Obstructive sleep apnea hypopnea syndrome in a patient with ischemic stroke

Síndrome de apnea hipoapnea obstructiva del sueño en paciente con accidente cerebrovascular isquémico

Obstructive sleep apnea syndrome is considered a risk factor for stroke, which is the second cause of death worldwide and the first cause of disability. Objective: to describe the prevalence of suspicion of OSAHS by Epwhort scale and increase of cervical circumference in patients with ischemic stroke in the hospitals of San José and Infantile University of San José, of Bogotá DC, from October 2013 to September 30 of 2014. Methodology: descriptive cross-sectional study with chosen population with diagnosis of ischemic stroke. Results: 125 patients with an average age of 69 years (SD 15.0) and a male / female ratio of 1: 1. Antecedent of SAHOS 1.6% (n: 2). By Epworth 57% (n: 63/109) they had suspicion of OSAHS, men 60.3% (n: 35). The median for Epworth was 10 (RIQ 7-12). Cervical circumference> 43 cm in men 8.6% (n: 5) and in women> 40 cm in 28% (n: 14). 30% (19/62) of ACV had suspected OSAHS by Epworth and cervical circumference. Men with Epworth (8-15), had cervical circumference increased 14% (5/35) and women 51.9% (14/27). In-hospital mortality was 9.7% (n: 12). Conclusion: it was found that more than half had suspicion of mild OSAHS due to Epworth. There was a higher prevalence of cervical obesity in women and a third had suspicion of OSAHS by both criteria, which confirms the importance of routinely exploring these indicators. Abbreviations: ACV, stroke; SAHOS, hypopnea sleep apnea syndrome.

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