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Is there a dynamic change in ischemia-modified albumin in patients with obstructive sleep apnea, which often leads to ischemic diseases?
Yigang ZhongI, Ningfu WangI,,II,
Corresponding author
wangningfu@hotmail.com

Tel.: 86 571 56005600
, Haiying XuI
I Hangzhou First People's Hospital, Affiliated Hangzhou Hospital of Nanjing Medical University, Department of Cardiology, Hangzhou, China.
II Hangzhou First People's Hospital, Department of Cardiology, Hangzhou, China.
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para10" class="elsevierStylePara elsevierViewall">Dear Editor&#44;</p><p id="para20" class="elsevierStylePara elsevierViewall">We read the recent article &#8220;Influence of obstructive sleep apnea on serum butyrylcholinesterase activity and ischemia-modified albumin levels&#8221; by Liu-Xue Yang et al&#46; with great interest &#40;<a class="elsevierStyleCrossRef" href="#bib1">1</a>&#41;&#46; It is interesting that the ischemia-modified albumin &#40;IMA&#41; level was significantly associated with obstructive sleep apnea and that the IMA level was a more sensitive indicator of obstructive sleep apnea than butyrylcholinesterase activity&#46; We appreciate the authors&#39; well-designed study and encouraging results&#44; which will act as a guide for additional basic and clinical research on OSA&#46; To our knowledge&#44; it is the first study to examine IMA in relation to OSA&#46; However&#44; we still have some concerns about this study&#46;</p><p id="para30" class="elsevierStylePara elsevierViewall">IMA&#44; which is produced by ischemia stresses &#40;e&#46;g&#46;&#44; hypoxia&#44; acidosis&#44; and free radical injury&#41;&#44; increases within minutes after the onset of ischemia&#44; remains elevated for 6&#8211;12 h&#44; and returns to normal within 24 h &#40;<a class="elsevierStyleCrossRef" href="#bib2">2</a>&#41;&#46; The attenuation of IMA often indicates an acute ischemic event&#44; such as acute coronary syndrome&#44; a pulmonary embolism&#44; or acute ischemic stroke &#40;<a class="elsevierStyleCrossRefs" href="#bib3">3-5</a>&#41;&#46;</p><p id="para40" class="elsevierStylePara elsevierViewall">In this study&#44; blood samples were drawn from OSA patients after an overnight fast so that the peak IMA concentration would be properly timed to yield positive results&#46; However&#44; if extra IMA values were collected using dynamic observation with overnight polysomnography in the sleep unit&#44; especially when the patients appeared to experience sleep apnea or a decrease in SaO2&#44; the ischemia and oxidative stress mechanisms of OSA could be further clarified&#46; We hypothesize that there is dynamic ischemic damage in OSA patients&#58; mild ischemia and anoxia appear during the daytime&#44; and while the patients sleep&#44; apnea occurs and leads to even more serious ischemia and anoxia&#46;</p><p id="para50" class="elsevierStylePara elsevierViewall">In addition&#44; a minor problem may exist in this study&#46; It is well known that OSA often leads to ischemic diseases&#44; increases the incidence of coronary artery disease &#40;CAD&#41;&#44; and raises the risk of cardiovascular diseases &#40;CVEs&#41; &#40;<a class="elsevierStyleCrossRef" href="#bib6">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib7">7</a>&#41;&#46; In this study&#44; ischemic diseases&#44; even stable CAD &#40;which is associated with an elevated IMA level according to our research&#41; &#40;<a class="elsevierStyleCrossRef" href="#bib8">8</a>&#41;&#44; were not considered among the baseline characteristics of the two groups&#46; This minor carelessness may have played a role in the positive results of the study&#46;</p></span>"
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Article information
ISSN: 18075932
Original language: English
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos