Cardiac Autonomic Regulation During Sleep in Idiopathic REM Sleep Behavior Disorder
Identifieur interne : 000802 ( Ncbi/Merge ); précédent : 000801; suivant : 000803Cardiac Autonomic Regulation During Sleep in Idiopathic REM Sleep Behavior Disorder
Auteurs : Paola A. Lanfranchi [Canada] ; Lorraine Fradette [Canada] ; Jean-François Gagnon [Canada] ; Roberto Colombo [Italie] ; Jacques Montplaisir [Canada]Source :
- Sleep [ 0161-8105 ] ; 2007.
Abstract
To assess cardiac autonomic and respiratory changes from stage 2 non-rapid eye movement sleep (NREM) to rapid eye movement (REM) sleep in subjects with idiopathic REM sleep behavior disorder (RBD) and controls. We tested the hypothesis that REM-related cardiorespiratory activation is altered in subjects with RBD.
Retrospective case-control study.
University hospital-based sleep research laboratory.
Ten subjects with idiopathic RBD (2 women, mean age 63.4 ± 6.2 years) and 10 sex- and age-matched controls (mean age 63.9 ± 6.3 years).
One-night polysomnography was used to assess R-R variability during NREM and REM sleep.
Spectral analysis of R-R interval and respiration were performed. Mean R-R interval, low-frequency (LF) and high-frequency (HF) components in both absolute and normalized units (LFnu and HFnu), and the LF/HF ratio were obtained from 5-minute electrocardiogram segments selected during NREM and REM sleep under stable conditions (stable breathing pattern, no microarousals or leg movements). Respiratory frequency was also assessed. Values obtained were then averaged for each stage and analyzed by 2 × 2 analysis of variance with group (RBD subjects and controls) as factor and state (NREM and REM) as repeated measures. RR interval, HF, and HFnu components decreased from NREM to REM in controls but did not change in RBD subjects (Interaction P < 0.05). LFnu (interaction P < 0. 001), LF/HF (interaction P < 0. 001), and respiratory frequency (interaction P < 0. 05) increased from NREM to REM sleep in controls but remained stable in RBD subjects.
REM-related cardiac and respiratory responses are absent in subjects with idiopathic RBD.
Lanfranchi PA; Fradette L; Gagnon JF; Colombo R; Montplaisir J. Cardiac autonomic regulation during sleep in idiopathic REM sleep behavior disorder.
Url:
PubMed: 17702272
PubMed Central: 1978378
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<series><title level="j">Sleep</title>
<idno type="ISSN">0161-8105</idno>
<idno type="eISSN">1550-9109</idno>
<imprint><date when="2007">2007</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective:</title>
<p>To assess cardiac autonomic and respiratory changes from stage 2 non-rapid eye movement sleep (NREM) to rapid eye movement (REM) sleep in subjects with idiopathic REM sleep behavior disorder (RBD) and controls. We tested the hypothesis that REM-related cardiorespiratory activation is altered in subjects with RBD.</p>
</sec>
<sec><title>Design:</title>
<p>Retrospective case-control study.</p>
</sec>
<sec><title>Setting:</title>
<p>University hospital-based sleep research laboratory.</p>
</sec>
<sec><title>Patients:</title>
<p>Ten subjects with idiopathic RBD (2 women, mean age 63.4 ± 6.2 years) and 10 sex- and age-matched controls (mean age 63.9 ± 6.3 years).</p>
</sec>
<sec><title>Intervention:</title>
<p>One-night polysomnography was used to assess R-R variability during NREM and REM sleep.</p>
</sec>
<sec><title>Measurements and Results:</title>
<p>Spectral analysis of R-R interval and respiration were performed. Mean R-R interval, low-frequency (LF) and high-frequency (HF) components in both absolute and normalized units (LFnu and HFnu), and the LF/HF ratio were obtained from 5-minute electrocardiogram segments selected during NREM and REM sleep under stable conditions (stable breathing pattern, no microarousals or leg movements). Respiratory frequency was also assessed. Values obtained were then averaged for each stage and analyzed by 2 × 2 analysis of variance with group (RBD subjects and controls) as factor and state (NREM and REM) as repeated measures. RR interval, HF, and HFnu components decreased from NREM to REM in controls but did not change in RBD subjects (Interaction P < 0.05). LFnu (interaction P < 0. 001), LF/HF (interaction P < 0. 001), and respiratory frequency (interaction P < 0. 05) increased from NREM to REM sleep in controls but remained stable in RBD subjects.</p>
</sec>
<sec><title>Conclusion:</title>
<p>REM-related cardiac and respiratory responses are absent in subjects with idiopathic RBD.</p>
</sec>
<sec><title>Citation:</title>
<p>Lanfranchi PA; Fradette L; Gagnon JF; Colombo R; Montplaisir J. Cardiac autonomic regulation during sleep in idiopathic REM sleep behavior disorder. <italic>SLEEP</italic>
2007;30(8):1019–1025.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sleep</journal-id>
<journal-id journal-id-type="publisher-id">Sleep</journal-id>
<journal-title>Sleep</journal-title>
<issn pub-type="ppub">0161-8105</issn>
<issn pub-type="epub">1550-9109</issn>
<publisher><publisher-name>Associated Professional Sleep Societies, LLC</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">17702272</article-id>
<article-id pub-id-type="pmc">1978378</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>REM Sleep Behavior Disorder</subject>
</subj-group>
</article-categories>
<title-group><article-title>Cardiac Autonomic Regulation During Sleep in Idiopathic REM Sleep Behavior Disorder</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Lanfranchi</surname>
<given-names>Paola A.</given-names>
</name>
<degrees>MD, MSc</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fradette</surname>
<given-names>Lorraine</given-names>
</name>
<degrees>BS</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gagnon</surname>
<given-names>Jean-François</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Colombo</surname>
<given-names>Roberto</given-names>
</name>
<degrees>BEng</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Montplaisir</surname>
<given-names>Jacques</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
Department of Medicine, Cardiology Division, Hôpital du Sacré-Coeur de Montreal, Montréal, Canada</aff>
<aff id="aff2"><label>2</label>
Centre d'étude du sommeil et des rythmes biologiques, Hôpital du Sacré-Coeur de Montréal, Montréal, Canada</aff>
<aff id="aff3"><label>3</label>
Bioengineering Department, Salvatore Maugeri Foundation, Veruno, Italy</aff>
<author-notes><corresp id="cor1">Address correspondence to: Jacques Montplaisir, MD, PhD,
<addr-line>Centre d'étude du sommeil et des rythmes biologiques, Hôpital du Sacré-Coeur de Montréal, 5400 Gouin Blvd. West, Montreal, Quebec H4J 1C5, Canada</addr-line>
<phone>(514) 338-2693</phone>
<fax>(514) 338-2531</fax>
<email>jy.montplaisir@umontreal.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>1</day>
<month>8</month>
<year>2007</year>
</pub-date>
<volume>30</volume>
<issue>8</issue>
<fpage>1019</fpage>
<lpage>1025</lpage>
<history><date date-type="received"><month>2</month>
<year>2007</year>
</date>
<date date-type="accepted"><month>4</month>
<year>2007</year>
</date>
</history>
<copyright-statement>© 2007 Associated Professional Sleep Societies, LLC.</copyright-statement>
<copyright-year>2007</copyright-year>
<abstract><sec><title>Objective:</title>
<p>To assess cardiac autonomic and respiratory changes from stage 2 non-rapid eye movement sleep (NREM) to rapid eye movement (REM) sleep in subjects with idiopathic REM sleep behavior disorder (RBD) and controls. We tested the hypothesis that REM-related cardiorespiratory activation is altered in subjects with RBD.</p>
</sec>
<sec><title>Design:</title>
<p>Retrospective case-control study.</p>
</sec>
<sec><title>Setting:</title>
<p>University hospital-based sleep research laboratory.</p>
</sec>
<sec><title>Patients:</title>
<p>Ten subjects with idiopathic RBD (2 women, mean age 63.4 ± 6.2 years) and 10 sex- and age-matched controls (mean age 63.9 ± 6.3 years).</p>
</sec>
<sec><title>Intervention:</title>
<p>One-night polysomnography was used to assess R-R variability during NREM and REM sleep.</p>
</sec>
<sec><title>Measurements and Results:</title>
<p>Spectral analysis of R-R interval and respiration were performed. Mean R-R interval, low-frequency (LF) and high-frequency (HF) components in both absolute and normalized units (LFnu and HFnu), and the LF/HF ratio were obtained from 5-minute electrocardiogram segments selected during NREM and REM sleep under stable conditions (stable breathing pattern, no microarousals or leg movements). Respiratory frequency was also assessed. Values obtained were then averaged for each stage and analyzed by 2 × 2 analysis of variance with group (RBD subjects and controls) as factor and state (NREM and REM) as repeated measures. RR interval, HF, and HFnu components decreased from NREM to REM in controls but did not change in RBD subjects (Interaction P < 0.05). LFnu (interaction P < 0. 001), LF/HF (interaction P < 0. 001), and respiratory frequency (interaction P < 0. 05) increased from NREM to REM sleep in controls but remained stable in RBD subjects.</p>
</sec>
<sec><title>Conclusion:</title>
<p>REM-related cardiac and respiratory responses are absent in subjects with idiopathic RBD.</p>
</sec>
<sec><title>Citation:</title>
<p>Lanfranchi PA; Fradette L; Gagnon JF; Colombo R; Montplaisir J. Cardiac autonomic regulation during sleep in idiopathic REM sleep behavior disorder. <italic>SLEEP</italic>
2007;30(8):1019–1025.</p>
</sec>
</abstract>
<kwd-group><kwd>REM sleep behavior disorder</kwd>
<kwd>autonomic nervous system</kwd>
<kwd>heart rate variability</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Canada</li>
<li>Italie</li>
</country>
<region><li>Québec</li>
</region>
<settlement><li>Montréal</li>
</settlement>
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<tree><country name="Canada"><region name="Québec"><name sortKey="Lanfranchi, Paola A" sort="Lanfranchi, Paola A" uniqKey="Lanfranchi P" first="Paola A." last="Lanfranchi">Paola A. Lanfranchi</name>
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<name sortKey="Fradette, Lorraine" sort="Fradette, Lorraine" uniqKey="Fradette L" first="Lorraine" last="Fradette">Lorraine Fradette</name>
<name sortKey="Gagnon, Jean Francois" sort="Gagnon, Jean Francois" uniqKey="Gagnon J" first="Jean-François" last="Gagnon">Jean-François Gagnon</name>
<name sortKey="Lanfranchi, Paola A" sort="Lanfranchi, Paola A" uniqKey="Lanfranchi P" first="Paola A." last="Lanfranchi">Paola A. Lanfranchi</name>
<name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name>
</country>
<country name="Italie"><noRegion><name sortKey="Colombo, Roberto" sort="Colombo, Roberto" uniqKey="Colombo R" first="Roberto" last="Colombo">Roberto Colombo</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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