Abstract
BACKGROUND: Patients with obstructive sleep apnea syndrome are known to have high long-term
mortality compared to healthy subjects because of their cardiovascular dysfunction. The
observation of hemodynamic changes by obstructive apneas is helpful to understand when
attempting to understand the pathophysiological mechanism of the development of
cardiovascular dysfunction in those patients. Therefore, we studied the changes of in
cardiovascular function with the an animal model and tried to obtain the basic data for
an ideal experimental model (this phrase is unclear), which is required a requirement for
the a more advanced study.
METHODS: In 16 Sixteen anesthetized dogs with alpha-chloralose,
experimental subjects (delete) were divided into two groups : 8 dogs of room air breathing
group and 8 dogs of oxygen breathing group. We measured PaO2, PaCO2, heart rate, cardiac
output, mean femoral artery pressure, and mean pulmonary artery pressure at specified times
during the apnea-breathing cycle : before endotracheal tube occlusion (baseline), 25 seconds
after endotracheal tube occlusion (apneic period), 10 seconds (early phase of postapneic
period, EPA) and 25 seconds (late phase of postapneic period, LPA) after spontaneous
breathing.
RESULTS: In room air breathing group, the heart rate significantly decreased
significantly decreased at during the apneic period compared to that at baseline (P<0.01)
and increased at EPA and LPA compared to that during the apneic period (P<0.01). But, the
heart rate showed no significant changes during apneic and postapneic periods in the oxygen
breathing group. Cardiac output tended to decrease at during apneic period compared to that
at baseline, but did not show statistical significance was statistically significant.
Cardiac output significantly decreased at LPA compared to at baseline (P<0.01). Mean
femoral artery pressure was significantly decreased at during apneic period compared to
that at baseline (P<0.05).
CONCLUSION: Through this experiment, we were partially able
to understand the changes of cardiovascular function indirectly, but it is suggested that
the (delete) new experimental animal model displaying physiological mechanism close to
sleep in nature might natural sleep should be established (,)and the advanced study of
in the changes of cardiovascular function and its cause their causes should be continued.