Pericardial Effusion in Obstructive Sleep Apnea without Pulmonary Arterial Hypertension and Daily Hypoxemia - is it Unusual?
| Autor: | Ognian Georgiev, Ventsislava Pencheva, Nikolay Margaritov Runev, Daniela Stoychkova Petrova, Stefan Naydenov, Emil Ivanov Manov |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Hypertension Pulmonary lcsh:Medicine Comorbidity Polysomnography Pericardial effusion Hypoxemia Internal medicine medicine Humans Obesity Hypoxia obstructive sleep apnea Chicago Sleep Apnea Obstructive Lung medicine.diagnostic_test business.industry lcsh:R General Medicine Middle Aged medicine.disease Pulmonary hypertension pericardial effusion respiratory tract diseases Obstructive sleep apnea Cross-Sectional Studies medicine.anatomical_structure Effusion Cardiology Original Article Female Obesity obstructive sleep apnea pericardial effusion medicine.symptom business Nephrotic syndrome |
| Zdroj: | Volume: 35, Issue: 3 233-237 Balkan Medical Journal Balkan Medical Journal, Vol 35, Iss 3, Pp 233-237 (2018) |
| ISSN: | 2146-3131 2146-3123 |
| DOI: | 10.4274/balkanmedj.2017.0580 |
| Popis: | Background: Pericardial effusion in chronic hypoxemic lung diseases, such as Obstructive Sleep Apnea syndrome, usually occurs after the development of severe pulmonary arterial hypertension. However, data about the frequency of pericardial effusions in Obstructive Sleep Apnea syndrome without pulmonary arterial hypertension and/or daytime hypoxemia are still scarce, and their pathogenesis is unclear.Aims: To assess the prevalence of pericardial effusions and their volume and location in patients with obesity and Obstructive Sleep Apnea syndrome without pulmonary arterial hypertension and/or hypoxemia.Study Design: Cross-sectional study. Methods: We included 279 consecutive patients (162 males) with newly diagnosed Obstructive Sleep Apnea syndrome having a mean age of 42.8±12.4 years and a mean body mass index of 37.3±7.8 kg/m2. Obstructive Sleep Apnea syndrome was confirmed by polysomnography. Main exclusion criteria were concomitant inflammatory diseases, thyroid dysfunction, daytime hypoxemia, nephrotic syndrome, left ventricular systolic dysfunction and pulmonary arterial hypertension.Results: Pericardial effusion was found in 102 (36.56%) -all of them with moderate to severe obstructive Sleep Apnea syndrome. The mean effusion volume was mild to moderate (up to 250 mL). In 36 patients (35.3%) the pericardial effusion was diffuse, in 42 (41.2%), the pericardial effusion was located in front of the right atrium and the right ventricle, and in 24 (23.5%) the pericardial effusion was situated in front of the right cardiac cavities and the left atrium. We found a significant positive correlation between the presence of pericardial effusion and apnea-hypopnea index (r=0.374, p |
| Databáze: | OpenAIRE |
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