COMMENTARY
Breathless Nights: How Obstructive Sleep Apnea Affects the Right Heart
This article relates to:
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Right Atrial Function and Right Ventricular Diastolic Function and Their Relation With Exercise Capacity in OSAS
- Volume 42Issue 3Echocardiography
- First Published online: March 16, 2025
Ewa Majos-Karwacka,
Corresponding Author
Ewa Majos-Karwacka
Department of Coronary Artery Disease and Cardiac Rehabilitation, National Institute of Cardiology, Warsaw, Poland
Correspondence: Ewa Majos-Karwacka ([email protected])
Search for more papers by this authorEwa Majos-Karwacka,
Corresponding Author
Ewa Majos-Karwacka
Department of Coronary Artery Disease and Cardiac Rehabilitation, National Institute of Cardiology, Warsaw, Poland
Correspondence: Ewa Majos-Karwacka ([email protected])
Search for more papers by this authorFirst published: 11 March 2025
No abstract is available for this article.
Conflicts of Interest
The author declares no conflicts of interest.
Open Research
Data Availability Statement
Data sharing not applicable—no new data generated.
References
- 1S. Redline, A. Azarbarzin, and Y. Peker, “Obstructive Sleep Apnoea Heterogeneity and Cardiovascular Disease,” Nature Reviews Cardiology 20, no. 8 (2023): 560–573.
- 2Y. Yeghiazarians, H. Jneid, J. R. Tietjens, et al., “Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association,” Circulation 144, no. 3 (2021): e56–e67.
- 3M. Tadic and C. Cuspidi, “Obstructive Sleep Apnea and Right Ventricular Remodeling: Do We Have all the Answers?” Journal of Clinical Medicine 12, no. 6 (2023): 2421.
- 4B. Du, R. Zhang, W.-J. Shi, R.-N. Wang, Y.-H. Qin, and A Chu, “Right Atrial Function and Right Ventricular Diastolic Function and Their Relation With Exercise Capacity in OSAS,” Echocardiography.
- 5M. Harańczyk, M. Konieczyńska, and W. Płazak, “Influence of Obstructive Sleep Apnea on Right Heart Structure and Function,” Advances in Respiratory Medicine 89, no. 5 (2021): 493–500.
- 6H. Ibn Hadj Amor, I. Touil, R. Chebbi, et al., “Assessment of Right Ventricular Remodeling and Dysfunction in Obstructive Sleep Apnea Syndrome: A Prospective Monocentric Study,” Sleep & Breathing = Schlaf & Atmung 26, no. 2 (2022): 663–674.
- 7I. M. Chetan, B. Gergely-Domokos, R. Beyer, et al., “The Role of 3D Speckle Tracking Echocardiography in the Diagnosis of Obstructive Sleep Apnea and Its Severity,” Scientific Reports 12, no. 1 (2022): 22347.
- 8A. Vitarelli, C. Terzano, M. Saponara, et al., “Assessment of Right Ventricular Function in Obstructive Sleep Apnea Syndrome and Effects of Continuous Positive Airway Pressure Therapy: A Pilot Study,” Canadian Journal of Cardiology 31, no. 7 (2015): 823–831.
- 9C. Hammerstingl, R. Schueler, M. Wiesen, et al., “Effects of Untreated Obstructive Sleep Apnea on Left and Right Ventricular Myocardial Function,” International Journal of Cardiology 155, no. 3 (2012): 465–469.
- 10J. Li, Z. Wang, Y. Li, et al., “Assessment of Regional Right Ventricular Systolic Function in Patients With Obstructive Sleep Apnea Syndrome Using Velocity Vector Imaging,” Medicine 95 (2016): e4788.
- 11R. E. Altekin, M. S. Karakas, A. Yanikoglu, et al., “Determination of Right Ventricular Dysfunction Using the Speckle Tracking Echocardiography Method in Patients With Obstructive Sleep Apnea,” Cardiology Journal 19, no. 2 (2012): 130–139.
- 12L. M. Wright, N. Dwyer, S. Wahi, and T. H. Marwick, “Association With Right Atrial Strain With Right Atrial Pressure: An Invasive Validation Study,” International Journal of Cardiovascular Imaging 34, no. 10 (2018): 1541–1548.
- 13N. E. Hasselberg, N. Kagiyama, Y. Soyama, et al., “The Prognostic Value of Right Atrial Strain Imaging in Patients With Precapillary Pulmonary Hypertension,” Journal of the American Society of Echocardiography 34, no. 8 (2021 Aug): 851–861.
- 14E. Curtis, L. Lemarchand, K. C. Lee, et al., “Right Atrial and Right Ventricular Strain: Prognostic Value Depends on the Severity of Tricuspid Regurgitation,” European Heart Journal - Cardiovascular Imaging 25, no. 12 (2024): 1734–1742.
- 15T. Nishihara, Y. Takaya, R. Nakayama, et al., “Prognostic Value of Right Atrial Function in Patients With Significant Tricuspid Regurgitation,” ESC Heart Failure 11, no. 6 (2024): 4019–4027.
- 16M. Tomaselli, L. P. Badano, V. Cannone, et al., “Incremental Value of Right Atrial Strain Analysis to Predict Atrial Fibrillation Recurrence after Electrical Cardioversion,” Journal of the American Society of Echocardiography 36, no. 9 (2023): 945–955.
- 17C. Kholdani, W. H. Fares, and V. Mohsenin, “Pulmonary Hypertension in Obstructive Sleep Apnea: Is It Clinically Significant? A Critical Analysis of the Association and Pathophysiology,” Pulmonary Circulation 5, no. 2 (2015): 220–227.
- 18C. O'Donnell, P. A. Sanchez, B. Celestin, M. V. McConnell, and F. Haddad, “The Echocardiographic Evaluation of the Right Heart: Current and Future Advances,” Current Cardiology Reports 25, no. 12 (2023): 1883–1896.
