A new method for calculation of an overnight oximetry signal metric which is predictive of cardiovascular disease (CVD) outcomes in individuals undergoing an overnight sleep test is presented. The metric - the respiratory event desaturation transient area (REDTA) - quantifies the desaturation associated with respiratory events. Data from the Sleep Heart Health Study, which includes overnight oximetry signals and long-term CVD outcomes, was used to develop and test the parameter. Performance of the REDTA parameter was assessed using Cox proportional hazard ratios and compared to established metrics of hypoxia. Results show that hazard ratios in adjusted Cox analysis for predicting cardiovascular death using REDTA are up to 1.90 (95%CI: 1.22-2.96) which compares with the best of the established metrics. A big advantage of our metric compared to other high performing metrics is its ease of computation.
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http://dx.doi.org/10.1109/EMBC46164.2021.9630610 | DOI Listing |
Eur J Prev Cardiol
January 2025
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Aim: Primary prevention of cardiovascular disease (CVD) relies on effective risk stratification to guide interventions. Current models, primarily developed using regression analysis, can lead to inaccurate estimates when applied to external populations. This study evaluates the utility of cluster analysis as an alternative method for developing CVD risk stratification models, comparing its performance with established CVD risk prediction models.
View Article and Find Full Text PDFJAMA Cardiol
January 2025
Program of Medical and Population Genetics, Broad Institute of MIT (Massachusetts Institute of Technology) and Harvard, Cambridge, Massachusetts.
Importance: Treatment to lower high levels of low-density lipoprotein cholesterol (LDL-C) reduces incident coronary artery disease (CAD) risk but modestly increases the risk for incident type 2 diabetes (T2D). The extent to which genetic factors across the cholesterol spectrum are associated with incident T2D is not well understood.
Objective: To investigate the association of genetic predisposition to increased LDL-C levels with incident T2D risk.
J Appl Physiol (1985)
January 2025
Psychological and Brain Sciences, University of Iowa.
We investigated the associations of ongoing, chronic stress exposure and stress appraisal on vascular endothelial function (VEF) in young adults. In 72 healthy young adults (74% female; age = 25±1 y), we assessed chronic stress exposure and appraisal with a measure that quantified chronic stress exposure and chronic stress appraisal related to 8 specific stressors over the last year. Participants completed the perceived stress scale (PSS) as a measure of global, proximal stress appraisal.
View Article and Find Full Text PDFActa Neurochir (Wien)
January 2025
Department of Neurosurgery, College of Medicine, University of Michigan, Ann Arbor, MI, USA.
Background: Wall shear stress (WSS) plays a crucial role in the natural history of intracranial aneurysms (IA). However, spatial variations among WSS have rarely been utilized to correlate with IAs' natural history. This study aims to establish the feasibility of using spatial patterns of WSS data to predict IAs' rupture status (i.
View Article and Find Full Text PDFAm J Physiol Heart Circ Physiol
January 2025
NTTR-NCVC Bio Digital Twin Center, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Positive end-expiratory pressure (PEEP) improves respiratory conditions. However, the complex interaction between PEEP and hemodynamics in heart failure patients makes it challenging to determine appropriate PEEP settings. In this study, we developed a framework for the impact of PEEP on hemodynamics considering cardiac function, by integrating the impact of PEEP in the generalized circulatory equilibrium framework, and validated the framework by assessing its ability to accurately predict PEEP-induced hemodynamics.
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