scholarly journals Nocturnal haemodialysis increases pharyngeal size in patients with sleep apnoea and end-stage renal disease

2007 ◽  
Vol 23 (2) ◽  
pp. 673-679 ◽  
Author(s):  
J. M. Beecroft ◽  
V. Hoffstein ◽  
A. Pierratos ◽  
C. T. Chan ◽  
P. McFarlane ◽  
...  
2007 ◽  
Vol 30 (5) ◽  
pp. 965-971 ◽  
Author(s):  
J. M. Beecroft ◽  
V. Hoffstein ◽  
A. Pierratos ◽  
C. T. Chan ◽  
P. A. McFarlane ◽  
...  

2007 ◽  
Vol 22 (10) ◽  
pp. 3028-3033 ◽  
Author(s):  
J. M. Beecroft ◽  
J. Zaltzman ◽  
R. Prasad ◽  
G. Meliton ◽  
P. J. Hanly

2017 ◽  
Vol 49 (4) ◽  
pp. 1601789 ◽  
Author(s):  
Owen D. Lyons ◽  
Toru Inami ◽  
Elisa Perger ◽  
Azadeh Yadollahi ◽  
Christopher T. Chan ◽  
...  

As in heart failure, obstructive and central sleep apnoea (OSA and CSA, respectively) are common in end-stage renal disease. Fluid overload characterises end-stage renal disease and heart failure, and in heart failure plays a role in the pathogenesis of OSA and CSA. We postulated that in end-stage renal disease patients, those with sleep apnoea would have greater fluid volume overload than those without.End-stage renal disease patients on thrice-weekly haemodialysis underwent overnight polysomnography on a nondialysis day to determine their apnoea–hypopnoea index (AHI). Extracellular fluid volume of the total body, neck, thorax and right leg were measured using bioelectrical impedance.28 patients had an AHI ≥15 (sleep apnoea group; OSA:CSA 21:7) and 12 had an AHI <15 (no sleep apnoea group). Total body extracellular fluid volume was 2.6 L greater in the sleep apnoea group than in the no sleep apnoea group (p=0.006). Neck, thorax, and leg fluid volumes were also greater in the sleep apnoea than the no sleep apnoea group (p<0.05), despite no difference in body mass index (p=0.165).These findings support a role for fluid overload in the pathogenesis of both OSA and CSA in end-stage renal disease.


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