Table 2.
Treatment | Patients enrolled, n | Patients completing trial, n | Treatment period | Treatment outcomes | |
---|---|---|---|---|---|
Kaneko et al. [46] | Therapeutic CPAP vs no CPAP | 24 | 24 | 1 month | 9% increase in LVEF; 10-mm Hg decrease in systolic blood pressure; decrease in heart rate of four beats per minute |
Mansfield et al. [47] | Therapeutic CPAP vs no CPAP | 55 | 40 | 3 months | 5% increase in LVEF; no change in blood pressure; decrease in nocturnal urinary concentration of norepinephrine; improved QOL |
Usui et al.b | Therapeutic CPAP vs no CPAP | 17 | 17 | 1 month | 17% decrease in muscle SNA; 15-mm Hg decrease in awake systolic blood pressure |
Gilman et al.b | Therapeutic CPAP vs no CPAP | 19 | 19 | 1 month | Increase in high-frequency HRV |
Ryan et al.b | Therapeutic CPAP vs no CPAP | 18 | 18 | 1 month | 58% decrease in frequency of VPB during sleep |
Egea et al.b | Therapeutic vs sham CPAP | 61 | 45 | 2 months | 2%–7% increase in LVEF; no change in blood pressure, QOL, or 6-MWT |
Only trials in which most patients had elevated blood pressure at enrollment are included
Overlap exists with some patients in these trials because these reports represent components of a larger clinical trial that was extended after the findings by Kaneko et al. [46] were reported
6-MWT 6-minute walk test distance; CPAP continuous positive airway pressure; HRV heart rate variability; LVEF left ventricular ejection fraction; QOL quality of life; SNA sympathetic nervous system activity; VPB ventricular premature beats
(Adapted from Bradley TD, Floras JS: Obstructive sleep apnea and its cardiovascular consequences. Lancet 2009, 373:82–93; with permission from Elsevier. [65])