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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

Autoren

  • Aljohara Saud Almeneessier

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

  • Nader Alasousi

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

  • Munir M Sharif

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

  • Seithikurippu R Pandi-Perumal

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

  • Ahmad Salah Hersi

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

  • Ahmed Salem BaHammam

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


Publikationsverlauf

Eingereicht: 25. Mai 2017

Angenommen: 31. August 2017

Artikel online veröffentlicht:
11. Oktober 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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