Prevalence of sleep apnea and cardiovascular risk factors in patients with hypertension in a day hospital model
| Autor: | Martín Bosio, Glenda Ernst, Eduardo Borsini, Miguel Ángel Schiavone, Nazarena Gaggioli, Daniela Nosetto, Marcela Schrappe, Magali Blanco, Alejandro Salvado, Osvaldo Manuale |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Physiology Polysomnography Cardiovascular risk factors Pulse Wave Analysis 030204 cardiovascular system & hematology Carotid Intima-Media Thickness Models Biological Severity of Illness Index Respiratory polygraphy Body Mass Index 03 medical and health sciences 0302 clinical medicine Risk Factors Surveys and Questionnaires Prevalence Internal Medicine medicine Humans Stop bang In patient Risk factor Intensive care medicine Aged Sleep Apnea Obstructive Continuous Positive Airway Pressure business.industry Sleep apnea General Medicine Middle Aged medicine.disease Plaque Atherosclerotic respiratory tract diseases Obstructive sleep apnea Hypertension Female Day hospital business 030217 neurology & neurosurgery |
| Zdroj: | Clinical and Experimental Hypertension. 40:231-237 |
| ISSN: | 1525-6006 1064-1963 |
| DOI: | 10.1080/10641963.2017.1356841 |
| Popis: | To identify patients at risk for obstructive sleep apnea (OSA) syndrome at a specialized hypertension center, we administered questionnaires and used respiratory polygraphy (RP).We studied 168 patients (64.8% men and 35.2% women). Patients' body mass index (BMI) was 34.7 ± 6.79 and Epworth Sleepiness Scale (ESS) scores were 8.01 for male and 8.92 for women (p = 0.69). RP recordings revealed AHI (Apnea-Hypopnea Index) of 18.03 ± 15.7, an ODI (Oxygen Desaturation Index) of 18.6 ± 15.2, and a time oxygen saturation90% (%) of 20.8 ± 24.3. Around 44% of patients had an AHI of15 events/h, and continuous positive airway pressure (CPAP) was recommended to 69 patients (41.07%). Pulse wave velocity (PWV) showed high values in AHI15/h (p = 0.050), and carotid intima-media thickness (IMT) did not correlate with AHI15; right IMT: 0.83 ± 1.3 versus 0.78 ± 0.13 mm (p = 0.41) and 0.82 ± 0.16 versus 0.78 ± 0.19 mm (p = 0.40). However, we find correlation with carotid plaque (p = 0.046). The ACC/AHA calculator revealed a gradual increase in the risk of cardiovascular events: 8.7% with AHI5/h, and 30.3% in severe OSA.In hypertension (HT) patients, RP revealed a high prevalence of OSA associated with carotid artery disease, high PWV, and increased cardiovascular risk. |
| Databáze: | OpenAIRE |
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