Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome

Objectives: Obstructive sleep apnea syndrome is associated with cardiovascular diseases. Mean platelet volume has emerged as a marker of prothrombotic conditions and cardiovascular risk. The aim of this study was to investigate the association between the mean platelet volume and cardiovascular dise...

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Main Authors: Souha Kallel, Khouloud Kchaou, Ines Kharrat, Mohamed Amin Chaabouni, Sirine Ayedi, Ilhem Charfeddine
Format: Article
Language:English
Published: SAGE Publishing 2023-06-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121231181634
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author Souha Kallel
Khouloud Kchaou
Ines Kharrat
Mohamed Amin Chaabouni
Sirine Ayedi
Ilhem Charfeddine
author_facet Souha Kallel
Khouloud Kchaou
Ines Kharrat
Mohamed Amin Chaabouni
Sirine Ayedi
Ilhem Charfeddine
author_sort Souha Kallel
collection DOAJ
description Objectives: Obstructive sleep apnea syndrome is associated with cardiovascular diseases. Mean platelet volume has emerged as a marker of prothrombotic conditions and cardiovascular risk. The aim of this study was to investigate the association between the mean platelet volume and cardiovascular diseases in patients with obstructive sleep apnea syndrome. Methods: The medical records of 207 patients were analyzed. Obstructive sleep apnea syndrome was diagnosed by polygraphy, and patients were classified according to apnea–hypopnea index: control group: individuals with simple snoring (apnea–hypopnea index < 5), mild obstructive sleep apnea syndrome group (5 ⩽ apnea–hypopnea index < 15), moderate obstructive sleep apnea syndrome group (15 ⩽ apnea–hypopnea index < 30), and severe obstructive sleep apnea syndrome group (apnea–hypopnea index ⩾ 30). Mean platelet volume was obtained from medical records. Cardiovascular diseases were defined if patients had hypertension, heart failure, coronary artery disease, or arrythmia. The independent predictors related to cardiovascular diseases in obstructive sleep apnea syndrome were determined by using multiple logistic regression analysis. Results: Of the patients, 175 were included in the analysis. Sixty-three (36%) were males and 112 (64%) were females. The mean age was 51.85 ± 11 years. There were, 26 (14.9%), 53 (30.3%), 38 (21.7%), and 58 (33.1%) participants in the simple snoring, mild, moderate, and severe obstructive sleep apnea syndrome groups, respectively. Cardiovascular diseases were significantly different between the four groups ( p  = 0.014). Mean platelet volume in severe obstructive sleep apnea syndrome group was significantly higher than in mild or moderate obstructive sleep apnea syndrome group and simple snoring group ( p  < 0.05). Moreover, there was a positive correlation between mean platelet volume levels and apnea–hypopnea index ( r  = 0.424; p  < 0.001). The independent predictors of cardiovascular diseases in obstructive sleep apnea syndrome were age ( p  < 0.001; odds ratio = 1.134; confidence interval: 1.072–1.2), body mass index ( p  = 0.012; odds ratio: 1.105; confidence interval: 1.022–1.194), and mean platelet volume ( p  < 0.001; odds ratio: 2.092; confidence interval: 1.386–3.158). Conclusion: The present study demonstrated that there is an association between mean platelet volume levels and cardiovascular diseases in patients with obstructive sleep apnea syndrome.
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spelling doaj.art-5d0a85199b8447bbb52c04899ce8f4c82023-06-22T16:33:28ZengSAGE PublishingSAGE Open Medicine2050-31212023-06-011110.1177/20503121231181634Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndromeSouha KallelKhouloud KchaouInes KharratMohamed Amin ChaabouniSirine AyediIlhem CharfeddineObjectives: Obstructive sleep apnea syndrome is associated with cardiovascular diseases. Mean platelet volume has emerged as a marker of prothrombotic conditions and cardiovascular risk. The aim of this study was to investigate the association between the mean platelet volume and cardiovascular diseases in patients with obstructive sleep apnea syndrome. Methods: The medical records of 207 patients were analyzed. Obstructive sleep apnea syndrome was diagnosed by polygraphy, and patients were classified according to apnea–hypopnea index: control group: individuals with simple snoring (apnea–hypopnea index < 5), mild obstructive sleep apnea syndrome group (5 ⩽ apnea–hypopnea index < 15), moderate obstructive sleep apnea syndrome group (15 ⩽ apnea–hypopnea index < 30), and severe obstructive sleep apnea syndrome group (apnea–hypopnea index ⩾ 30). Mean platelet volume was obtained from medical records. Cardiovascular diseases were defined if patients had hypertension, heart failure, coronary artery disease, or arrythmia. The independent predictors related to cardiovascular diseases in obstructive sleep apnea syndrome were determined by using multiple logistic regression analysis. Results: Of the patients, 175 were included in the analysis. Sixty-three (36%) were males and 112 (64%) were females. The mean age was 51.85 ± 11 years. There were, 26 (14.9%), 53 (30.3%), 38 (21.7%), and 58 (33.1%) participants in the simple snoring, mild, moderate, and severe obstructive sleep apnea syndrome groups, respectively. Cardiovascular diseases were significantly different between the four groups ( p  = 0.014). Mean platelet volume in severe obstructive sleep apnea syndrome group was significantly higher than in mild or moderate obstructive sleep apnea syndrome group and simple snoring group ( p  < 0.05). Moreover, there was a positive correlation between mean platelet volume levels and apnea–hypopnea index ( r  = 0.424; p  < 0.001). The independent predictors of cardiovascular diseases in obstructive sleep apnea syndrome were age ( p  < 0.001; odds ratio = 1.134; confidence interval: 1.072–1.2), body mass index ( p  = 0.012; odds ratio: 1.105; confidence interval: 1.022–1.194), and mean platelet volume ( p  < 0.001; odds ratio: 2.092; confidence interval: 1.386–3.158). Conclusion: The present study demonstrated that there is an association between mean platelet volume levels and cardiovascular diseases in patients with obstructive sleep apnea syndrome.https://doi.org/10.1177/20503121231181634
spellingShingle Souha Kallel
Khouloud Kchaou
Ines Kharrat
Mohamed Amin Chaabouni
Sirine Ayedi
Ilhem Charfeddine
Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
SAGE Open Medicine
title Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
title_full Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
title_fullStr Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
title_full_unstemmed Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
title_short Association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
title_sort association between mean platelet volume and cardiovascular disease in obstructive sleep apnea syndrome
url https://doi.org/10.1177/20503121231181634
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