Evidence mapPaperPMID 39084963Full record

ArticleArchivos de bronconeumologia2025

Apnea-Specific Pulse-Rate Response is Associated With Early Subclinical Atherosclerosis in Obstructive Sleep Apnea.

Ana Sanchez-Azofra, Jeremy E Orr, David Sanz-Rubio, Marta Marin-Oto, Sergio Alarcon-Sisamon, Eugenio Vicente, Julio Ancochea, Joan B Soriano, Pamela DeYoung, Ali Azarbarzin and 2 more

Abstract read
In one paragraph

Article in Archivos de bronconeumologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ana Sanchez-AzofraDivision of Pulmonary, Critical Care, and Sleep Medicine and Physiology, Department of Medicine, University of California San Diego, CA 92093, USA; Division of Pulmonary Medicine, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Madrid, Spain. Electronic address: sanchezazofra@gmail.com.
Jeremy E OrrDivision of Pulmonary, Critical Care, and Sleep Medicine and Physiology, Department of Medicine, University of California San Diego, CA 92093, USA.
David Sanz-RubioTranslational Research Unit, IIS Aragón, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Marta Marin-OtoTranslational Research Unit, IIS Aragón, Hospital Universitario Miguel Servet, Zaragoza, Spain; Department of Medicine, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain.
Sergio Alarcon-SisamonTranslational Research Unit, IIS Aragón, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Eugenio VicenteTranslational Research Unit, IIS Aragón, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Julio AncocheaDivision of Pulmonary Medicine, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Joan B SorianoDivision of Pulmonary Medicine, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Pamela DeYoungDivision of Pulmonary, Critical Care, and Sleep Medicine and Physiology, Department of Medicine, University of California San Diego, CA 92093, USA.
Ali AzarbarzinDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital and Harvard Medical School, Harvard University, Boston, MA, USA.
Atul MalhotraDivision of Pulmonary, Critical Care, and Sleep Medicine and Physiology, Department of Medicine, University of California San Diego, CA 92093, USA.
Jose M MarinTranslational Research Unit, IIS Aragón, Hospital Universitario Miguel Servet, Zaragoza, Spain; Department of Medicine, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.

Funding

The cardiovascular consequences of sleep apnea plus COPD (Overlap syndrome)R01HL166485 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$776k
Developing a Diverse Next Generation of Leaders in Respiratory ScienceT32HL166127 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2023 to 2025
$761k
VentNet: A Real-Time Multimodal Data Integration Model for Prediction of Respiratory Failure in Patients with COVID-19R01HL157985 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$724k
Sleep Apnea Endophenotypes: One Size Does Not Fit AllR01HL154926 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$663k
The Impact of Sleep Disordered Breathing in People who use OpioidsK23HL151880 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$170k
NHLBI NIH HHS K23 HL151880NHLBI NIH HHS R01 HL148436NHLBI NIH HHS R01 HL154926NHLBI NIH HHS R01 HL157985NHLBI NIH HHS R01 HL166485NHLBI NIH HHS T32 HL166127NIA NIH HHS R01 AG063925
6 · The paper itself

Abstract

introductionIn patients with obstructive sleep apnea (OSA), novel metrics such as hypoxic burden (HB) and sleep apnea-specific pulse-rate response (ΔHR) may better correlate with cardiovascular diseases (CVD) than the apnea-hypopnea index (AHI). This manuscript aims to assess the correlation between ΔHR and HB with subclinical atherosclerosis in patients with OSA, testing the hypothesis that elevated ΔHR and HB are associated with subclinical atherosclerosis development.

methodsIn a prospective study, individuals aged 20-65 years with suspected OSA without known comorbidities were consecutively recruited and defined as OSA (AHI≥5events/h) or healthy controls. Using bilateral carotid ultrasonography, common carotid intima-media thickness (CIMT) was assessed and the identification of at least one atheromatous plaque defined the presence of subclinical atherosclerosis. ΔHR, and HB were derived from pulse-oximetry.

resultsWe studied 296 patients of age 45±10 years old, of whom 28% were women, and with a BMI of 30.3±5.3kg/m

conclusionA higher ΔHR is associated with an increase in CIMT among adult patients with OSA. This study suggests that ΔHR could be a biomarker of risk for CVD in patients with OSA.

Indexed as

AtherosclerosisHeart RateSleep Apnea, ObstructiveAdultAgedAsymptomatic DiseasesCarotid Intima-Media ThicknessFemaleHumansHypoxiaMaleMiddle AgedPlaque, AtheroscleroticProspective StudiesYoung AdultAtheroma plaquesCardiovascular riskCarotid intima-media thicknessHypoxic burdenIntermittent hypoxiaOSA

Identifiers

PMID39084963
PMCPMC11711329

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.