Apnea obstructiva del sueño y cardiopatía isquémica. Las evidencias de su relación

González-Pliego, José Angel; Hernández-Gordillo, Daniel; Castañeda-Barragán, Edgar; García-Lamas, Leopoldo; Guzmán-Sánchez, César Manuel

doi:10.1016/j.acmx.2014.05.006

Cited by 1 publication

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References 63 publications

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“…Likewise, it was evident that in the group of patients with severe OSA, there were a greater number of patients with AHT. The relationship between OSA and AHT has been reported previously, and in accordance with the results, González-Pliego et al [ 36 ] reported the coexistence between OSA and AHT, relating OSA as one of the most common causes of secondary AHT. Likewise, Latorre et al [ 23 ] and Rimoldi et al [ 37 ] reported an association between AHT and OSA.…”

Section: Discussionsupporting

confidence: 86%

Relationship of obstructive sleep apnea with periodontal condition and its local and systemic risk factors

et al. 2023

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Objective Obstructive sleep apnea (OSA) and periodontitis share risk factors, such as age, obesity, stress, and cardiovascular events, which have a bidirectional cause-effect relationship through systemic inflammation. Our objective was to determine the relationship between OSA and the periodontal condition and its associated local and systemic risk factors. Material and methods This was an observational case-control study involving 60 patients. Local oral risk factors and the systemic condition of each patient were evaluated. All patients underwent polysomnography for the diagnosis of OSA. Chi-squared, one-way ANOVA, and Bonferroni’s tests were performed. Results A higher percentage of patients with periodontitis had severe OSA (66.66%); however, no statistically significant association was found between the two pathologies (p = 0.290). In terms of systemic risk factors, an association was found between arterial hypertension and severe OSA (p = 0.038), and in terms of local factors, an association was found between the use of removable prostheses and severe OSA (p = 0.0273). Conclusion In the general population, patients with periodontitis showed a higher prevalence of severe OSA. Obesity and hypothyroidism were the most prevalent systemic findings in patients with OSA and periodontitis. Arterial hypertension and osteoarthritis were found to be associated with severe OSA. The local risk factors associated with periodontitis and severe OSA were removable partial dentures and misfit resins. Clinical relevance To study the factors that can facilitate the progression of OSA and periodontitis, physicians and dentists should be advised to provide comprehensive care for patients with both pathologies.

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Section: Discussionsupporting

confidence: 86%