Obstructive Sleep Apnea Syndrome in Acute Coronary Syndrome Patients

Obstructive Sleep Apnea Syndrome in Acute Coronary Syndrome Patients

Author Info

Corresponding Author
Dasdemir Ilkhan Gulay
Okmeydani Training and Research Hospital, Chest Diseases Clinic, Okmeydani, Sisli, Istanbul, Turkey

A B S T R A C T

Objective: There is increasing evidence linking obstructive sleep apnea syndrome (OSAS) with cardiovascular pathogenesis. OSAS diagnostic methodologies have recently come to standards, and there is not enough in-depth research in the field of sleep medicine and cardiology. In this study, we aimed to evaluate the presence of OSAS and its relationship with severity of coronary artery disease in patients with acute coronary syndrome (ACS). Materials and Methods: 192 patients who applied with acute coronary syndrome and who underwent coronary angiography were included in the study. 96 patients were ST segment elevation myocardial infarction (STEMI) and 96 patients were non-ST segment elevation myocardial infarction (NSTEMI). SYNTAX scores of the patients were calculated. Patients were administered Berlin questionnaire and Epworth sleepiness score (ESS) before discharge. The scales were compared between the two groups and the patients' SYNTAX score. Results: The rate of high risk patients according to Berlin questionnaire and ESS was found statistically significant in NSTEMI patients compared to the STEMI group (p <0.001, p = 0.023). The total amount of points determined in Berlin questionnaire and ESS was statistically significant in NSTEMI patients compared to the STEMI group (p <0.001). In Pearson correlation analysis, a significant positive correlation was found between the SYNTAX score and the total score determined in the Berlin questionnaire, and between the SYNTAX score and ESS (r = 0.865, p <0.001 and r = 0.761, p <0.001). Conclusion: In this study, the relationship between OSAS and ACS was evaluated. Berlin questionnaire and ESS results were higher than the literature, and a positive correlation was found between the SYNTAX score and OSAS risk.

Article Info

Article Type
Research Article
Publication history
Received: Mon 06, Jul 2020
Accepted: Fri 17, Jul 2020
Published: Thu 23, Jul 2020
Copyright
© 2023 Dasdemir Ilkhan Gulay. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2020.04.07