Carlos Eduardo Ventura Gaio dos Santos, Carlos Alberto de Assis Viegas
J Bras Pneumol.2003;29(2):69-74
Objective: There are few studies on chronic obstructive pulmonary disease (COPD) establishing differences between the functional parameters of the disease and variants of sleep. The aim of the authors is to describe the sleep patterns of these patients and to investigate possible correlations among spirometric, gasometric, and polysomnographic variants. Methods: Transversal study using patients with COPD, submitted to spirometry, arterial gasometry, and polysomnography. Results: 21 male patients were studied with average age = 67 ± 9, 7 ± 4 average points in the Epworth sleep scale, average FEV1/FVC% = 54 ± 13.0, average PaO2 = 68 ± 11 mmHg, average PaCO2 = 37 ± 6 mmHg. Sleep efficiency decreased (65 ± 16%) with the decrease in slow wave sleep (8 ± 9%) and in rapid eye movement (REM) sleep (15 ± 8%). Average T90 = 43 ± 41%. Average apnea-hypopnea index (AHI) = 3 ± 5/h, two patients (9.5%) presented overlap syndrome. In the correlation analysis a correlation was observed between PaO2 and T90 (p < 0.01), PaCO2 and T90 (p < 0.05), and AHI and the cardiac rate in REM (p < 0.01). There was no correlation between spirometric and polysomnographic variants. Conclusion: The low sleep efficiency, the high number of awakenings, and shift in stages show the low quality of sleep. There were no linear correlations between the spirometric and polysomnographic variants.