Metin ÇELİKER, Özlem ÇELEBİ ERDİVANLI, Ünal ŞAHİN, Engin DURSUN, Suat TERZİ, Zerrin Özergin COŞKUN, Münir DEMİRCİ

Obstrüktif uyku apnesi tan›s›nda periferik arteriyel tonometrinin de¤erlendirilmesi

Amaç: Periferik arteriyel tonometrinin (PAT), uyku monitörizasyonunda taﬂ›nabilir bir yöntem olarak kullan›m› k›smen yeni bir yöntemdir. Bu çal›ﬂmada, PAT sonuçlar› ile polisomnografi (PSG) sonuçlar›n›n karﬂ›laﬂt›r›lmas› ve obstrüktif uyku apnesi sendromu tan›s›nda PAT’›n rolününün de¤erlendirilmesi amaçland›. Yöntem: Bu çal›ﬂmaya KBB klini¤ine OSAS ﬂikayetleri (gündüz uykululuk hali, horlama ve tan›kl› apne) ile baﬂvurmuﬂ ve uyku monitörizasyonu PAT sistemi (WatchPAT 200TM; Itamar Medical Ltd., Caesarea, ‹srail) ile yap›lm›ﬂ, daha sonra Gö¤üs Hastal›klar› Uyku Laboratuvar›nda kör olarak level 1 polisomnografi uygulanm›ﬂ eriﬂkin hastalar dahil edildi. Bulgular: ‹ki farkl› zamanda yap›lm›ﬂ uyku monitörizasyonunda apne hipopne indeksi (AHI) ve solunum bozuklu¤u indeksi (RDI) de¤erleri yüksek oranda korele idi (r=0.749, r=0.753; p

An evaluation of peripheral arterial tonometry for the diagnosis of obstructive sleep apnea

Objective:Peripheral arterial tonometry (PAT) as a portable method of monitoring sleep quality is a relatively recent innovation. The aim was to compare the results of PAT and polysomnography (PSG) and to evaluate the role of PAT in diagnosing obstructive sleep apnea syndrome (OSAS). Methods: This study included adult patients who admitted to ENT clinic with OSAS complaints (excessive daytime sleepiness, snoring, and witnessed apnea), undergone sleep monitorization using PAT system (WatchPAT 200TM; Itamar Medical Ltd., Caesarea, Israel) and had single-blind, level 1 polysomnography at sleep laboratory of Chest Diseases Department. Results: For the two sleep monitoring sessions as conducted at different times: the apnea-hypopnea index (AHI) and respiratory disturbance index (RDI) values were strongly correlated between sessions (r=0.749, r=0.753; p

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