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Sleep-disordered breathing is independently associated with elevated natriuretic peptide levels in patients with cardiovascular diseases

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Abstract

Sleep disorders and sleep duration have attracted considerable attention as potential modifiable risk factors for the development and progression of heart failure (HF). However, whether these sleep behaviors could aggravate the underlying cardiac condition remains ambiguous. We evaluated the associations between the levels of plasma B-type natriuretic peptide (BNP) and sleep-disordered breathing (SDB), sleep quality and quantity, or daytime sleepiness in cardiovascular diseases (CVD) patients. A total of 1717 consecutive patients with CVD [median age, 66 years (55–74 years); female, 27.5%] were enrolled. SDB was screened by nocturnal pulse oximetry; sleep quality and quantity were determined by Pittsburg Sleep Quality Index, and daytime sleepiness was examined by Epworth Sleepiness Scale. The median plasma BNP level was 54.9 pg/ml (23.5–146.4 pg/ml). Multiple regression analyses showed that the BNP level in the highest quintile (BNP > 181.8 pg/ml) was associated with SDB (severe: OR, 5.88; 95% CI 3.17–10.88; moderate: OR, 3.62; 95% CI 2.17–6.02; mild: OR, 2.22: 95% CI 1.42–3.47). There were no significant associations between other sleep parameters and higher BNP levels. The relationship between SDB and BNP levels was unchanged regardless of the previous history of symptomatic HF. SDB was independently associated with the elevated plasma BNP level in patients with a variety of CVD.

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Funding

This study was supported by Grant-in-Aid for Scientific Research (17K09526 and 18H03087). Grant-in-Aid for Scientific Research,17K09526,Takashi Kohno,Grant-in-Aid for Scientific Research,18H03087,Takashi Kohno

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Authors and Affiliations

  1. Division of Cardiology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan

    Kohei Sugiura, Takashi Kohno, Shun Kohsaka, Yasuyuki Shiraishi, Kentaro Hayashida, Shinsuke Yuasa, Seiji Takatsuki & Keiichi Fukuda

  2. Department of Cardiovascular Medicine, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka, Tokyo, 181-8611, Japan

    Takashi Kohno

  3. Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan

    Yoshinori Katsumata

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  1. Kohei Sugiura
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  2. Takashi Kohno
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Correspondence to Takashi Kohno.

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Sugiura, K., Kohno, T., Kohsaka, S. et al. Sleep-disordered breathing is independently associated with elevated natriuretic peptide levels in patients with cardiovascular diseases. Heart Vessels 37, 994–1002 (2022). https://doi.org/10.1007/s00380-021-01998-6

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