Chloé Gervès-Pinquié, Mathieu Feuilloy, Marc Le Vaillant, Wojciech Trzepizur, Nicole Meslier, François Goupil, Thierry Pigeanne, Frédéric Balusson, Emmanuel Oger, AbdelKebir Sabil, Jean-Marc Girault, Frédéric Gagnadoux
European Respiratory Journal Mar 2021, 57 (3) 2004022; DOI: 10.1183/13993003.04022-2020
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