Obstructive sleep apnea hypopnea syndrome in a patient with ischemic stroke
Síndrome de apnea hipoapnea obstructiva del sueño en paciente con accidente cerebrovascular isquémico
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Abstract
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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2. Johnson KG, Johnson DC. Frequency of sleep apnea in stroke and TIA patients: a meta-analysis. J Clin Sleep Med. 2010;6(2):131-7.
3. Balami JS, Chen RL, Grunwald IQ, Buchan AM. Neurological complications of acute ischaemic stroke. Lancet Neurol. 2011 Apr;10(4):357-71.
4. Norman D, Loredo JS. Obstructive Sleep Apnea in Older Adults. Clin Geriatr Med. 2008;24(1):151-65.
5. Ho ML, Brass SD. Obstructive sleep apnea. Neurol Int. 2011;3(3):e15.
6. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation. 2013 Jan 1; 127(1):e6-e245.
7. Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP. Clinical Guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009 Jun 15; 5(3):263-76.
8. Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med. 2005;353(19):2034-41.
9. Cohen-Zion M, Stepnowsky C, Marler, Shochat T, Kripke DF, Ancoli-Israel S. Changes in cognitive function associated with sleep disordered breathing in older people. J Am Geriatr Soc. 2001; 49(12):1622-7.
10. Chica-Urzola HL, Escobar-Córdoba F, Eslava-Schmalbach J. [Validating the Epworth sleepiness scale]. Rev Salud Publica (Bogota). 2007 Oct-Dec;9(4):558-67.
11. Devulapally K, Pongonis R, Khayat R. OSA: the new cardiovascular disease: part II: Overview of cardiovascular diseases associated with obstructive sleep apnea. Heart Fail Rev. 2009;14(3):155-64.
12. Kuniyoshi FH, Pusalavidyasagar S, Singh P, Somers VK. Cardiovascular consequences of obstructive sleep apnoea. Indian J Med Res. 2010;131:196-205.
13. Birkbak J, Clark AJ, Rod NH. The Effect of Sleep Disordered Breathing on the Outcome of Stroke and Transient Ischemic Attack: A Systematic Review. J Clin Sleep Med.10(1):103-8.
14. Medeiros CA, Bruin VM, Castro-Silva Cd, Araújo SM, Chaves Junior M, Bruin PF.Neck circumference, bedside clinical feature related to mortality of acute ischemic stroke. Rev Assoc Med Bras. 2011 Sep-Oct; 57(5):559-64.
15. Whittle AT, Marshall I, Mortimore IL, Wraith PK, Sellar RJ, Douglas NJ. Neck soft tissue and fat distribution: comparison between normal men and women by magnetic resonanceimaging. Thorax. 1999 Apr; 54(4):323-8.