CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL

Detalhes bibliográficos
Autor(a) principal: Bento, Carmo
Data de Publicação: 2022
Outros Autores: Carvalho Rodrigues, M.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.58043/rphrc.17
Resumo: In Portugal, cardiovascular diseases are the main cause of death! One of its risk factors is Obstructive Sleep Apnea Syndrome. This desease increases morbidity, mortality, disability and days of hospitalization. However, in acute myocardial infarction, Sleep Apnea promotes its development and recurrence, but reduce mortality.This investigation aims to evaluate the profile of patients with acute myocardial infarction and previous diagnosis of Obstructive Sleep Apnea Syndrome and to compare them with current scientific knowledge. Thus, data were collected from patients hospitalized for acute myocardial infarction in 2016 (population 1) and patients hospitalized in cardiology, for the same reason, in 2017 (population 2) at Hospital Pêro da Covilhã. Populations 1 and 2 were divided into 2 groups. SAOS group (individuals diagnosed with Obstructive Sleep Apnea Syndrome) and SEM SAOS group (individuals without previous diagnosis of Obstructive Sleep Apnea Syndrome. Excel software was used to make the necessary analyzes. In population 1, the prevalence of Obstructive Sleep Apnea Syndrome was 4% and all individuals in the SAOS group were male. In this group, average age was lower, average days of hospitalization were higher, but their median was exactly the same and mortality and recurrence were lower. In population 2, the prevalence of Obstructive Sleep Apnea Syndrome was 5.9%, also with a predominant male gender. Regarding average age, average days of hospitalization and mortality, the results were similar to those of population 1. However, the median of days of hospitalization in population 2 was higher in the SAOS group. The acute myocardial infarction recurrence was null for both groups.Some data are in agreement with what is expected, like gender of the individuals, average age of infarction, average days of hospitalization and mortality. However, it is important to point out that an underdiagnosis of Obstructive Sleep Apnea Syndrome or a poor / insufficient data collection by the Hospital may have created a bias in the interpretation of the results, since the SAOS groups, of both years studied, were composed of only 3 individuals each. In conclusion, it is advisable to carry out more extensive investigations to clarify the issues pointed above and monitoring of sleep and night oximetry of hospitalized patients for myocardial infarction.
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spelling CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEALDOENÇA CORONÁRIA E SAOS: O QUE ESPERAR E COMO LIDARSAOSSonoEAMRisco CardiovascularAteroscleroseOSASSleepEAMCardiovascular riskAtherosclerosisIn Portugal, cardiovascular diseases are the main cause of death! One of its risk factors is Obstructive Sleep Apnea Syndrome. This desease increases morbidity, mortality, disability and days of hospitalization. However, in acute myocardial infarction, Sleep Apnea promotes its development and recurrence, but reduce mortality.This investigation aims to evaluate the profile of patients with acute myocardial infarction and previous diagnosis of Obstructive Sleep Apnea Syndrome and to compare them with current scientific knowledge. Thus, data were collected from patients hospitalized for acute myocardial infarction in 2016 (population 1) and patients hospitalized in cardiology, for the same reason, in 2017 (population 2) at Hospital Pêro da Covilhã. Populations 1 and 2 were divided into 2 groups. SAOS group (individuals diagnosed with Obstructive Sleep Apnea Syndrome) and SEM SAOS group (individuals without previous diagnosis of Obstructive Sleep Apnea Syndrome. Excel software was used to make the necessary analyzes. In population 1, the prevalence of Obstructive Sleep Apnea Syndrome was 4% and all individuals in the SAOS group were male. In this group, average age was lower, average days of hospitalization were higher, but their median was exactly the same and mortality and recurrence were lower. In population 2, the prevalence of Obstructive Sleep Apnea Syndrome was 5.9%, also with a predominant male gender. Regarding average age, average days of hospitalization and mortality, the results were similar to those of population 1. However, the median of days of hospitalization in population 2 was higher in the SAOS group. The acute myocardial infarction recurrence was null for both groups.Some data are in agreement with what is expected, like gender of the individuals, average age of infarction, average days of hospitalization and mortality. However, it is important to point out that an underdiagnosis of Obstructive Sleep Apnea Syndrome or a poor / insufficient data collection by the Hospital may have created a bias in the interpretation of the results, since the SAOS groups, of both years studied, were composed of only 3 individuals each. In conclusion, it is advisable to carry out more extensive investigations to clarify the issues pointed above and monitoring of sleep and night oximetry of hospitalized patients for myocardial infarction.Em Portugal, as doenças cardiovasculares constituem a principal causa de morte! Um dos seus fatores de risco é a Síndrome da Apneia Obstrutiva do Sono. Esta aumenta a morbilidade, mortalidade, incapacidade e tempos de internamento. Contudo, especificamente no enfarte agudo do miocárdio, promove o desenvolvimento e recorrência deste, mas parece reduzir a mortalidade. Esta investigação pretende avaliar o perfil dos doentes com enfarte agudo do miocárdio e diagnóstico prévio de Síndrome da Apneia Obstrutiva do Sono e compará-los com o conhecimento científico atual.Assim, recolheram-se os dados dos doentes internados com enfarte agudo do miocárdio em 2016 (população 1) e dos internados na cardiologia, pelo mesmo motivo, em 2017 (população 2) no Hospital Pêro da Covilhã. Estas populações foram divididas em 2 grupos. Um com os indivíduos diagnosticados com a Síndrome da Apneia Obstrutiva do Sono (grupo SAOS) e o outro constituído por indivíduos sem este diagnostico prévio (grupo SEM SAOS). Recorreu-se ao software Excel para fazer as devidas análises. Na população 1 a prevalência de Síndrome da Apneia Obstrutiva do Sono foi de 4%, pertencendo todos os indivíduos do grupo SAOS ao género masculino. Neste, a média de idades foi inferior ao do grupo contrastante, os dias médios de internamento foram superiores, mas a mediana dos mesmos foi exatamente igual. A mortalidade e a recorrência de enfarte foram inferiores no grupo SAOS. Na população 2 a prevalência de Síndrome da Apneia Obstrutiva do Sono foi de 5,9%, também com afetação predominante do género masculino. Relativamente à média de idades, dias médios de internamento e mortalidade os resultados foram semelhantes aos da população 1. Contudo, a mediana dos dias de internamento na população 2 foi superior no grupo SAOS. A recorrência de enfarte foi nula para ambos os grupos. Alguns dados estão de acordo com o espectável, nomeadamente, o género dos indivíduos, a idade média de ocorrência de enfarte, a média dos dias de internamento e a mortalidade. Contudo, é importante salientar que um subdiagnóstico da Síndrome da Apneia Obstrutiva do Sono ou uma má/insuficiente recolha de dados pelo Hospital pode ter criado um viés na interpretação dos resultados, pois os grupos SAOS, de ambos os anos estudados, foram compostos por apenas 3 indivíduos cada um. Concluindo, aconselha-se uma investigação mais extensa que clarifique as questões acima colocadas e a monitorização do sono e da oximetria noturna dos internados por enfarte do miocárdio.Revista Portuguesa de Hipertensão e Risco Cardiovascular2022-05-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.17https://doi.org/10.58043/rphrc.17Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 88 (2022): Março / Abril; 20-281646-8287reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistahipertensao.pt/index.php/rh/article/view/17https://revistahipertensao.pt/index.php/rh/article/view/17/17Bento, CarmoCarvalho Rodrigues, M.info:eu-repo/semantics/openAccess2024-02-03T07:36:21Zoai:ojs.revistahipertensao.pt:article/17Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:05:07.546988Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
DOENÇA CORONÁRIA E SAOS: O QUE ESPERAR E COMO LIDAR
title CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
spellingShingle CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
Bento, Carmo
SAOS
Sono
EAM
Risco Cardiovascular
Aterosclerose
OSAS
Sleep
EAM
Cardiovascular risk
Atherosclerosis
title_short CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
title_full CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
title_fullStr CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
title_full_unstemmed CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
title_sort CORONARY DISEASE AND OSAS: WHAT TO EXPECT AND HOW TO DEAL
author Bento, Carmo
author_facet Bento, Carmo
Carvalho Rodrigues, M.
author_role author
author2 Carvalho Rodrigues, M.
author2_role author
dc.contributor.author.fl_str_mv Bento, Carmo
Carvalho Rodrigues, M.
dc.subject.por.fl_str_mv SAOS
Sono
EAM
Risco Cardiovascular
Aterosclerose
OSAS
Sleep
EAM
Cardiovascular risk
Atherosclerosis
topic SAOS
Sono
EAM
Risco Cardiovascular
Aterosclerose
OSAS
Sleep
EAM
Cardiovascular risk
Atherosclerosis
description In Portugal, cardiovascular diseases are the main cause of death! One of its risk factors is Obstructive Sleep Apnea Syndrome. This desease increases morbidity, mortality, disability and days of hospitalization. However, in acute myocardial infarction, Sleep Apnea promotes its development and recurrence, but reduce mortality.This investigation aims to evaluate the profile of patients with acute myocardial infarction and previous diagnosis of Obstructive Sleep Apnea Syndrome and to compare them with current scientific knowledge. Thus, data were collected from patients hospitalized for acute myocardial infarction in 2016 (population 1) and patients hospitalized in cardiology, for the same reason, in 2017 (population 2) at Hospital Pêro da Covilhã. Populations 1 and 2 were divided into 2 groups. SAOS group (individuals diagnosed with Obstructive Sleep Apnea Syndrome) and SEM SAOS group (individuals without previous diagnosis of Obstructive Sleep Apnea Syndrome. Excel software was used to make the necessary analyzes. In population 1, the prevalence of Obstructive Sleep Apnea Syndrome was 4% and all individuals in the SAOS group were male. In this group, average age was lower, average days of hospitalization were higher, but their median was exactly the same and mortality and recurrence were lower. In population 2, the prevalence of Obstructive Sleep Apnea Syndrome was 5.9%, also with a predominant male gender. Regarding average age, average days of hospitalization and mortality, the results were similar to those of population 1. However, the median of days of hospitalization in population 2 was higher in the SAOS group. The acute myocardial infarction recurrence was null for both groups.Some data are in agreement with what is expected, like gender of the individuals, average age of infarction, average days of hospitalization and mortality. However, it is important to point out that an underdiagnosis of Obstructive Sleep Apnea Syndrome or a poor / insufficient data collection by the Hospital may have created a bias in the interpretation of the results, since the SAOS groups, of both years studied, were composed of only 3 individuals each. In conclusion, it is advisable to carry out more extensive investigations to clarify the issues pointed above and monitoring of sleep and night oximetry of hospitalized patients for myocardial infarction.
publishDate 2022
dc.date.none.fl_str_mv 2022-05-14
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dc.identifier.uri.fl_str_mv https://doi.org/10.58043/rphrc.17
https://doi.org/10.58043/rphrc.17
url https://doi.org/10.58043/rphrc.17
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dc.relation.none.fl_str_mv https://revistahipertensao.pt/index.php/rh/article/view/17
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dc.publisher.none.fl_str_mv Revista Portuguesa de Hipertensão e Risco Cardiovascular
publisher.none.fl_str_mv Revista Portuguesa de Hipertensão e Risco Cardiovascular
dc.source.none.fl_str_mv Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 88 (2022): Março / Abril; 20-28
1646-8287
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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