Predictors of Obstructive Sleep Apnoea (OSA) Population in the Coronary Angiogram Database of South Australia (CADOSA)
Autor: | Sharmalar Rajendran, Eng Lee Ooi, John F. Beltrame, Matthew I. Worthley, Rosanna Tavella, Christopher Zeitz, Tracy Air, Gnanadevan Mahadavan, Ajay Sinhal, Margaret Arstall |
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Rok vydání: | 2022 |
Předmět: |
Male
Population MEDLINE Coronary Artery Disease Disease 030204 cardiovascular system & hematology Coronary angiogram Coronary Angiography computer.software_genre Chest pain 03 medical and health sciences 0302 clinical medicine Risk Factors South Australia Prevalence Humans Medicine In patient Angina Stable 030212 general & internal medicine Risk factor education Male gender Sleep Apnea Obstructive education.field_of_study Database business.industry Australia General Medicine respiratory tract diseases medicine.symptom Cardiology and Cardiovascular Medicine business computer |
Zdroj: | Current Problems in Cardiology. 47:100846 |
ISSN: | 0146-2806 |
Popis: | Obstructive sleep apnoea (OSA) is increasingly recognized to be a risk factor for cardiovascular disease. This study assessed the prevalence and clinical predictors of OSA in patients undergoing coronary angiography. Consecutive patients undergoing coronary angiography in South Australian public hospitals from 2015 to 2018 were included. Clinical details for consecutive patients undergoing coronary angiography in South Australian public hospitals were captured by the Coronary Angiogram Database of South Australia (CADOSA) registry staff, with OSA identified by patient report. Among the 9,885 patients undergoing coronary angiography for the investigation of chest pain, 11% (n = 1,089) were documented as having OSA. Independent clinical predictors of OSA included male gender (OR 2.22, 1.86-2.65, P0.001), diabetes mellitus (OR 1.84, 1.58-2.14, P0.001), depression (OR 1.81, 1.55-2.12, P0.001), prior heart failure (OR 1.63, 1.22-2.18, P = 0.001), hypertension (OR 1.61, 1.32-1.95, P ≤ 0.001), asthma (OR 1.61, 1.34-1.93, P0.001), not a current smoker (OR 1.60, 1.30-1.96, P0.001), dyslipidaemia (OR 1.46, 1.22-1.76, P0.001), non-acute coronary syndrome presentation (OR 1.45, 1.25-1.69, P0.001), chronic lung disease (OR 1.40, 1.12-1.73, P = 0.003), cerebrovascular disease (OR 1.36, 1.07-1.73, P = 0.012), non-obstructive coronary artery disease (NOCAD) (OR 1.30, 1.10-1.55, P = 0.003) and atrial fibrillation/flutter (OR 1.30, 1.06-1.60, P = 0.012). Finally, stable angina (32.1% vs 22.7%) and NOCAD (29.1% vs 26.3%, P = 0.051) were trended more common in patients with OSA versus no OSA. In addition to established risk factors for OSA, this study found NOCAD to be independent predictor of OSA; especially in those presenting with a stable angina presentation. This suggests that coronary vasomotor disorders may be associated with OSA, although further detailed studies are required. |
Databáze: | OpenAIRE |
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