High risk for obstructive sleep apnea in patients with acute myocardial infarction

Abstract

Objectives: to stratify the risk for obstructive sleep apnea in patients with acute myocardial infarction, treated at a public, tertiary, teaching hospital of the state of São Paulo, Brazil, and to identify related sociodemographic and clinical factors. Method: cross-sectional analytical study with 113 patients (mean age 59.57 years, 70.8% male). A specific questionnaire was used for the sociodemographic and clinical characterization and the Berlin Questionnaire for the stratification of the risk of obstructive sleep apnea syndrome. Results: the prevalence of high risk was 60.2% and the outcome of clinical worsening during hospitalization was more frequent among these patients. The factors related to high risk were body mass index over 30 kg/m2, arterial hypertension and waist circumference indicative of cardiovascular risk, while older age (60 years and over) constituted a protective factor. Conclusion: considering the high prevalence of obstructive sleep apnea and its relation to clinical worsening, it is suggested that nurses should monitor, in their clinical practice, people at high risk for this syndrome, guiding control measures of modifiable factors and aiming to prevent the associated complications, including worsening of cardiovascular diseases.

Role of sleep disorders in patients with cardiovascular disease: A systematic review

“…A total of 66795 references were identified in the two databases. After careful reading, 78 articles were included in this systemic review [ [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] , [72] , [73] , [74] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] ...…”

“… First author Publication year Country Study design CVD Sleep disorders Sample /Age (years) Sleep measurement Main findings Study quality assessment Coronary artery disease 1 Alonderis2020 [ 25 ] Lithuania Cross-sectional study CAD with LVEF≥ 50% SA N = 450 Polysomnography Up to 35% of coronary artery disease patients were likely to have undiagnosed sleep apnoea. Combie high quality AMI+SA+ N = 156/59.4 ± 9.2yrs AMI+SA- N = 294/56.1 ± 9.1yrs 2 Andrechuk2015 [ 26 ] Brazil Cross-sectional study AMI OSA N = 113/59.7 ± 12.3 yrs Berlin Questionnaire The high prevalence of obstructive sleep apnoea was 60.2% Combie high quality 3 Araújo2009 [ 31 ] Brazil Cross-sectional study CAD OSA N = 53 Polysomnography OSA was not related to myocardial ischemia, heart rate variability or arrhythmias in patients with SCAD. Combie high quality Control n = 23/57.47 ± 10.59yrs Apnea n = 30/59.00 ± 10.42yrs 4 Aronson2014 [ 27 ] …”

“…In this review, 22 studies [ [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ] focused on sleep disorders in patients with CAD. Three studies [ [25] , [26] , [27] ] reported a high prevalence of sleep disorders in patients with CAD. Patients with acute myocardial infarction (AMI) had a higher prevalence of OSA than those with stable CAD (64% vs. 35%).…”

Prevalência de alto risco para a síndrome da apneia obstrutiva do sono na população idosa residente na área rural de Rio Grande-RS

“…Embora seja um instrumento utilizado em estudos brasileiros 7,[30][31][32] , o QB foi validado apenas em Portugal 33 . Deste modo, ainda são necessários estudos de validação deste instrumento para o português brasileiro.…”