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The Effect of Physical Characteristics on Sleep Disturbance and Cardiovascular Complications in Obstructive Sleep Apnea Patients: The Preliminary Study

Authors :
Seon Tae Kim
Ji-Eun Kim
Jae Jin Ko
Mi Kyung Ye
Seung-Heon Shin
Seung Gul Kang
Kee Hyung Park
Source :
Korean Journal of Otorhinolaryngology-Head and Neck Surgery. 58:759
Publication Year :
2015
Publisher :
Korean Society of Otorhinolaryngology-Head and Neck Surgery, 2015.

Abstract

Received April 3, 2015 Revised June 26, 2015 Accepted June 27, 2015 Address for correspondence Seung-Heon Shin, MD Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu, 33 Duryugongwon-ro 17-gil, Nam-gu, Daegu 42472, Korea Tel +82-53-650-4530 Fax +82-53-650-4533 E-mail hsseung@cu.ac.kr *Seung-Gul Kang and Jae-Jin Ko contributed equally to this work. Background and ObjectivesZZObstructive sleep apnea (OSA) is a common yet an under-diagnosed sleep related breathing disorder associated with many adverse health outcomes. OSA is commonly associated with cardiovascular disorders that include coronary artery disease, heart failure, hypertension, cardiac arrhythmias and stroke. The aim of this study was to investigate the physical characteristics of OSA patients as a screening test for sleep apnea associated cardiovascular disease. Subjects and MethodZZOne hundred twenty-six adult OSA patients were enrolled in this study. All subjects underwent an overnight polysomnography (PSG) and were determined body mass index (BMI), neck circumstance, waist circumstance, tonsil size, etc. Cardiovascular events, such as hypertension, cardiovascular accident, myocardial infarction, and angina were analyzed. The correlation and multiple regression analysis were conducted to find influential and predictive factors of cardiovascular complications of OSA. ResultsZZPSG findings, apnea-hypopnea index (AHI), minimal oxygen saturation, and oxygen desaturation index were associated with BMI, neck circumstance, and waist circumstance. Tonsil size was also associated with AHI and oxygen desaturation index. However, PSG results were not associated with cardiovascular accidents of OSA patients. Hypertension was associated with tonsil size, angina was associated with Mallampati score and cardiovascular accident was associated with tonsil size. ConclusionZZAlthough we cannot find the statistical relation between PSG results and cardiovascular disease, tonsil size and Mallampati score influenced the risk of cardiovascular accident. Korean J Otorhinolaryngol-Head Neck Surg 2015;58(11):759-63

Details

ISSN :
20926529 and 20925859
Volume :
58
Database :
OpenAIRE
Journal :
Korean Journal of Otorhinolaryngology-Head and Neck Surgery
Accession number :
edsair.doi...........b20ff50a6481a48b9de9d6cdacf2d036
Full Text :
https://doi.org/10.3342/kjorl-hns.2015.58.11.759