Screening for obstructive sleep apnea before coronary angiography
Abstract Introduction The prevalence of obstructive sleep apnea (OSA) in patients with suspected coronary heart disease (CHD) is yet to be clarified. This study aimed to investigate the prevalence of OSA before coronary angiography (CAG). Methods We retrospectively evaluated patients with suspected...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | The Clinical Respiratory Journal |
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| Online Access: | https://doi.org/10.1111/crj.13556 |
| _version_ | 1828068339459555328 |
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| author | Guo Pei Qiong Ou Yongchi Chen Yanxia Xu Jiaoying Tan |
| author_facet | Guo Pei Qiong Ou Yongchi Chen Yanxia Xu Jiaoying Tan |
| author_sort | Guo Pei |
| collection | DOAJ |
| description | Abstract Introduction The prevalence of obstructive sleep apnea (OSA) in patients with suspected coronary heart disease (CHD) is yet to be clarified. This study aimed to investigate the prevalence of OSA before coronary angiography (CAG). Methods We retrospectively evaluated patients with suspected CHD admitted to the Department of Geriatric Cardiology of our hospital between July 2019 and July 2021. OSA was screened using the level III home sleep apnea test before CAG. The prevalence of OSA was then compared between the CHD and non‐CHD groups. CHD severity was determined using the Gensini score of CAG results, and OSA severity was graded using the apnea‐hypopnea index (AHI). Results Among the 327 patients, 211 had CHD. In total, 264 patients were diagnosed with OSA (80.7%) (184 patients, CHD group [87.2%]; 80 patients, non‐CHD group [69.0%]). The CHD group had a significantly higher prevalence of OSA (P < 0.01) and higher AHI (CHD group 18.76 ± 14.94, non‐CHD group 11.56 ± 10.67, P < 0.01). The Gensini score was positively correlated with OSA severity in patients with CHD, and AHI ≥ 20 was a risk factor for CHD (odds ratio: 1.961, 95% confidence interval: 1.065–3.608, P < 0.05). Conclusion OSA screening before CAG revealed a higher prevalence in CHD patients than in non‐CHD patients. The degree of coronary artery obstruction is positively correlated with AHI, and AHI ≥ 20 is a risk factor for CHD. Therefore, attention should be paid to OSA screening and management before CAG in patients with suspected CHD. |
| first_indexed | 2024-04-11T00:01:13Z |
| format | Article |
| id | doaj.art-849a2c4f2a9a4d7294fabd0a5435d765 |
| institution | Directory Open Access Journal |
| issn | 1752-6981 1752-699X |
| language | English |
| last_indexed | 2024-04-11T00:01:13Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Clinical Respiratory Journal |
| spelling | doaj.art-849a2c4f2a9a4d7294fabd0a5435d7652023-01-10T03:15:15ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-01-01171131910.1111/crj.13556Screening for obstructive sleep apnea before coronary angiographyGuo Pei0Qiong Ou1Yongchi Chen2Yanxia Xu3Jiaoying Tan4Department of Sleep Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangdong Provincial Geriatrics Institute Guangzhou ChinaDepartment of Sleep Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangdong Provincial Geriatrics Institute Guangzhou ChinaGeriatric Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangdong Provincial Geriatrics Institute Guangzhou ChinaDepartment of Sleep Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangdong Provincial Geriatrics Institute Guangzhou ChinaDepartment of Sleep Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangdong Provincial Geriatrics Institute Guangzhou ChinaAbstract Introduction The prevalence of obstructive sleep apnea (OSA) in patients with suspected coronary heart disease (CHD) is yet to be clarified. This study aimed to investigate the prevalence of OSA before coronary angiography (CAG). Methods We retrospectively evaluated patients with suspected CHD admitted to the Department of Geriatric Cardiology of our hospital between July 2019 and July 2021. OSA was screened using the level III home sleep apnea test before CAG. The prevalence of OSA was then compared between the CHD and non‐CHD groups. CHD severity was determined using the Gensini score of CAG results, and OSA severity was graded using the apnea‐hypopnea index (AHI). Results Among the 327 patients, 211 had CHD. In total, 264 patients were diagnosed with OSA (80.7%) (184 patients, CHD group [87.2%]; 80 patients, non‐CHD group [69.0%]). The CHD group had a significantly higher prevalence of OSA (P < 0.01) and higher AHI (CHD group 18.76 ± 14.94, non‐CHD group 11.56 ± 10.67, P < 0.01). The Gensini score was positively correlated with OSA severity in patients with CHD, and AHI ≥ 20 was a risk factor for CHD (odds ratio: 1.961, 95% confidence interval: 1.065–3.608, P < 0.05). Conclusion OSA screening before CAG revealed a higher prevalence in CHD patients than in non‐CHD patients. The degree of coronary artery obstruction is positively correlated with AHI, and AHI ≥ 20 is a risk factor for CHD. Therefore, attention should be paid to OSA screening and management before CAG in patients with suspected CHD.https://doi.org/10.1111/crj.13556coronary angiographycoronary diseaseearly screeningobstructive sleep apneasleep monitoring |
| spellingShingle | Guo Pei Qiong Ou Yongchi Chen Yanxia Xu Jiaoying Tan Screening for obstructive sleep apnea before coronary angiography The Clinical Respiratory Journal coronary angiography coronary disease early screening obstructive sleep apnea sleep monitoring |
| title | Screening for obstructive sleep apnea before coronary angiography |
| title_full | Screening for obstructive sleep apnea before coronary angiography |
| title_fullStr | Screening for obstructive sleep apnea before coronary angiography |
| title_full_unstemmed | Screening for obstructive sleep apnea before coronary angiography |
| title_short | Screening for obstructive sleep apnea before coronary angiography |
| title_sort | screening for obstructive sleep apnea before coronary angiography |
| topic | coronary angiography coronary disease early screening obstructive sleep apnea sleep monitoring |
| url | https://doi.org/10.1111/crj.13556 |
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