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Cardiovascular comorbidities in obstructive sleep apnoea according to age: a sleep clinic population study.
Hua-Huy, Thông; Rouhani, Saïd; Nguyen, Xuan-Yen; Luchon, Laurent; Meurice, Jean-Claude; Dinh-Xuan, Anh Tuan.
Afiliação
  • Hua-Huy T; Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Hôpital Cochin, Service de Physiologie-Explorations Fonctionnelles, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
  • Rouhani S; Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Hôpital Cochin, Service de Physiologie-Explorations Fonctionnelles, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
  • Nguyen XY; Assistance Publique-Hôpitaux de Paris, Hôpital Pitié-Salpêtrière, Service de Soins de Suite et de Réadaptation-Neurologie, 47-83 boulevard de l'Hôpital, 75013, Paris, France.
  • Luchon L; Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Hôpital Cochin, Service de Physiologie-Explorations Fonctionnelles, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
  • Meurice JC; Service de pneumologie, CHU de Poitiers, 2, rue de la Milètrie, 86000, Poitiers, France.
  • Dinh-Xuan AT; Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Hôpital Cochin, Service de Physiologie-Explorations Fonctionnelles, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France. anh-tuan.dinh-xuan@cch.aphp.fr.
Aging Clin Exp Res ; 27(5): 611-9, 2015 Oct.
Article em En | MEDLINE | ID: mdl-25618197
ABSTRACT

PURPOSE:

To describe the features of obstructive sleep apnoea (OSA) and its association with arterial hypertension (HT), coronary artery disease (CAD), and arrhythmias in elderly (≥65 years) versus younger patients.

METHODS:

All adult patients referred to our Sleep Research Unit for suspected OSA were included and underwent a thorough medical examination and an in-laboratory polysomnography. The severity of OSA was defined by the apnoea-hypopnoea index (AHI) as mild [5-15/h), moderate [15-30/h), and severe (≥30/h).

RESULTS:

Elderly patients (n = 136) and really old patients (>75 years) had higher prevalence of OSA (89 %) and severe OSA (36.8 %) as compared to younger patients (n = 439; 79.5 and 27.6 %, respectively, p < 0.05). In patients with OSA, the elderly group had a poorer sleep quality and more severe nocturnal oxygen desaturation than the younger group. Elderly patients presented higher percentages of HT (47.8 %), CAD (19.8 %), and arrhythmias (16.2 %) as compared to younger patients (p < 0.01). The odds ratio (OR) for HT increased with OSA severity from 1.0 to 1.65 (95 % confidence interval 0.83-3.27), 1.0 to 2.5 (95 % CI 1.25-5.00), and 1.0 to 3.77 (1.95-7.29) in younger patients, but not in elderly ones where the OR increased from 1.0 to 0.6 (0.17-2.04), 1.0 to 1.14 (0.34-3.82), and 1.0 to 1.46 (0.46-4.63), respectively.

CONCLUSION:

Stronger relation of HT and OSA severity in younger patients should encourage us to screen OSA in these patients at very young age. Increased OSA severity without obesity in very old patients needs to be confirmed and further studied.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Consumo de Oxigênio / Arritmias Cardíacas / Doença da Artéria Coronariana / Apneia Obstrutiva do Sono / Dissonias / Hipertensão Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Aging Clin Exp Res Assunto da revista: GERIATRIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: França

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Consumo de Oxigênio / Arritmias Cardíacas / Doença da Artéria Coronariana / Apneia Obstrutiva do Sono / Dissonias / Hipertensão Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Aging Clin Exp Res Assunto da revista: GERIATRIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: França