Can Daytime Measures of Respiratory Sinus Arrhythmia and Breathing Stability Serve as Biomarkers for OSA?

Abstract

Obstructive sleep apnea (OSA) is by definition a disorder of nighttime breathing however, there is good evidence that impairments in cognitive and cardiovascular function persist in the day and that adults with OSA exhibit daytime CO2 retention and hypoxemia. Although a diagnosis of OSA requires in‐home or in‐laboratory overnight polysomnography, these types of tests are expensive and, due to health insurance quotas, may be limited in availability. Here, we outline simple methods for assessing daytime respiratory sinus arrhythmia (RSA) and respiratory stability that show promise as potential diagnostic tools to identify adults at risk for OSA. We recorded heart rate (finger oxy‐photoplethysmography) and respiration (inductance plethysmography) in adults with obstructive sleep apnea (N=6) and age and BMI matched healthy adults (N=8). Subjects completed five minutes of eupneic breathing, five minutes of paced breathing (7.5 breaths/minute) and after equilibration, five minutes of hyperoxic, hypercapnia (5% FICO2). Using de‐identified data, we obtained estimates of RSA amplitude, RSA stability, and respiratory stability for each subject in each condition and performed a regression analysis to determine the relationship between each of these variables and subjects' apnea hypopnea index (0–25 AHI). Our preliminary results indicate that daytime measures of respiratory stability and RSA can differentiate healthy adults from adults diagnosed with OSA (p<0.006). Importantly, the analysis requires minimal instrumentation and short sampling periods (~5 minutes). Summary schematics arising from the analysis may prove useful as preliminary clinical/diagnostic biomarkers of RSA and cardio‐respiratory coupling in adults at risk for OSA.Support or Funding InformationThis work was supported by start‐up monies (Department of Physiology, University of Arizona) awarded to EFB and by The Finley and Florence Brown Predoctoral Fellowship (Sarver Heart Center, University of Arizona) awarded to JRV.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.