Prevalence of obstructive sleep apnoea in acute coronary syndrome: Routine screening in intensive coronary care units

Morra, Sofia; Bughin, François; Solecki, Kamila; Mathieu, Abou-Badra
,; Lattuca, Benoît; Gouzi, Farès; Macia, Jean Christophe; Cung, Thien Tri; Cade, Stéphane; Cransac, F.; Davy, Jean‐Marc; Dauvilliers, Yves; Corrado, Domenico; Roubille, François

doi:10.1016/j.ancard.2017.04.018

Cited by 3 publications

(4 citation statements)

References 34 publications

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“…We found a high frequency of OSA in our sample assessed via polysomnography within one month of AMI, with 85% of patients having an AHI ≥ 5/h and 49% having moderate to severe OSA. These results were in agreement with the large prevalence of OSA in this condition [ 9 , 10 ]. Moreover, 40% of AMI patients displayed a ventricular remodeling characterized by an increase of ≥12% of LVEDV [ 19 ].…”

Section: Discussionsupporting

confidence: 90%

“…Identifying the risk factors of post-AMI ventricular remodeling is thus a critical step in research aiming to improve the patient’s prognosis in AMI. Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that increases the risk of cardiovascular diseases [ 7 , 8 ] which is very common in more than half of patients with AMI [ 9 , 10 ], and may be a risk factor of post-AMI ventricular remodeling.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study

Bughin

Kovacsik²,

Jaussent

et al. 2022

JCM

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Background: Obstructive sleep apnea syndrome (OSA) is common in patients with acute myocardial infarction (AMI). Whether OSA impacts on the ventricular remodeling post-AMI remains unclear. We compared cardiac ventricular remodeling in patients assessed by cardiac magnetic resonance (CMR) imaging at baseline and six months after AMI based on the presence and severity of OSA. Methods: This prospective study included 47 patients with moderate to severe AMI. They all underwent CMR at inclusion and at six months after an AMI, and a polysomnography was performed three weeks after AMI. Left and right ventricular remodeling parameters were compared between patients based on the AHI, AHI in REM and NREM sleep, oxygen desaturation index, and daytime sleepiness. Results: Of the 47 patients, 49% had moderate or severe OSA with an AHI ≥ 15/h. No differences were observed between these patients and those with an AHI < 15/h for left ventricular end-diastolic and end-systolic volumes at six months. No association was found for left and right ventricular remodeling parameters at six months or for the difference between baseline and six months with polysomnographic parameters of OSA severity, nor with daytime sleepiness. Conclusions: Although with a limited sample size, our proof-of-concept study does not report an association between OSA and ventricular remodeling in patients with AMI. These results highlight the complexity of the relationships between OSA and post-AMI morbi-mortality.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study

Bughin

Kovacsik²,

Jaussent

et al. 2022

JCM

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“…In heart failure patients, OSA was associated with a slight decrease in LVEF [34]. Morra et al reported a statistically significant inverse correlation between the AHI and LVEF [29]. Nakashima et al observed that in ACS patients with equivalent LVEF at baseline, after 21 days, the LVEF was significantly lower in patients with OSA vs. control subjects (52% vs. 59%; p < 0.02) [2,21].…”

Section: Left Ventricular Ejection Fraction (Lvef)mentioning

confidence: 98%

“…Of these patients prescribed CPAP, the compliance at 30-day follow-up was 45%. Compliance was associated with a reduced 30-day hospital readmission for cardiac issues compared to those who were non-compliant with CPAP (partial and no usage) [29]. After admission -PSG and CPAP prescribed.…”

Section: Cpap Usagementioning

confidence: 99%

Prevalence of Undiagnosed Obstructive Sleep Apnea Among Patients Hospitalized for Cardiovascular Disease and Associated In-Hospital Outcomes: A Scoping Review

Suen

Wong

Ryan

et al. 2020

JCM

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Background: Obstructive sleep apnea (OSA) is associated with long-term cardiovascular morbidity and is highly prevalent in patients with cardiovascular disease (CVD). The objectives of this scoping review were to determine the prevalence of OSA inpatients hospitalized for CVD and to map the range of in-hospital outcomes associated with OSA. Methods: We searched MEDLINE(R), Embase, and Cochrane Databases for articles published from 1946–2018. We included studies involving non-surgical adults with OSA or at high risk of OSA who were hospitalized for CVD. The outcomes were considered as in-hospital if they were collected from admission up to 30 days post-discharge from hospital. Results: After the screening of 4642 articles, 26 studies were included for qualitative synthesis. Eligible studies included patients presenting with acute coronary syndromes (n = 19), congestive heart failure (n = 6), or any cardiovascular disease (n = 1). The pooled prevalence of OSA in cardiac inpatients was 48% (95% CI: 42–53). The in-hospital outcomes reported were mortality (n = 4), length of stay (n = 8), left ventricular ejection fraction (n = 8), peak troponin (n = 7), peak B-type natriuretic peptide (n = 4), and composite cardiovascular complications (n = 2). Conclusions: OSA is highly prevalent in the cardiac inpatient population. The outcomes reported included mortality, cardiac function, cardiac biomarkers, and resource utilization. There are significant knowledge gaps regarding the effect of treatment and OSA severity on these outcomes. The findings from this review serve to inform further areas of research on the management of OSA among patients with CVD.

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Apnea del sueño. Un desafío en el cuidado crítico

Mendoza

Barajas²

2019

Acta Colombiana de Cuidado Intensivo

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Prevalence of obstructive sleep apnoea in acute coronary syndrome: Routine screening in intensive coronary care units

Abstract: A systematic screening of patients in the ICCU is acceptable. OSA is frequently found in the acute phase of ischaemic heart disease and its presence is associated with more severe ACS and a poorer left ventricle systolic function.

Cited by 3 publications

References 34 publications

Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study

Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study

Prevalence of Undiagnosed Obstructive Sleep Apnea Among Patients Hospitalized for Cardiovascular Disease and Associated In-Hospital Outcomes: A Scoping Review

Apnea del sueño. Un desafío en el cuidado crítico

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