Barbieri Fabian, Adukauskaite Agne, Senoner Thomas, Rubatscher Andrea, Schgör Wilfried, Stühlinger Markus, Pfeifer Bernhard Erich, Bauer Axel, Hintringer Florian, Dichtl Wolfgang
University Clinic of Internal Medicine III, Medical University Innsbruck, Innsbruck, Austria.
Institute of Clinical Epidemiology, Tirol Kliniken, Innsbruck, Austria.
Data Brief. 2020 Oct 28;33:106461. doi: 10.1016/j.dib.2020.106461. eCollection 2020 Dec.
This article contains supplemental data to the publication "Central Sleep Apnea and Pacing-Induced Cardiomyopathy" [1], which was the most recent publication of the "UPGRADE" study. It provides in-depth analysis of the effects of cardiac resynchronisation therapy (CRT) in patients suffering from pacing-induced cardiomyopathy (PICM) on cardiac remodeling as well as functional cardiac parameters in comparison to continuous right ventricular pacing (RVP). Furthermore, it also covers additional data on several sleep parameters, which were not presented in the main article including the index for obstructive sleep apnea (OSA), the index for mixed sleep apnea and the oxygen saturation measurements during polysomnography. Further, Kaplan-Meier curves are presented for major adverse cardiac events (MACE) and overall mortality by severity of sleep apnea. Generally, the "UGRADE" study was a single-center prospective double-blinded randomized controlled trial lasting from 2014 to 2020. The methodology included a cross-over design giving the possibility to detect differences while CRT was activated and while continuous RVP was applied. The presented data should aid clinicians in daily practice as upgrading to CRT is not limited to improvement in cardiac parameters, but also modifies sleep apnea in patients with PICM, a generally sparsely studied entity of heart failure.
本文包含发表文章《中枢性睡眠呼吸暂停与起搏诱导性心肌病》[1]的补充数据,该文章是“UPGRADE”研究的最新成果。与持续右心室起搏(RVP)相比,本文深入分析了心脏再同步治疗(CRT)对起搏诱导性心肌病(PICM)患者心脏重塑以及心脏功能参数的影响。此外,还涵盖了一些睡眠参数的额外数据,这些数据在主要文章中未呈现,包括阻塞性睡眠呼吸暂停(OSA)指数、混合性睡眠呼吸暂停指数以及多导睡眠图期间的血氧饱和度测量值。此外,还给出了按睡眠呼吸暂停严重程度划分的主要不良心脏事件(MACE)和总死亡率的Kaplan-Meier曲线。总体而言,“UPGRADE”研究是一项单中心前瞻性双盲随机对照试验,从2014年持续至2020年。该方法采用交叉设计,能够在激活CRT和应用持续RVP时检测差异。所呈现的数据应有助于临床医生在日常实践中做出决策,因为升级至CRT不仅限于改善心脏参数,还能改善PICM患者的睡眠呼吸暂停,PICM是一种通常研究较少的心力衰竭类型。