Review Article

Review of Echocardiographic Findings in Patients with Obstructive Sleep Apnea

Table 7

Right atrial and ventricular parameters in relationship with OSA.

Echocardiographic variablesAHI <5 events·h−1Mild OSAModerate OSASevere OSA

RAVI (ml/m2)Altekin et al. [14]15.56 ± 4.9417.31 ± 6.2421.89 ± 7.9128.85 ± 7.97†,‡<0.05
RVESV index (ml/m2)Guvenc et al. [31]22.15 ± 3.8526.50 ± 8.110.01
Oliveira et al. [27]15.4 ± 3.618.7 ± 4.3<0.05
RVEDV index (ml/m2)Guvenc et al. [31]41.48 ± 6.4548.15 ± 11.480.009
Oliveira et al. [27]49.9 ± 6.052.2 ± 7.30.02
RV-EF (%)Oliveira et al. [27]68.4 ± 5.964.3 ± 6.8<0.01
TAPSE (mm)Altekin et al. [14]24.76 ± 1.5522.30 ± 2.3921.11 ± 1.5619.42 ± 1.64†,‡,<0.05
Zakhama et al. [33]26.1 ± 322.7 ± 40.012
RV-MPIRomero-Corral et al. [12]0.23 ± 0.100.26 ± 0.160.37 ± 0.11<0.05
Altekin et al. [14]0.43 ± 0.090.46 ± 0.090.53 ± 0.080.56 ± 0.11†,‡<0.05
S`RV (cm/s)Shivalkar et al. [34]0.25 ± 0.030.29 ± 0.050.008
Zakhama et al. [33]0.46 ± 0.140.55 ± 0.120.024
Shivalkar et al. [34]13.5 ± 1.811.4 ± 2.3<0.001
RV E/E`Zakhama et al. [33]14.5 ± 312.2 ± 2<0.001
Guvenc et al. [31]3.83 ± 1.165.23 ± 2.580.008
Altekin et al. [14]4.19 ± 1.224.37 ± 1.225.77 ± 1.27†,‡7.12 ± 2.29†,‡<0.05

RAVI: right atrial volume index; RVESV: right ventricular end-systolic volume; RVEDV: right ventricular end-diastolic volume; RV-EF: right ventricular ejection fraction; TAPSE: tricuspid annular plane excursion; RV-MPI: right ventricular myocardial performance index; AHI: apnea-hypopnea index; OSA: obstructive sleep apnea. Significantly different from AHI <5 events·h−1; significantly different from mild OSA; significantly different from moderate OSA; #significantly different in OSA compared to controls.