Rev Lat Am Enfermagem. 2015 Sep-Oct;23(5):797-805. doi: 10.1590/0104-1169.0511.2617.
High risk for obstructive sleep apnea in patients with acute myocardial infarction.
Revista latino-americana de enfermagem
[Article in Portuguese] [Article in Spanish]
Carla Renata Silva Andrechuk, Maria Filomena Ceolim
Affiliations
Affiliations
- Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil.
PMID: 26487128
PMCID: PMC4660400 DOI: 10.1590/0104-1169.0511.2617
Abstract
OBJECTIVES: to stratify the risk for obstructive sleep apnea in patients with acute myocardial infarction, treated at a public, tertiary, teaching hospital of the state of São Paulo, Brazil, and to identify related sociodemographic and clinical factors.
METHOD: cross-sectional analytical study with 113 patients (mean age 59.57 years, 70.8% male). A specific questionnaire was used for the sociodemographic and clinical characterization and the Berlin Questionnaire for the stratification of the risk of obstructive sleep apnea syndrome.
RESULTS: the prevalence of high risk was 60.2% and the outcome of clinical worsening during hospitalization was more frequent among these patients. The factors related to high risk were body mass index over 30 kg/m2, arterial hypertension and waist circumference indicative of cardiovascular risk, while older age (60 years and over) constituted a protective factor.
CONCLUSION: considering the high prevalence of obstructive sleep apnea and its relation to clinical worsening, it is suggested that nurses should monitor, in their clinical practice, people at high risk for this syndrome, guiding control measures of modifiable factors and aiming to prevent the associated complications, including worsening of cardiovascular diseases.
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