Summary
The present study reports on polysomnographic findings of sleep apnea syndrome in a representative sample of otherwise healthy middle-aged blue collar workers (age 45.7±8.5) with normal to borderline blood pressure (systolic 135.5±16.1; diastolic: 88.3±10.2), mild overweight (Broca 114.9±14.7) and with reported nocturnal sleep disturbances. The prevalence of sleep apnea in this sample (N=20 out of a total of 78 workers with reported sleep disturbances) is 40%. Mean frequency of apnoeic episodes during night was 97.6±42.7 in the apnea-positive group as compared to 27.1±19.9 in the apnea-negative group (T=5.0;p<0.0001), with an apnea index of 13.3±6.2 as compared to 3.5±2.3 (T=7.2,p<0.0001). Left ventricular hypertrophy (mean diameter of end diastolic left ventricle: 64.0±9.5 mm) was found in individuals with apnea although manifest hypertension was absent in most individuals.
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Abbreviations
- CVHR:
-
Cyclic variation of heart rate
- ECG:
-
Electrocardiogram
- EEG:
-
Electroencephalogram
- HDLC:
-
High density lipoprotein cholesterol
- HR:
-
Heart rate
- LDLC:
-
Low density lipoprotein cholesterol
- LVH:
-
Left ventricular hypertrophy
- SAS:
-
Sleep apnea syndrome
- VLDLC:
-
Very low density lipoprotein cholesterol
References
Billiard M, Alprovitsch A (1984) Excessive daytime sleepiness: Epidemiological and Aetiological data. Abstracts of the International Congress on Sleep Research. Munic
Bixler ED, Kales A, Soldatos CR, Kales JC, Healey S (1979) Prevalence of sleep disorders in the Los Angeles Metropolitan Area. Am J Psychiatry 136:1257–1262
Bondoulas H, Schmidt HS, Clark RW, Geleris P, Schaal SF, Lewis RP (1983) Anthropometric characteristics, cardiac abnormalities and adrenergic activity in patients with primary disorders of sleep. J Med 14:223–238
Burack B (1984) The hypersomnia-sleep apnea syndrome: its recognition in clinical cardiology. Am Heart J 107:543–548
Clark RW, Bondoulas H, Schaal SF, Schmidt HS (1980) Adrenergic hyperactivity and cardiac abnormality in primary disorders of sleep. Neurology 30:113–119
Guilleminault C (1983) Natural history, cardiac impact and longterm follow-up of sleep apnea syndrome. In: Guilleminault E, Lugaresi E (eds) Sleep-wake disorders: natural history, epidemiology and longterm evolution. Raven Press, New York, pp 107–125
Guilleminault C, Connolly SJ, Winkle RA (1983) Cardiac arrhythmia and conduction disturbances during sleep in 400 patients with sleep apnea syndrome. Am J Cardiol 52:490–494
Guilleminault C (1984) Diagnosis, pathogenesis and treatment of sleep apnea syndromes. Ergebnisse der Inneren Medizin und Kinderheilk 52:2–53
Kannel WS, Sorlie P (1981) Left ventricular hypertrophy in hypertension: prognostic and pathogenetic implication (the Framingham Study). In: Strauer BE (ed) The heart in hypertension. Springer, Berlin Heidelberg New York, pp 223–241
Lavie P (1981) Sleep habits and sleep disturbances in industry worker in Israel. Sleep 4:147–158
Lavie P (1983) Sleep apnea in industrial workers. In: Guilleminault C, Lugaresi E (eds) Sleep-wake disorders: natural history, epidemiology and longterm evolution. Raven Press, New York, pp 127–135
Matschinger H, Siegrist J, Siegrist K, Dittmann KH (1985) Type A as a coping career. In: Dembroski TM, Schmidt T (eds) Bio-behavioral bases of coronary heart disease. Springer, New York (in press)
Partinen M (1982) Sleeping habits and sleep disorders of Finnish men before, during and after military service. Thesis, Helsinki
Peter JH (1985) Holter monitoring technique in a comprehensive approach: ambulatory monitoring of sleep apnea. In: Hombach V (ed) Holter monitoring technique. Schattauer, Stuttgart New York (in press)
Peter JH, Becker E, Fuchs E, Meinzer K, v. Wichert P (1982) Ambulante transcutane Langzeitregistrierung von arterieller Sauerstoffspannung und Herzrhythmusstörungen bei Patienten mit Schlafapnoe-Syndrom. Verhandlungen der Deutschen Gesellschaft für Innere Medizin, Bd 88, J.F. Bergmann, München, S 390–393
Scharf SM (1984) Influences of sleep and breathing on cardiovascular function. In: Saunders A, Sullivan CE (eds) Sleep and breathing. Dekker, New York Basel, pp 221–239
Schroeder JS, Motta J, Guilleminault C (1978) Hemodynamic studies in sleep apnea. In: Guilleminault C, Dement WC (eds) Sleep apnea syndromes. New York, pp 177–196
Siegrist J, Matschinger H (1985) Risikokonstellationen im Vorfeld manifester koronarer Herzkrankheiten. In: Loskot E (Hrsg) Prävention und Therapie koronarer Herzkrankheit (in press)
Siegrist J, Matschinger H, Grünewald M (1985) Disrupted sleep, coronary prone attitudes and cardiovascular risk in healthy industrial workers (Paper submitted)
Strauer BE (1983) Das Hochdruckherz. Springer, Berlin Heidelberg New York
Violani C, Cagnoli A (1984) Relationships between subjective estimates of sleep and polysomnographic parameters in healthy young subjects. Abstracts of International Congress on Sleep Research. Munic
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Peter, J.H., Siegrist, J., Podszus, T. et al. Prevalence of sleep apnea in healthy industrial workers. Klin Wochenschr 63, 807–811 (1985). https://doi.org/10.1007/BF01732285
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DOI: https://doi.org/10.1007/BF01732285