Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate
Periodic Leg Movements During Sleep (PLMS), diagnosed by polysomnography, is characterized by stereotyped leg movements that appear repetitively at night. Each PLMS is associated with microarousal and increases in heart rate, blood pressure, and sympathetic activity. Objectives: To analyze the assoc...
| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Inglés Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36765 |
| Aporte de: |
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I10-R327-article-36765 |
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| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Inglés Español |
| format |
Artículo revista |
| topic |
polysomnography blood pressure heart rate polisomnografía presión arterial frecuencia cardíaca polissonografia pressão arterial frequência cardíaca |
| spellingShingle |
polysomnography blood pressure heart rate polisomnografía presión arterial frecuencia cardíaca polissonografia pressão arterial frequência cardíaca Valiensi, Stella Maris Folgueira, Agustin Ponce de León, Marcela Alfie, José Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| topic_facet |
polysomnography blood pressure heart rate polisomnografía presión arterial frecuencia cardíaca polissonografia pressão arterial frequência cardíaca |
| author |
Valiensi, Stella Maris Folgueira, Agustin Ponce de León, Marcela Alfie, José |
| author_facet |
Valiensi, Stella Maris Folgueira, Agustin Ponce de León, Marcela Alfie, José |
| author_sort |
Valiensi, Stella Maris |
| title |
Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| title_short |
Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| title_full |
Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| title_fullStr |
Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| title_full_unstemmed |
Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| title_sort |
analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate |
| description |
Periodic Leg Movements During Sleep (PLMS), diagnosed by polysomnography, is characterized by stereotyped leg movements that appear repetitively at night. Each PLMS is associated with microarousal and increases in heart rate, blood pressure, and sympathetic activity.
Objectives: To analyze the association between the pathological index of PLMS and 24-hour BP in normotensive patients.To evaluate the association between the pathological index of PLMS, with alterations in pulse wave velocity and heart rate.
Methods
Observational study of cases and controls. 19 normotensive subjects were studied by Nocturnal Polysomnography and Ambulatory Blood Pressure Monitoring. The variables were determined: Age, sex, weight, body mass index. 24-h, diurnal, and nocturnal blood pressure and heart rate were assessed with 24-h ambulatory blood pressure monitoring. Patients with apnea/hypopnea index ≥ 5 e/h were excluded. The variables were described and subjects with and without PLMS were compared, considering significant a p<0.05, in addition to correlation analysis.
Results
Eleven patients with pathological PLMS and 7 controls were studied.PLMS Index 35.6±15 versus 7.9±5 respectively. PLMS patients were younger 57±14 versus 64±6; p=0.284. The 24-h blood pressure was lower in the PLMS group than the controls (systolic 114.2±11 versus 123±11; p=0.095; and diastolic 65.7±5 versus 74.4±11, p=0.027).
Discussion
We found an unexpected, inverse, statistically significant relationship when correlating pathological-grade periodic leg movements during sleep with 24-hour mean and systolic blood pressure, daytime and nighttime systolic blood pressure, and mean blood pressure. nocturnal, as well as similar findings in the 24-hour pulse pressure and the diurnal and nocturnal pulse pressure that were lower than the control group. We found no changes in heart rate. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36765 |
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I10-R327-article-367652024-04-08T19:40:29Z Analysis of periodic leg movements during sleep, 24-hour blood pressure and heart rate Análisis de movimientos periódicos de piernas durante el sueño, presión arterial de 24 horas y frecuencia cardíaca Análise dos movimentos periódicos das pernas durante o sono, pressão arterial de 24 horas e frequência cardíaca Valiensi, Stella Maris Folgueira, Agustin Ponce de León, Marcela Alfie, José polysomnography blood pressure heart rate polisomnografía presión arterial frecuencia cardíaca polissonografia pressão arterial frequência cardíaca Periodic Leg Movements During Sleep (PLMS), diagnosed by polysomnography, is characterized by stereotyped leg movements that appear repetitively at night. Each PLMS is associated with microarousal and increases in heart rate, blood pressure, and sympathetic activity. Objectives: To analyze the association between the pathological index of PLMS and 24-hour BP in normotensive patients.To evaluate the association between the pathological index of PLMS, with alterations in pulse wave velocity and heart rate. Methods Observational study of cases and controls. 19 normotensive subjects were studied by Nocturnal Polysomnography and Ambulatory Blood Pressure Monitoring. The variables were determined: Age, sex, weight, body mass index. 24-h, diurnal, and nocturnal blood pressure and heart rate were assessed with 24-h ambulatory blood pressure monitoring. Patients with apnea/hypopnea index ≥ 5 e/h were excluded. The variables were described and subjects with and without PLMS were compared, considering significant a p<0.05, in addition to correlation analysis. Results Eleven patients with pathological PLMS and 7 controls were studied.PLMS Index 35.6±15 versus 7.9±5 respectively. PLMS patients were younger 57±14 versus 64±6; p=0.284. The 24-h blood pressure was lower in the PLMS group than the controls (systolic 114.2±11 versus 123±11; p=0.095; and diastolic 65.7±5 versus 74.4±11, p=0.027). Discussion We found an unexpected, inverse, statistically significant relationship when correlating pathological-grade periodic leg movements during sleep with 24-hour mean and systolic blood pressure, daytime and nighttime systolic blood pressure, and mean blood pressure. nocturnal, as well as similar findings in the 24-hour pulse pressure and the diurnal and nocturnal pulse pressure that were lower than the control group. We found no changes in heart rate. Los Movimientos Periódicos de las Piernas durante el Sueño (PLMS), diagnosticados por polisomnografía, se caracterizan por movimientos estereotipados de las piernas que aparecen de forma repetitiva durante la noche. Cada PLMS se asocia a un microdespertar e incrementos de la frecuencia cardiaca, presión arterial y actividad simpática. Objetivos: Analizar asociación entre el índice patológico de PLMS y la PA de 24 horas, en pacientes normotensos. Evaluar la asociación entre índice patológico de PLMS, con alteraciones en la velocidad de onda de pulso y frecuencia cardíaca. Métodos Estudio observacional de casos y controles. Se estudiaron 19 sujetos normotensos mediante Polisomnografía Nocturna y Monitoreo Ambulatorio de la Presión Arterial. Se determinaron las variables: Edad, sexo, peso, índice de masa corporal. La presión arterial y frecuencia cardíaca de 24 hs, diurna y nocturna se evaluaron con monitoreo ambulatorio de presión arterial de 24 h. Se excluyeron pacientes con índice de apneas/hipopneas ≥ 5 e/h. Se describieron las variables y compararon sujetos con y sin PLMS, considerando significativo una p<0,05, además análisis de correlación. Resultados Se estudiaron a 11 pacientes con PLMS patológico y 7 controles (Índice PLMS 35,6±15 versus 7,9±5 respectivamente). Los pacientes con PLMS fueron más jóvenes 57 ±14 versus 64±6; p=0,284 años. La presión arterial de 24 h, fue menor en el grupo PLMS que en los controles (sistólica 114,2±11 versus 123±11; p=0,095; y diastólica 65,7±5 versus 74,4±11, p=0,027). Conclusión Encontramos una relación estadísticamente significativa, inversa, no esperada, al correlacionar los movimientos periódicos de piernas durante el sueño, de grado patológico, con la presión arterial sistólica y media de 24 h, la presión arterial sistólica diurna y nocturna, y la presión arterial media nocturna, como así también hallazgos similares en la presión de pulso de 24 horas y la presión de pulso diurna y nocturna que fueron inferiores al grupo control. No encontramos cambios en la frecuencia cardíaca. Os Movimentos Periódicos das Pernas Durante o Sono (PLMS), diagnosticados por polissonografia, são caracterizados por movimentos estereotipados das pernas que aparecem repetidamente à noite. Cada PLMS está associado a microdespertar e aumentos na frequência cardíaca, pressão arterial e atividade simpática. Objetivos: 1) Analisar a associação entre o índice patológico de MPMS e PA de 24 horas em pacientes normotensos. 2) Avaliar a associação entre índice patológico de MPMS, com alterações na velocidade da onda de pulso. Métodos Estudo observacional de casos e controles. 19 indivíduos normotensos foram estudados por Polissonografia Noturna e Monitorização Ambulatorial da Pressão Arterial. As variáveis foram determinadas: Idade, sexo, peso, índice de massa corporal. A pressão arterial e a frequência cardíaca de 24 horas, diurnas e noturnas foram avaliadas com monitorização ambulatorial da pressão arterial de 24 horas. Foram excluídos pacientes com índice de apneia/hipopneia ≥ 5 e/h. As variáveis foram descritas e sujeitos com e sem PLMS foram comparados, considerando-se significante um p<0,05, além de análise de correlação. Resultados Onze pacientes com PLMS patológicos e 7 controles foram estudados. Índice de PLMS 35,6±15 versus 7,9±5, respectivamente. Os pacientes com PLMS eram mais jovens 57±14 versus 64±6; p=0,284. A pressão arterial de 24 horas foi menor no grupo PLMS do que nos controles (sistólica 114,2±11 versus 123±11; p=0,095; e diastólica 65,7±5 versus 74,4±11, p=0,027). Conclusão Encontramos uma relação inesperada, inversa e estatisticamente significativa ao correlacionar movimentos periódicos das pernas de grau patológico durante o sono com pressão arterial sistólica e média de 24 horas, pressão arterial sistólica diurna e noturna e pressão arterial média. a pressão de pulso de 24 horas e a pressão de pulso diurna e noturna que foram inferiores ao grupo controle. Não encontramos alterações na frequência cardíaca. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text texto texto text/html text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36765 10.31053/1853.0605.v80.n1.36765 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 1 (2023); 3-10 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 1 (2023); 3-10 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 1 (2023); 3-10 1853-0605 0014-6722 10.31053/1853.0605.v80.n1 eng spa https://revistas.unc.edu.ar/index.php/med/article/view/36765/44852 https://revistas.unc.edu.ar/index.php/med/article/view/36765/40678 https://revistas.unc.edu.ar/index.php/med/article/view/36765/40683 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |