Obstructive sleep apnea and the severity of coronary artery disease

Background: It has been implicated that obstructive sleep apnea (OSA) is associated with increased risk of cardiovascular disease including stroke, myocardial infarction, coronary artery disease (CAD) and hypertension. The aim of this study was to investigate the correlation between OSA and...

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Main Authors: Ali Vasheghani-Farahani, Fatemeh Kazemnejad, Khosro Sadeghniiat-Haghighi, Soleil Saadat, Parya Tavakoli poor, Tahereh Yazdani, Mohammad Alidoosti, Vahid Ghasem Amooeian, Haleh Ashraf
Format: Article
Language:English
Published: Babol University of Medical Sciences 2018-05-01
Series:Caspian Journal of Internal Medicine
Subjects:
Online Access:http://caspjim.com/browse.php?a_code=A-10-755-2&slc_lang=en&sid=1
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author Ali Vasheghani-Farahani
Fatemeh Kazemnejad
Khosro Sadeghniiat-Haghighi
Soleil Saadat
Parya Tavakoli poor
Tahereh Yazdani
Mohammad Alidoosti
Vahid Ghasem Amooeian
Haleh Ashraf
author_facet Ali Vasheghani-Farahani
Fatemeh Kazemnejad
Khosro Sadeghniiat-Haghighi
Soleil Saadat
Parya Tavakoli poor
Tahereh Yazdani
Mohammad Alidoosti
Vahid Ghasem Amooeian
Haleh Ashraf
author_sort Ali Vasheghani-Farahani
collection DOAJ
description Background: It has been implicated that obstructive sleep apnea (OSA) is associated with increased risk of cardiovascular disease including stroke, myocardial infarction, coronary artery disease (CAD) and hypertension. The aim of this study was to investigate the correlation between OSA and severity of atherosclerosis assessed by angiography. Methods: This study included 337 patients undergoing diagnostic coronary angiography at Tehran Heart Center, Iran. The Gensini score was obtained from each patient for coronary angiogram, and OSA were assessed by using Multivariable apnea prediction (MAP) risk index on the day of cardiac catheterization. The Gensini scores increased in accordance with increases in the MAP value. Results: The prevalence rates of three-vessel disease were 68.0% in OSA group and 32.0% in non-OSA group. The MAP index was the most significant independent determinant for the Gensini score. Conclusions: The independent association between OSA and CAD, even after adjustment for traditional confounders, suggests that, OSA should be taken into account when considering risk factors for CAD.
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spelling doaj.art-7b3bd6ba50524d4199ce88db870dc85c2022-12-21T19:11:37ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722018-05-0193276282Obstructive sleep apnea and the severity of coronary artery diseaseAli Vasheghani-Farahani0Fatemeh Kazemnejad1Khosro Sadeghniiat-Haghighi2Soleil Saadat3Parya Tavakoli poor4Tahereh Yazdani5Mohammad Alidoosti6Vahid Ghasem Amooeian7Haleh Ashraf8 Cardiac Primary Prevention Research Center (CPPRC), Tehran Heart Center, Tehran University of Medical Sciences Tehran, Iran Students' Scientific Research Center (SSRC), Cardiac primary prevention Research Center, Tehran University of Medical Sciences, Tehran, Iran Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran Sina trauma research center, Tehran University of Medical Sciences, Tehran, Iran Obesity Research Center, Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran Obesity Research Center, Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran Students' Scientific Research Center (SSRC), Cardiac primary prevention Research Center, Tehran University of Medical Sciences, Tehran, Iran Students' Scientific Research Center (SSRC), Cardiac primary prevention Research Center, Tehran University of Medical Sciences, Tehran, Iran Cardiac Primary Prevention Research Center (CPPRC), Tehran Heart Center, Tehran University of Medical Sciences Tehran, Iran Background: It has been implicated that obstructive sleep apnea (OSA) is associated with increased risk of cardiovascular disease including stroke, myocardial infarction, coronary artery disease (CAD) and hypertension. The aim of this study was to investigate the correlation between OSA and severity of atherosclerosis assessed by angiography. Methods: This study included 337 patients undergoing diagnostic coronary angiography at Tehran Heart Center, Iran. The Gensini score was obtained from each patient for coronary angiogram, and OSA were assessed by using Multivariable apnea prediction (MAP) risk index on the day of cardiac catheterization. The Gensini scores increased in accordance with increases in the MAP value. Results: The prevalence rates of three-vessel disease were 68.0% in OSA group and 32.0% in non-OSA group. The MAP index was the most significant independent determinant for the Gensini score. Conclusions: The independent association between OSA and CAD, even after adjustment for traditional confounders, suggests that, OSA should be taken into account when considering risk factors for CAD.http://caspjim.com/browse.php?a_code=A-10-755-2&slc_lang=en&sid=1Atherosclerosis coronary angiography coronary artery disease Gensini score Obstructive sleep apnea
spellingShingle Ali Vasheghani-Farahani
Fatemeh Kazemnejad
Khosro Sadeghniiat-Haghighi
Soleil Saadat
Parya Tavakoli poor
Tahereh Yazdani
Mohammad Alidoosti
Vahid Ghasem Amooeian
Haleh Ashraf
Obstructive sleep apnea and the severity of coronary artery disease
Caspian Journal of Internal Medicine
Atherosclerosis
coronary angiography
coronary artery disease
Gensini score
Obstructive sleep apnea
title Obstructive sleep apnea and the severity of coronary artery disease
title_full Obstructive sleep apnea and the severity of coronary artery disease
title_fullStr Obstructive sleep apnea and the severity of coronary artery disease
title_full_unstemmed Obstructive sleep apnea and the severity of coronary artery disease
title_short Obstructive sleep apnea and the severity of coronary artery disease
title_sort obstructive sleep apnea and the severity of coronary artery disease
topic Atherosclerosis
coronary angiography
coronary artery disease
Gensini score
Obstructive sleep apnea
url http://caspjim.com/browse.php?a_code=A-10-755-2&slc_lang=en&sid=1
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