Study of the obstructive sleep apnea syndrome in cerebral infarction patients

IntroductionObstructive Sleep Apnea Syndrome (OSAS) is the most common respiratory disorder during sleep. Many studies have shown an association between obstructive sleep apnea syndrome and stroke, and OSAS has not been adequately considered in Vietnam compared to the actual clinical dangers. This s...

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Main Authors: Tien Hoang-Anh, Quy Duong-Minh, Nhi Nguyen-Thi-Y, Sy Duong-Quy
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1132014/full
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author Tien Hoang-Anh
Quy Duong-Minh
Nhi Nguyen-Thi-Y
Sy Duong-Quy
Sy Duong-Quy
Sy Duong-Quy
author_facet Tien Hoang-Anh
Quy Duong-Minh
Nhi Nguyen-Thi-Y
Sy Duong-Quy
Sy Duong-Quy
Sy Duong-Quy
author_sort Tien Hoang-Anh
collection DOAJ
description IntroductionObstructive Sleep Apnea Syndrome (OSAS) is the most common respiratory disorder during sleep. Many studies have shown an association between obstructive sleep apnea syndrome and stroke, and OSAS has not been adequately considered in Vietnam compared to the actual clinical dangers. This study aims to assess the prevalence and general characteristics of obstructive sleep apnea syndrome in patients with cerebral infarction and investigate the relationship between obstructive sleep apnea syndrome and the severity of cerebral infarction.MethodsDescriptive cross-sectional study. We identified 56 participants from August 2018 to July 2019. Subacute infarcts were identified by neuroradiologists. For each participant, vascular risk factors, medications, clinical symptoms, and neurological examination were abstracted from the medical record. Patients were taken for history and clinical examination. The patients were divided into two groups according to their AHI (Apnea-Hypopnea Index) (<5 and ≥5).ResultsA total of 56 patients were registered for the study. The mean age is 67.70 ± 11.07. The proportion of men is 53.6%. AHI has a positive correlation with neck circumference (r = 0.4), BMI (r = 0.38), the Epworth Sleepiness Scale (r = 0.61), LDL cholesterol (r = 0.38), the Modified Rankin Scale (r = 0.49), NIHSS (National Institutes of Health Stroke Scale) (r = 0.53), and an inverse correlation with SpO2 (r = 0.61).ConclusionObstructive sleep apnea Syndrome is a factor in the prognosis of cerebral infarction as well as cardiovascular diseases such as hypertension. Thus, understanding the risk of stroke in people with sleep apnea is necessary and working with a doctor to diagnose and treat sleep apnea is important.
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spelling doaj.art-aeac0cd4789144a1beade4878acd318b2023-06-21T09:29:19ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-06-011410.3389/fneur.2023.11320141132014Study of the obstructive sleep apnea syndrome in cerebral infarction patientsTien Hoang-Anh0Quy Duong-Minh1Nhi Nguyen-Thi-Y2Sy Duong-Quy3Sy Duong-Quy4Sy Duong-Quy5Cardiology Department of University of Medicine and Pharmacy, Hue University, Hue, VietnamCardiology Department of University of Medicine and Pharmacy, Hue University, Hue, VietnamCardiology Department of University of Medicine and Pharmacy, Hue University, Hue, VietnamSleep Lab Center, Lam Dong Medical College and Bio-Medical Research Center, Dalat, VietnamImmuno-Allergology Division, Hershey Medical Center, Penn State Medical College, Hershey, PA, United StatesDepartment of Outpatient Expert Consultation, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamIntroductionObstructive Sleep Apnea Syndrome (OSAS) is the most common respiratory disorder during sleep. Many studies have shown an association between obstructive sleep apnea syndrome and stroke, and OSAS has not been adequately considered in Vietnam compared to the actual clinical dangers. This study aims to assess the prevalence and general characteristics of obstructive sleep apnea syndrome in patients with cerebral infarction and investigate the relationship between obstructive sleep apnea syndrome and the severity of cerebral infarction.MethodsDescriptive cross-sectional study. We identified 56 participants from August 2018 to July 2019. Subacute infarcts were identified by neuroradiologists. For each participant, vascular risk factors, medications, clinical symptoms, and neurological examination were abstracted from the medical record. Patients were taken for history and clinical examination. The patients were divided into two groups according to their AHI (Apnea-Hypopnea Index) (<5 and ≥5).ResultsA total of 56 patients were registered for the study. The mean age is 67.70 ± 11.07. The proportion of men is 53.6%. AHI has a positive correlation with neck circumference (r = 0.4), BMI (r = 0.38), the Epworth Sleepiness Scale (r = 0.61), LDL cholesterol (r = 0.38), the Modified Rankin Scale (r = 0.49), NIHSS (National Institutes of Health Stroke Scale) (r = 0.53), and an inverse correlation with SpO2 (r = 0.61).ConclusionObstructive sleep apnea Syndrome is a factor in the prognosis of cerebral infarction as well as cardiovascular diseases such as hypertension. Thus, understanding the risk of stroke in people with sleep apnea is necessary and working with a doctor to diagnose and treat sleep apnea is important.https://www.frontiersin.org/articles/10.3389/fneur.2023.1132014/fullobstructive sleep apnea syndrome (OSAS)OSAapnea-hypopnea index (AHI)strokerespiratory polygraphy
spellingShingle Tien Hoang-Anh
Quy Duong-Minh
Nhi Nguyen-Thi-Y
Sy Duong-Quy
Sy Duong-Quy
Sy Duong-Quy
Study of the obstructive sleep apnea syndrome in cerebral infarction patients
Frontiers in Neurology
obstructive sleep apnea syndrome (OSAS)
OSA
apnea-hypopnea index (AHI)
stroke
respiratory polygraphy
title Study of the obstructive sleep apnea syndrome in cerebral infarction patients
title_full Study of the obstructive sleep apnea syndrome in cerebral infarction patients
title_fullStr Study of the obstructive sleep apnea syndrome in cerebral infarction patients
title_full_unstemmed Study of the obstructive sleep apnea syndrome in cerebral infarction patients
title_short Study of the obstructive sleep apnea syndrome in cerebral infarction patients
title_sort study of the obstructive sleep apnea syndrome in cerebral infarction patients
topic obstructive sleep apnea syndrome (OSAS)
OSA
apnea-hypopnea index (AHI)
stroke
respiratory polygraphy
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1132014/full
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