Sleep-related hypoxaemia and excessive erythrocytosis in Andean high-altitude natives

Lucia Spicuzza, N. Casiraghi, A. Gamboa, C. Keyl, A. Schneider, A. Mori, F. Leon-Velarde, G. U. Di Maria, L. Bernardi

Research output: Contribution to journalArticle

Abstract

To determine whether nocturnal hypoxaemia contributes to the excessive erythrocytosis (EE) in Andean natives, standard polysomnographies were performed in 10 patients with EE and in 10 controls (mean haematocrit 76.6±13% and 54.4±0.8%, respectively) living at an altitude of 4,380 m. In addition, the effect of O2 administration for 1 h prior to sleep, and the relationship between the hypoxic/hypercapnic ventilatory response and the apnoea/hypopnoea index (AHI) during sleep were studied. Awake arterial oxygen saturation (Sa,O2) was significantly lower in patients with EE than in controls (83.7±0.3% versus 85.6±0.4%). In both groups, the mean Sa,O2 significantly decreased during sleep (to 80.0±0.8% in EE and to 82.8±0.5% in controls). The mean Sa,O2 values remained significantly lower in patients with EE than in controls at all times of the night, and patients with EE spent significantly more time than the controls with an Sa,O2 of 2 administration. In both groups the AHI positively correlated with the hypercapnic ventilatory response. Andean natives undergo minor respiratory disorders during sleep. The reduction in oxygen saturation found in subjects with excessive erythrocytosis was small, yet consistent and potentially important, as it remained below the threshold known for the increase in erythropoietin stimulation. This may be an important factor promoting erythropoiesis, but its relevance needs to be further explored.

Original languageEnglish
Pages (from-to)41-46
Number of pages6
JournalEuropean Respiratory Journal
Volume23
Issue number1
DOIs
Publication statusPublished - Jan 2004

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Keywords

  • Autonomic nervous system
  • Chronic mountain sickness
  • Erythropoietin
  • High altitude
  • Polycythaemia
  • Sleep disturbances

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Spicuzza, L., Casiraghi, N., Gamboa, A., Keyl, C., Schneider, A., Mori, A., Leon-Velarde, F., Di Maria, G. U., & Bernardi, L. (2004). Sleep-related hypoxaemia and excessive erythrocytosis in Andean high-altitude natives. European Respiratory Journal, 23(1), 41-46. https://doi.org/10.1183/09031936.03.00000703