Prevalence and Predictors of Arrhythmia in Patients with Obstructive Sleep Apnea

Aljohara Saud Almeneessier; Nader Alasousi; Munir M Sharif; Seithikurippu R Pandi-Perumal; Ahmad Salah Hersi; Ahmed Salem BaHammam

doi:10.5935/1984-0063.20170025

Sleep Science, Table of Contents

CC BY-NC-ND 4.0 · Sleep Sci 2017; 10(04): 142-146
DOI: 10.5935/1984-0063.20170025

ORIGINAL ARTICLE

Prevalence and Predictors of Arrhythmia in Patients with Obstructive Sleep Apnea

Authors

Aljohara Saud Almeneessier

²King Saud University, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
Nader Alasousi

³King Saud University, King Fahad Cardiac Center, College of Medicine, King Saud University - Riyadh - Saudi Arabia
Munir M Sharif

¹King Saud University, University Sleep Disorders Center, College of Medicine, King Saud University - Riyadh, Saudi Arabia
Seithikurippu R Pandi-Perumal

¹King Saud University, University Sleep Disorders Center, College of Medicine, King Saud University - Riyadh, Saudi Arabia
Ahmad Salah Hersi

³King Saud University, King Fahad Cardiac Center, College of Medicine, King Saud University - Riyadh - Saudi Arabia
Ahmed Salem BaHammam

¹King Saud University, University Sleep Disorders Center, College of Medicine, King Saud University - Riyadh, Saudi Arabia

Abstract

Objectives To assess the prevalence and types of arrhythmias in Saudi OSA patients and to identify predictors of arrhythmia in this group of patients.

METHODS This case-control study included all patients who underwent level I attended overnight polysomnography between 2009 and 2012. Electrocardiographic data collected during sleep studies of patients with and without OSA were manually reviewed.

Results The study comprised 498 patients (394 OSA patients and 104 non-OSA patients (controls). The prevalence of arrhythmia in OSA patients was higher than that in the controls (26.9% vs. 11.5%; p=0.001). Comparing OSA patients and controls showed: premature atrial contraction (10.2%vs.2.9%;p=0.019), premature ventricular contraction (PVC) (19.3%vs.9.6%;p=0.02), non-isolated PVC (bi/tri/qua) 10.8%vs.2.3%;p=0.04) and atrial fibrillation (1.6%vs.0%;p=0.001). Multiple logistic regression analysis revealed that, patients with OSA had twice the odds of having any cardiac arrhythmia (OR 1.91; CI 95% 1.27-3.11; p <0.05).

Conclusions Patients with OSA had a higher prevalence of arrhythmia compared to controls, and OSA is a predictor of arrhythmia during sleep.

Atrial fibrillation - Sleep Apnea, Obstructive, Arrhythmias, Cardiac

Full Text

References

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