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Borsini E, Blanco M, Bosio M, Schrappe M, Ernst G, Nosetto D, Gaggioli N, Salvado A, Manuale O, Schiavone M. Prevalence of sleep apnea and cardiovascular risk factors in patients with hypertension in a day hospital model. Clin Exp Hypertens 2017; 40:231-237. [PMID: 28872361 DOI: 10.1080/10641963.2017.1356841] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
INTRODUCTION To identify patients at risk for obstructive sleep apnea (OSA) syndrome at a specialized hypertension center, we administered questionnaires and used respiratory polygraphy (RP). RESULTS We studied 168 patients (64.8% men and 35.2% women). Patients' body mass index (BMI) was 34.7 ± 6.79 and Epworth Sleepiness Scale (ESS) scores were 8.01 for male and 8.92 for women (p = 0.69). RP recordings revealed AHI (Apnea-Hypopnea Index) of 18.03 ± 15.7, an ODI (Oxygen Desaturation Index) of 18.6 ± 15.2, and a time oxygen saturation <90% (%) of 20.8 ± 24.3. Around 44% of patients had an AHI of >15 events/h, and continuous positive airway pressure (CPAP) was recommended to 69 patients (41.07%). Pulse wave velocity (PWV) showed high values in AHI > 15/h (p = 0.050), and carotid intima-media thickness (IMT) did not correlate with AHI > 15; right IMT: 0.83 ± 1.3 versus 0.78 ± 0.13 mm (p = 0.41) and 0.82 ± 0.16 versus 0.78 ± 0.19 mm (p = 0.40). However, we find correlation with carotid plaque (p = 0.046). The ACC/AHA calculator revealed a gradual increase in the risk of cardiovascular events: 8.7% with AHI < 5/h, and 30.3% in severe OSA. CONCLUSIONS In hypertension (HT) patients, RP revealed a high prevalence of OSA associated with carotid artery disease, high PWV, and increased cardiovascular risk.
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Affiliation(s)
- Eduardo Borsini
- a Respiratory Medicine Service , Hospital Británico , Buenos Aires , Argentina.,b Argentine Research Group for Sleep Apnea (GAIAS) , Buenos Aires , Argentina
| | - Magalí Blanco
- a Respiratory Medicine Service , Hospital Británico , Buenos Aires , Argentina
| | - Martín Bosio
- c Hypertension Section, Cardiology Service , Hospital Británico , Buenos Aires , Argentina
| | - Marcela Schrappe
- c Hypertension Section, Cardiology Service , Hospital Británico , Buenos Aires , Argentina
| | - Glenda Ernst
- a Respiratory Medicine Service , Hospital Británico , Buenos Aires , Argentina.,b Argentine Research Group for Sleep Apnea (GAIAS) , Buenos Aires , Argentina
| | - Daniela Nosetto
- c Hypertension Section, Cardiology Service , Hospital Británico , Buenos Aires , Argentina
| | - Nazarena Gaggioli
- a Respiratory Medicine Service , Hospital Británico , Buenos Aires , Argentina
| | - Alejandro Salvado
- a Respiratory Medicine Service , Hospital Británico , Buenos Aires , Argentina
| | - Osvaldo Manuale
- c Hypertension Section, Cardiology Service , Hospital Británico , Buenos Aires , Argentina
| | - Miguel Schiavone
- c Hypertension Section, Cardiology Service , Hospital Británico , Buenos Aires , Argentina
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Hypertension and sleep apnea–hypopnea syndrome: changes in echocardiographic abnormalities depending on the presence of hypertension and treatment with CPAP. Sleep Med 2009; 10:344-52. [DOI: 10.1016/j.sleep.2008.03.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2007] [Revised: 01/31/2008] [Accepted: 03/16/2008] [Indexed: 11/22/2022]
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Moro JA, Almenar L, Fernández-Fabrellas E, Ponce S, Blanquer R, Salvador A. Disfunción miocárdica silente en pacientes con síndrome de apneas-hipopneas durante el sueño. Valor del índice de rendimiento miocárdico. Arch Bronconeumol 2008. [DOI: 10.1016/s0300-2896(08)72105-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Moro JA, Almenar L, Fernández-Fabrellas E, Ponce S, Blanquer R, Salvador A. Análisis de las alteraciones ecocardiográficas del síndrome de apneas e hipopneas del sueño y su modificación con la presencia de hipertensión arterial. Rev Esp Cardiol 2008. [DOI: 10.1157/13114957] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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