AKUT KORONER SENDROM HASTALARINDA, OBSTRÜKTİF UYKU APNE SENDROMUNUN DEĞERLENDİRİLMESİ

AmaçObstrüktif uyku apne sendromu (OSAS) kardiyovasküler hastalıklar ile yakın ilişki içindedir. BasitleştirilmişOSAS diyagnostik metodolojilerinin değerlendirilmesihalen yenidir ve kardiyoloji alanında derinlemesinearaştırılmamıştır. Bu çalışmada, ülkemizdeki akutkoroner sendrom (AKS) hastalarında OSAS ilişkisinive koroner arter hastalığı ciddiyeti ilişkisini, SYNTAXskoru, Berlin Uyku Anketi (BUA) ve Epworth UykululukÖlçeği (EUÖ) kullanarak değerlendirmeyi amaçladık.Gereç ve YöntemAkut koroner sendrom ile başvuran ve koroner anjiyografi yapılan 160 hasta çalışmaya dahil edildi [n=80ST segment yükselmeli myokard infaktüsü (STEMİ)ve n=80 ST segment yükselmesiz myokard infaktüsü(NSTEMİ)]. Hastaların SYNTAX skorları hesaplandı.Hastalara taburculuk öncesi (BUA) ve (EUÖ) uygulandı. Ölçekler iki grup arasında ve hastaların SYNTAX skoru ile kıyaslandı.BulgularNSTEMİ hastalarında BUA ve EUÖ’ye göre yüksekriskli hasta oranı STEMİ grubuna göre istatiksel olarak anlamlı saptanmıştır (p

EVALUATION OF OBSTRUCTIVE SLEEP APNEA SYNDROME IN PATIENTS WITH ACUTE CORONARY SYNDROME

Objective Obstructive sleep apnea syndrome (OSAS) is closely associated with cardiovascular diseases. Evaluation of simplified OSAS diagnostic methodologies is still new and has not been deeply investigated in the field of cardiology. In this study, we aimed to evaluate the relationship between OSAS and the severity of coronary artery disease in our patients with acute coronary syndrome (ACS), using the SYNTAX score, the Berlin Sleep Questionnaire (BUA) and the Epworth Sleepiness Scale (EUÖ).Material and Methods 200 patients with acute coronary syndrome who underwent coronary angiography were enrolled in the study. SYNTAX scores of the patients were calculated. Patients were administered BUA and EUÖ before discharge. The scales were compared between the two groups and with SYNTAX scores of patients. Results In NSTEMI patients, the rate of high-risk patients in the BUA and ACL was statistically significant compared to the STEMI group (p

___

  • 1. Speir WA, Jr., Chaudhary BA. Cardiovascular consequences of sleep apnea. Journal of the Medical Association of Georgia. 1982;71(10):721-2.
  • 2. Lyons OD, Bradley TD. Heart Failure and Sleep Apnea. The Canadian journal of cardiology. 2015;31(7):898-908.
  • 3. Kushida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J, Jr., et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep. 2005;28(4):499-521.
  • 4. de Oliveira ACT, Martinez D, Vasconcelos LFT, Cadaval Goncalves S, do Carmo Lenz M, Costa Fuchs S, et al. Diagnosis of obstructive sleep apnea syndrome and its outcomes with home portable monitoring. Chest. 2009;135(2):330-6.
  • 5. Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Annals of internal medicine. 1999;131(7):485- 91.
  • 6. Izci B, Ardic S, Firat H, Sahin A, Altinors M, Karacan I. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep & breathing = Schlaf & Atmung. 2008;12(2):161-8.
  • 7. Jia S, Zhou YJ, Yu Y, Wu SJ, Sun Y, Wang ZJ, et al. Obstructive sleep apnea is associated with severity and long-term prognosis of acute coronary syndrome. Journal of geriatric cardiology : JGC. 2018;15(2):146-52.
  • 8. Szymanski FM, Filipiak KJ, Hrynkiewicz-Szymanska A, Karpinski G, Opolski G. Clinical characteristics of patients with acute coronary syndrome at high clinical suspicion for obstructive sleep apnea syndrome. Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese. 2013;54(5):348-54.
  • 9. Manfrini O, Pizzi C, Trere D, Fontana F, Bugiardini R. Parasympathetic failure and risk of subsequent coronary events in unstable angina and non-ST-segment elevation myocardial infarction. European heart journal. 2003;24(17):1560-6.
  • 10. Dematteis M, Julien C, Guillermet C, Sturm N, Lantuejoul S, Mallaret M, et al. Intermittent hypoxia induces early functional cardiovascular remodeling in mice. American journal of respiratory and critical care medicine. 2008;177(2):227-35.
  • 11. Prabhakar NR, Kumar GK, Nanduri J. Intermittent hypoxia-mediated plasticity of acute O2 sensing requires altered red-ox regulation by HIF-1 and HIF-2. Annals of the New York Academy of Sciences. 2009;1177:162-8.
  • 12. Foster GE, Brugniaux JV, Pialoux V, Duggan CT, Hanly PJ, Ahmed SB, et al. Cardiovascular and cerebrovascular responses to acute hypoxia following exposure to intermittent hypoxia in healthy humans. The Journal of physiology. 2009;587(Pt 13):3287-99.
  • 13. Somers VK, Dyken ME, Clary MP, Abboud FM. Sympathetic neural mechanisms in obstructive sleep apnea. The Journal of clinical investigation. 1995;96(4):1897-904.
  • 14. Veerasamy M, Bagnall A, Neely D, Allen J, Sinclair H, Kunadian V. Endothelial dysfunction and coronary artery disease: a state of the art review. Cardiology in review. 2015;23(3):119-29.
  • 15. Kato M, Roberts-Thomson P, Phillips BG, Haynes WG, Winnicki M, Accurso V, et al. Impairment of endothelium-dependent vasodilation of resistance vessels in patients with obstructive sleep apnea. Circulation. 2000;102(21):2607-10.
  • 16. El Solh AA, Akinnusi ME, Baddoura FH, Mankowski CR. Endothelial cell apoptosis in obstructive sleep apnea: a link to endothelial dysfunction. American journal of respiratory and critical care medicine. 2007;175(11):1186-91.
  • 17. Kundi H. Syntax score and inflammation. Herz. 2016;41(6):535- 6.
  • 18. Ryan S, Taylor CT, McNicholas WT. Selective activation of inflammatory pathways by intermittent hypoxia in obstructive sleep apnea syndrome. Circulation. 2005;112(17):2660-7.
  • 19. Yokoe T, Minoguchi K, Matsuo H, Oda N, Minoguchi H, Yoshino G, et al. Elevated levels of C-reactive protein and interleukin-6 in patients with obstructive sleep apnea syndrome are decreased by nasal continuous positive airway pressure. Circulation. 2003;107(8):1129-34.
  • 20. Kokturk O, Ciftci TU, Mollarecep E, Ciftci B. Elevated C-reactive protein levels and increased cardiovascular risk in patients with obstructive sleep apnea syndrome. International heart journal. 2005;46(5):801-9.
  • 21. Prejean SP, Din M, Reyes E, Hage FG. Guidelines in review: Comparison of the 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes and the 2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. 2018;25(3):769-76.
  • 22. Farooq V, Serruys PW, Bourantas C, Vranckx P, Diletti R, Garcia Garcia HM, et al. Incidence and multivariable correlates of long-term mortality in patients treated with surgical or percutaneous revascularization in the Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) trial. European heart journal. 2012;33(24):3105-13.
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1300-7416
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1994
  • Yayıncı: SDÜ Basımevi / Isparta
Sayıdaki Diğer Makaleler

EV EGZERSİZ PROGRAMININ PARKİNSON HASTALARINDAKİ HASTALIK ŞİDDETİ VE YAŞAM KALİTESİ ÜZERİNE KISA DÖNEMDEKİ ETKİSİ

Elif Esen ÖZDEMİR, Serpil SAVAŞ

HILSON’S PERFUSION INDEX AND SCINTIGRAPHIC ASSESSMENT OF RENAL ECTOPIA AND FUSION ANOMALIES

Derya ÇAYIR, Mehmet BOZKURT, Salih Sinan GÜLTEKİN, Alper Özgür KARACALİOĞLU

OKLÜZAL DİKEY BOYUTUN TAHMİNİ İÇİN MATEMATİKSEL BİR FORMÜLÜN GELİŞTİRİLMESİ

Mehmet Mustafa ÖZARSLAN, Mutlu ÖZCAN, Nurullah TÜRKER, Ulviye Şebnem BÜYÜKKAPLAN

ENDOVASCULAR TREATMENT IN THE MANAGEMENT OF HEMOPTYSIS: SINGLE CENTER EXPERIENCE AND EARLY STAGE CLINICAL RESULTS

Şükrü OĞUZ

TIP FAKÜLTESİ SON SINIF ÖĞRENCİLERİNİN KARİYER TERCİHLERİ VE BU TERCİHLERİ ETKİLEYEN FAKTÖRLER

Funda İfakat TENGİZ, Asya Banu BABAOĞLU

ISTANBUL UNIVERSITY ISTANBUL MEDICAL FACULTY DEFICIENCY AND SOLUTION PROPOSALS DETECTED IN FORENSIC PATIENTS ADMITTED TO A TRAUMA AND EMERGENCY SURGERY OUTPATIENT CLINIC

Cüneyt Destan CENGER, Ali Fuat Kaan GÖK, Beslen GÖKSOY, Mehmet İLHAN, Birgül TÜZÜN, Nadir ARICAN, Şebnem KORUR FİNCANCI, Cemalettin ERTEKİN

ASSESSMENT OF LEFT VENTRICULAR FUNCTIONS WITH STRAIN AND STRAIN RATE ECHOCARDIOGRAPHY IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY

Mahmut KESKİN, Özben CEYLAN, Senem ÖZGÜR, Utku Arman ÖRÜN, Vehbi DOĞAN, Osman YILMAZ, Filiz ŞENOCAK, Selmin KARADEMİR

PITFALL IN FEMORAL INTRAMEDULLAR NAIL APPLICATIONS IN ELDERLY PATIENTS

Hasan Ulaş OĞUR, Osman ÇİLOĞLU, Fırat SEYFETTİNOĞLU, Ümit TUHANİOĞLU, Hakan USLU, Burç ÖZCANYÜZ

FİBROMİYALJİ SENDROMUNDA DEMİR EKSİKLİĞİ VE DEMİR EKSİKLİĞİ ANEMİSİ GÖRÜLME SIKLIĞI

Ayhan KUL, Fatih BAYGUTALP, Duygu ALTINTAŞ

İSTANBUL ÜNİVERSİTESİ İSTANBUL TIP FAKÜLTESİ TRAVMA VE ACİL CERRAHİ POLİKLİNİĞİ’NE BAŞVURAN ADLİ OLGULARDA DÜZENLENEN RAPORLARDA SAPTANAN EKSİKLİKLER VE ÇÖZÜM ÖNERİLERİ

Nadir ARICAN, Cüneyt Destan CENGER, Şebnem KORUR FİNCANCI, Birgül TÜZÜN, Ali Fuat Kaan GÖK, Mehmet İLHAN, Cemalettin ERTEKİN, Beslen GÖKSOY