A systematic review and meta-analysis of cohort studies of echocardiographic findings in OSA children after adenotonsilectomy
Abstract
Context There is evidence that OSA in children can be associated with acute and chronic effects on the cardiovascular system due to repetitive episodes of apnea and hypoxemia.Objective To assess whether there is an association between OSA and echocardiographic findings in children and whether that association persists after adenotonsillectomy.Data sources A literature search was conducted based on PUBMED, EMBASE and LILACS.Study selection Children with OSA and children who did not have OSA, who were aged ≤12 years.Data extraction Two reviewers extracted data independently; the risk of bias was assessed by examining the selected sample, the recruitment method, completeness of follow up, and blinding.Results Seven studies met all the inclusion criteria and methodological requirements. There was a significant difference with elevated mean pulmonary arterial pressure levels in OSA participants compared to those without OSA at preoperative assessment [mean difference (MD) 8.67; confidential interval (CI) 95% 6.09, 11.25]. OSA participants showed a statistically significant increased interventricular septum (IVS) thickness (mm) [MD 0.60; CI 95% 0.09, 1.11]; and right ventricular (RV) dimension (cm/m) [MD 0.19; CI 95% 0.10, 0.28]. There was also a significant increase in right ventricular (RV) dimension (cm/m) [MD 0.10; CI 95% 0.05, 0.14] in OSA children.Conclusion There is moderate quality evidence regarding possible association between OSA and right heart repercussions. More prognosis studies are needed, to allow the combination of results in a meta-analysis.
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Children with sleep-disordered breathing have significantly elevated pulmonary arterial pressures as well as right ventricular hypertrophy and dysfunction.
“Children with sleep-disordered breathing have significantly elevated pulmonary arterial pressures as well as right ventricular hypertrophy and dysfunction (199).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [199]
Sleep-disordered breathing in children is associated with adverse cardiovascular effects including dysregulation of blood pressure and cardiac dysfunction.
“Sleep-disordered breathing in children is associated with adverse cardiovascular effects including dysregulation of blood pressure (196, 197) and cardiac dysfunction (198, 199).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [199]
These adverse cardiovascular effects appear to be reversible with treatment.
“Importantly, these adverse cardiovascular effects appear to be reversible with treatment (199).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [199]
Cites
Stroup, D. F. (2000) · JAMA · doi:10.1001/jama.283.15.2008 · Cited by 20,623 · see citing works
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993) · New England Journal of Medicine · doi:10.1056/nejm199304293281704 · Cited by 10,183 · see citing works
Sleep-disordered Breathing and Cardiovascular Disease
SHAHAR, E., WHITNEY, C. W., REDLINE, S., LEE, E. T., NEWMAN, A. B., JAVIER NIETO, F., O'CONNOR, G. T., BOLAND, L. L., SCHWARTZ, J. E., & SAMET, J. M. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.1.2001008 · Cited by 2,901 · see citing works
Chapter 9: Analysing Data and Undertaking Meta-Analyses
Deeks, J. J., Higgins, J. P. T., & Altman, D. G. (2008) · Cited by 2,782 · see citing works
Evaluation of the Quality of Prognosis Studies in Systematic Reviews
Hayden, J. A., Côté, P., & Bombardier, C. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-6-200603210-00010 · Cited by 1,452 · see citing works
Obstructive sleep apnoea syndrome
Lévy, P., Kohler, M., McNicholas, W. T., Barbé, F., McEvoy, R. D., Somers, V. K., Lavie, L., & Pépin, J.-L. (2015) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2015.15 · Cited by 1,235 · see citing works
Continuous positive airways pressure for obstructive sleep apnoea in adults
Giles, T., Lasserson, T., Smith, B., White, J., Wright, J., & Cates, C. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001106.pub2 · Cited by 1,001 · see citing works
Guilleminault, C., Connolly, S. J., & Winkle, R. A. (1983) · The American Journal of Cardiology · doi:10.1016/0002-9149(83)90013-9 · Cited by 928 · see citing works
Guilleminault, C., Eldridge, F. L., Simmons, F. B., & Dement, W. C. (1976) · PEDIATRICS · doi:10.1542/peds.58.1.23 · Cited by 568 · see citing works
O'Brien, L. M., Holbrook, C. R., Mervis, C. Β., Klaus, C. J., Bruner, J. L., Raffield, T. J., Rutherford, J., Mehl, R. C., Wang, M., Tuell, A., et al. (2003) · PEDIATRICS · doi:10.1542/peds.111.3.554 · Cited by 541 · see citing works
Neurobehavioral Implications of Habitual Snoring in Children
O'Brien, L. M., Mervis, C. Β., Holbrook, C. R., Bruner, J. L., Klaus, C. J., Rutherford, J., Raffield, T. J., & Gozal, D. (2004) · PEDIATRICS · doi:10.1542/peds.114.1.44 · Cited by 512 · see citing works
Blood Pressure in Children with Obstructive Sleep Apnea
Marcus, C. L., Greene, M. G., & Carroll, J. L. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.4.9704080 · Cited by 467 · see citing works
Amin, R. S., Kimball, T. R., Bean, J. A., Jeffries, J. L., Willging, J. P., Cotton, R. T., Witt, S. A., Glascock, B. J., & Daniels, S. R. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2105118 · Cited by 452 · see citing works
Continuous positive airways pressure for obstructive sleep apnoea in adults
Giles, T., Lasserson, T., Smith, B. J., White, J., Wright, J., & Cates, C. J. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001106.pub3 · Cited by 383 · see citing works
Sleep-disordered Breathing and Cardiovascular Disease
Punjabi, N. M., Newman, A. B., Young, T. B., Resnick, H. E., & SANDERS, M. H. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200712-1884oc · Cited by 377 · see citing works
Twenty-four-hour ambulatory blood pressure in children with sleep-disordered breathing
Amin, R. S., Carroll, J. L., Jeffries, J. L., Grone, C., Bean, J. A., Chini, B., Bokulic, R., & Daniels, S. R. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200309-1305oc · Cited by 354 · see citing works
Prevalence of Obstructive Sleep Apnea Syndrome in a Cohort of 1,207 Children of Southern Italy
Brunetti, L. M., Rana, S., Lospalluti, M. L., Pietrafesa, A., Francavilla, R., Fanelli, M., & Armenio, L. (2001) · CHEST Journal · doi:10.1378/chest.120.6.1930 · Cited by 336 · see citing works
Amin, R. S., Somers, V. K., McConnell, K. B., Willging, P., Myer, C. M., Sherman, M., McPhail, G. L., Morgenthal, A., Fenchel, M. C., Bean, J. A., et al. (2007) · Hypertension · doi:10.1161/hypertensionaha.107.099762 · Cited by 312 · see citing works
Ambulatory blood pressure in children with obstructive sleep apnoea: a community based study
Li, A. M., Au, C. T., Sung, R. Y. T., Ho, C. S., Ng, P. C., Fok, T. F., & Wing, Y. K. (2008) · Thorax · doi:10.1136/thx.2007.091132 · Cited by 252 · see citing works
Larkin, E. K., Rosen, C. L., Kirchner, H. L., Storfer-Isser, A., Emancipator, J. L., Johnson, N. L., Zambito, A. M. V., Tracy, R. P., Jenny, N. S., & Redline, S. (2005) · Circulation · doi:10.1161/01.cir.0000161819.76138.5e · Cited by 246 · see citing works
Hypoventilation and cor pulmonale due to chronic upper airway obstruction
Menashe, V. D., Farrehi, C., & Miller, M. J. (1965) · The Journal of Pediatrics · doi:10.1016/s0022-3476(65)80242-6 · Cited by 234 · see citing works
Pathophysiology of childhood obstructive sleep apnea: current concepts
Marcus, C. L. (2000) · Respiration Physiology · doi:10.1016/s0034-5687(99)00109-7 · Cited by 198 · see citing works
Enright, P., Goodwin, J. L., Sherrill, D. L., Quan, J. R., & Quan, S. F. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.9.901 · Cited by 170 · see citing works
Elevated Blood Pressure During Sleep and Wake in Children With Sleep-Disordered Breathing
Horne, R. S. C., Yang, J. S. C., Walter, L. M., Richardson, H. L., O’Driscoll, D. M., Foster, A. M., Wong, S. N., Ng, M., Bashir, F., Patterson, R., et al. (2011) · PEDIATRICS · doi:10.1542/peds.2010-3431 · Cited by 163 · see citing works
The AASM Scoring Manual Four Years Later
Grigg-Damberger, M. M. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.1928 · Cited by 160 · see citing works
Kheirandish-Gozal, L., Capdevila, O. S., Tauman, R., & Gozal, D. (2006) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26589 · Cited by 160 · see citing works
Twenty-Four–Hour Ambulatory BP in Snoring Children With Obstructive Sleep Apnea Syndrome
Leung, L. C. K., Ng, D. K., Lau, M. W., Chan, C., Kwok, K., Chow, P.-Y., & Cheung, J. M. Y. (2006) · CHEST Journal · doi:10.1016/s0012-3692(15)51134-3 · Cited by 159 · see citing works
Blood Pressure Associated With Sleep-Disordered Breathing in a Population Sample of Children
Bixler, E. O., Vgontzas, A. N., Lin, H.-M., Liao, D., Calhoun, S. L., Fedok, F. G., Vlašić, V., & Graff, G. R. (2008) · Hypertension · doi:10.1161/hypertensionaha.108.116756 · Cited by 155 · see citing works
Blood Pressure is Elevated in Children with Primary Snoring
Li, A. M., Au, C. T., Ho, C. K. W., Fok, T. F., & Wing, Y. K. (2009) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2009.03.041 · Cited by 137 · see citing works
Morning Levels of C-Reactive Protein in Children with Obstructive Sleep-disordered Breathing
Kaditis, A. G., Alexopoulos, E. Ι., Kalampouka, E., Kostadima, E., Germenis, A. E., Zintzaras, E., & Gourgoulianis, K. I. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200407-928oc · Cited by 134 · see citing works
Sleep-disordered breathing and cardiovascular disease
Phillips, B. A. (2005) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2004.09.007 · Cited by 130 · see citing works
Blood pressure in sleep disordered breathing
Kohyama, J. (2003) · Archives of Disease in Childhood · doi:10.1136/adc.88.2.139 · Cited by 128 · see citing works
Autonomic cardiovascular control in children with obstructive sleep apnea
Baharav, A., Kotagal, S., Rubin, B. K., Pratt, J., & Akselrod, S. (1999) · Clinical Autonomic Research · doi:10.1007/bf02318382 · Cited by 123 · see citing works
Doppler echocardiography in adenotonsillar hypertrophy
Miman, M. C., Kirazlı, T., & Özyürek, R. (2000) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(00)00338-4 · Cited by 106 · see citing works
Cor Pulmonale Due to Adenoidal or Tonsillar Hypertrophy or Both in Children
Sofer, S., Weinhouse, E., Tal, A., et al. (1988) · CHEST Journal · doi:10.1378/chest.93.1.119 · Cited by 100 · see citing works
Görür, K., Döven, O., Ünal, M., Akkuş, N., & Özcan, C. (2001) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(01)00449-9 · Cited by 98 · see citing works
Increased sympathetic activity in children with obstructive sleep apnea: Cardiovascular implications
O’Driscoll, D. M., Horne, R. S. C., Davey, M. J., Hope, S. A., Anderson, V. A., Trinder, J. C., WALKER, A. M., & Nixon, G. M. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2010.09.015 · Cited by 98 · see citing works
Obstructive Sleep Apnea Syndrome (OSAS) in Children: Diagnostic Challenges
ROSEN, C. L. (1996) · SLEEP · doi:10.1093/sleep/19.suppl_10.s274 · Cited by 92 · see citing works
Acute Cardiovascular Changes with Obstructive Events in Children with Sleep Disordered Breathing
O’Driscoll, D. M., Foster, A. M., Ng, M., Yang, J. S. C., Bashir, F., Nixon, G. M., Davey, M. J., Anderson, V. A., WALKER, A. M., Trinder, J. C., et al. (2009) · SLEEP · doi:10.1093/sleep/32.10.1265 · Cited by 90 · see citing works
Cor pulmonale secondary to tonsillar and adenoidal hypertrophy: management considerations
Brown, O. E., Manning, S. C., & Ridenour, B. (1988) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(98)90037-4 · Cited by 83 · see citing works
The effects of tonsillectomy and adenoidectomy on pulmonary arterial pressure in children
Yılmaz, M. D., Onrat, E., Altuntaş, A., et al. (2004) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2004.06.008 · Cited by 82 · see citing works
Changes in Heart Rate Variability After Adenotonsillectomy in Children With Obstructive Sleep Apnea
Muzumdar, H. V., Sin, S., Nikova, M., Gates, G. J., Kim, D., & Arens, R. (2010) · CHEST Journal · doi:10.1378/chest.10-1555 · Cited by 81 · see citing works
Overnight Change in Brain Natriuretic Peptide Levels in Children With Sleep-Disordered Breathing
Kaditis, A. G., Alexopoulos, E. Ι., Hatzi, F., Kostadima, E., Kiaffas, M. G., Zakynthinos, Ε., & Gourgoulianis, K. I. (2006) · CHEST Journal · doi:10.1378/chest.130.5.1377 · Cited by 80 · see citing works
Obstructed breathing in children during sleep monitored by echocardiography
Shiomi, T., Guilleminault, C., Stoohs, R. A., & Schnittger, I. (1993) · Acta Paediatrica · doi:10.1111/j.1651-2227.1993.tb17629.x · Cited by 75 · see citing works
Teo, D. T. W., & Mitchell, R. B. (2012) · Otolaryngology · doi:10.1177/0194599812463193 · Cited by 67 · see citing works
Autonomic Cardiovascular Tests in Children with Obstructive Sleep Apnea Syndrome
Montesano, M., Miano, S., Paolino, M. C., Massolo, A. C., Ianniello, F., Forlani, M., & Villa, M. P. (2010) · SLEEP · doi:10.1093/sleep/33.10.1349 · Cited by 64 · see citing works
Effect of upper airway obstruction on pulmonary arterial pressure in children
Naiboğlu, B., Deveci, H. S., Duman, D., Kaya, K. S., Toros, S. Z., Kınış, V., Sürmeli, M., Deveci, İ., & Gökçeer, T. (2008) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2008.06.005 · Cited by 61 · see citing works
Abnormal Blood Pressure in Prepubertal Children with Sleep-Disordered Breathing
Guilleminault, C., Khramsov, A., Stoohs, R. A., Kushida, C. A., Pelayo, R., Kreutzer, M. L., & Chowdhuri, S. (2003) · Pediatric Research · doi:10.1203/01.pdr.0000099791.39621.62 · Cited by 59 · see citing works
Uğur, M. B., Doğan, S. M., Söğüt, A., Uzun, L., Çınar, F., Altın, R., & Aydın, M. (2008) · ORL · doi:10.1159/000124295 · Cited by 47 · see citing works
Model-Based Assessment of Cardiovascular Autonomic Control in Children with Obstructive Sleep Apnea
Chaicharn, J., Lin, Z., Chen, M. L., Ward, S. L. D., Keens, T. G., & Khoo, M. C. K. (2009) · SLEEP · doi:10.1093/sleep/32.7.927 · Cited by 43 · see citing works
Comparison of blood pressure measurements in children with and without habitual snoring
Kaditis, A. G., Alexopoulos, E. Ι., Kostadima, E., Kaditis, D. G., Pastaka, C., Zintzaras, E., & Gourgoulianis, K. I. (2005) · Pediatric Pulmonology · doi:10.1002/ppul.20188 · Cited by 43 · see citing works
Reversible cardio-pulmonary changes due to adeno-tonsilar hypertrophy
Ramakrishna, S., Ingle, V., Patel, S., Bhat, P., Dada, J. E., Shah, F. A., & Murty, P. S. N. (2000) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/s0165-5876(00)00389-x · Cited by 37 · see citing works
Pediatric sleep disorders: new developments and evolving understanding
Anstead, M. (2000) · Current Opinion in Pulmonary Medicine · doi:10.1097/00063198-200011000-00007 · Cited by 37 · see citing works
Heart rate variability in childhood obstructive sleep apnea
Kwok, K., Yung, T., Ng, D. K., Chan, C., Lau, W.-F., & Fu, Y. (2011) · Pediatric Pulmonology · doi:10.1002/ppul.21268 · Cited by 33 · see citing works
Pac, A., Karadağ, A., Kurtaran, H., et al. (2005) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2004.11.023 · Cited by 32 · see citing works
ECG-derived cardiopulmonary analysis of pediatric sleep-disordered breathing
Guo, D., Peng, C., Wu, H., et al. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2010.09.011 · Cited by 31 · see citing works
Tezer, M. S., Karanfil, A., & Aktaş, D. (2005) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2005.01.001 · Cited by 27 · see citing works
Arterial alterations in severely obese children with obstructive sleep apnoea
Dubern, B., Aggoun, Y., Boulé, M., Fauroux, B., Bonnet, D., & Tounian, P. (2010) · International Journal of Pediatric Obesity · doi:10.3109/17477160903473705 · Cited by 27 · see citing works
Echocardiographic parameters in adolescents with sleep‐related breathing disorders
Sánchez‐Armengol, Á., Rodríguez-Puras, M. J., Fuentes‐Pradera, M. A., Quintana‐Gallego, E., Urbano, G. B., Cayuela, A., & Capote, F. (2003) · Pediatric Pulmonology · doi:10.1002/ppul.10303 · Cited by 26 · see citing works
Cardiac systolic function in Greek children with obstructive sleep-disordered breathing
Kaditis, A. G., Alexopoulos, E. Ι., Dalapascha, M., Papageorgiou, K., Kostadima, E., Kaditis, D. G., Gourgoulianis, K. I., & Zakynthinos, Ε. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.05.019 · Cited by 25 · see citing works
Kalra, M., Kimball, T. R., Daniels, S. R., LeMasters, G. K., Willging, P., Rutter, M. J., Witt, S. A., Glascock, B. J., & Amin, R. S. (2004) · Sleep Medicine · doi:10.1016/j.sleep.2004.10.004 · Cited by 24 · see citing works
Tonsil size as a predictor of cardiac complications in children with sleep‐disordered breathing
Granzotto, E. H., Aquino, F., Flores, J. A. M., et al. (2010) · The Laryngoscope · doi:10.1002/lary.20870 · Cited by 24 · see citing works
Baumert, M., Kohler, M. J., Kabir, M., Sanders, P., Kennedy, D., Martin, J. M., & Pamula, Y. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2010.07.018 · Cited by 21 · see citing works
What's new in pediatric obstructive sleep apnea
Bower, C. M., & Buckmiller, L. M. (2001) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/00020840-200112000-00003 · Cited by 21 · see citing works
SAHOS em crianças: perfil clínico e respiratório polissonográfico
Ramos, R. T. T., Daltro, C., Gregório, P. B., et al. (2006) · Revista Brasileira de Otorrinolaringologia · doi:10.1590/s0034-72992006000300010 · Cited by 16 · see citing works
QT dispersion in childhood obstructive sleep apnoea syndrome
Khositseth, A., Nantarakchaikul, P., Kuptanon, T., et al. (2010) · Cardiology in the Young · doi:10.1017/s1047951110001514 · Cited by 16 · see citing works
OSAS in children: clinical and polysomnographic respiratory profile
Ramos, R. T. T., Daltro, C., Gregório, P. B., et al. (2006) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/s1808-8694(15)30968-x · Cited by 16 · see citing works
Kaditis, A. G., Alexopoulos, E. Ι., Καραδόντα, Ι., Kostadima, E., Kiropoulos, T. S., Gourgoulianis, K. I., & Syrogiannopoulos, G. A. (2005) · Respiratory Medicine · doi:10.1016/j.rmed.2005.09.003 · Cited by 14 · see citing works
Moghaddam, Y. J., Bavil, S. H. G., & Abavisani, K. (2010) · Journal of the Saudi Heart Association · doi:10.1016/j.jsha.2010.10.003 · Cited by 13 · see citing works
Echocardiographic abnormalities in children with obstructive breathing disorders during sleep
Weber, S. A. T., Montovani, J. C., Matsubara, B. B., & Fioretto, J. R. (2007) · Jornal de Pediatria · doi:10.2223/jped.1720 · Cited by 11 · see citing works
Holter analyses in children with adenotonsillar hypertrophy
Yılmaz, F., Gündüz, H., Karaaslan, K., Arınç, H., Coşgun, M., Sessiz, N., & Uyan, C. (2006) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2006.03.005 · Cited by 10 · see citing works
Alterações ecocardiográficas em crianças com distúrbios respiratórios obstrutivos no sono
Weber, S. A. T., Montovani, J. C., Matsubara, B. B., & Fioretto, J. R. (2007) · Jornal de Pediatria · doi:10.1590/s0021-75572007000800007 · Cited by 7 · see citing works
Ödemiş, E., Çatal, F., Karadağ, A., et al. (2006) · PubMed · Cited by 4 · see citing works
Weller, D., Paditz, E., Rüdiger, H., et al. (2006) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1111/j.1439-054x.2006.00089.x · Cited by 3 · see citing works
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Sleep: important considerations for the prevention of cardiovascular disease
Grandner, M. A., Alfonso-Miller, P., Fernandez-Mendoza, J., Shetty, S., Shenoy, S., & Combs, D. (2016) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000324 · Cited by 166 · see citing works
- Authors
- Anna Theresa Weber, S., Pierri Carvalho, R., Ridley, G., Williams, K., & El Dib, R.
- Affiliations
- Sydney Children's Hospital (AU)
- Royal Children's Hospital (AU)
- ORCID
- Williams, Katrina
- Venue
- International Journal of Pediatric Otorhinolaryngology
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 78
- Issue
- 10
- Pages
- 1571-1578
- ISSN
- 0165-5876 (ISSN-L)
- OpenAlex
- W1994297374
- Cited by
- 30
- References
- 74
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 3 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Pediatric Otorhinolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Acervo Digital da Universidade Estadual Paulista (Universidade Estadual Paulista) (submittedVersion)
- UNESP Institutional Repository (São Paulo State University) (submittedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- obstructive sleep apnea, children, adenotonsillectomy, echocardiographic findings, pulmonary artery pressure, right ventricular hypertrophy, interventricular septum thickness, right ventricular size
- MeSH terms
- Adenoidectomy, Child, Echocardiography, Heart Septum, Humans, Hypertension, Pulmonary, Tonsillectomy, Hypertrophy, Right Ventricular, Sleep Apnea, Obstructive
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