scholarly journals Age, Body Mass Index, and Daytime and Nocturnal Hypoxia as Predictors of Hypertension in Patients With Obstructive Sleep Apnea

2015 ◽  
Vol 18 (2) ◽  
pp. 146-152 ◽  
Author(s):  
Georgios Natsios ◽  
Chaido Pastaka ◽  
Georgios Vavougios ◽  
Sotirios G. Zarogiannis ◽  
Vasiliki Tsolaki ◽  
...  
2021 ◽  
pp. 247412642198957
Author(s):  
Halward M.J. Blegen ◽  
Grant A. Justin ◽  
Bradley A. Bishop ◽  
Anthony R. Cox ◽  
James K. Aden ◽  
...  

Purpose: This work reports the association of obstructive sleep apnea (OSA) and cotton-wool spots (CWS) seen in patients with nonproliferative diabetic retinopathy (DR). Methods: A random sample of patients diagnosed with DR between January 1, 2015 and December 31, 2018, were selected from medical-billing codes. Dilated funduscopic examination findings and medical history were analyzed by reviewing medical records. Results: CWS were present in 12 of 118 patients without OSA, compared with 11 of 32 patients with OSA (10.2% vs 34.4%, respectively; P = .002). OSA was more common in men (68.8%, P = .03) and associated with a higher body mass index (30.0 ± 5.0 without OSA vs 33.6 ± 5.5 with OSA, P < .001). When comparing those with and without OSA, there was no association with age; glycated hemoglobin A1c; stage of DR; insulin dependence; presence of diabetic macular edema; smoking status; or a history of hypertension, hyperlipidemia, cardiovascular disease, or other breathing disorder. Conclusions: The presence of OSA is associated with CWS in patients with DR, as well as male sex and a higher body mass index. Further research is needed to determine the ophthalmologist’s role in the timely referral of patients with CWS for OSA evaluation.


2008 ◽  
Vol 139 (5) ◽  
pp. 615-618 ◽  
Author(s):  
Luc G.T. Morris ◽  
Andrew Kleinberger ◽  
Kelvin C. Lee ◽  
Lisa A. Liberatore ◽  
Omar Burschtin

2017 ◽  
Vol 62 (10) ◽  
pp. 2834-2839
Author(s):  
Vaishali A. Patel ◽  
Paul St. Romain ◽  
Juan Sanchez ◽  
Deborah A. Fisher ◽  
Ryan D. Schulteis

2005 ◽  
Vol 53 (1) ◽  
pp. S81.2-S81
Author(s):  
R. B. Mitchell ◽  
C. Kerwin ◽  
S. A. Stoerner ◽  
B. Skipper

2007 ◽  
Vol 2007 (1) ◽  
pp. 15
Author(s):  
A. Al Ansari ◽  
Hamad Al-Saey ◽  
Mansour Al-Sulaiti ◽  
S. Ganesan ◽  
H. Abdul Sattar ◽  
...  

2007 ◽  
Vol 137 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Kenny P. Pang ◽  
B. Tucker Woodson

OBJECTIVE: In this study, we assessed the efficacy of a new method (expansion sphincter pharyngoplasty [ESP]) to treat obstructive sleep apnea. STUDY DESIGN: We conducted a prospective, randomized controlled trial. METHODS: Forty-five adults with small tonsils, body mass index less than 30 kg/m 2 , of Friedman stage II or III, of type I Fujita, and with lateral pharyngeal wall collapse were selected for the study. RESULTS: The mean body mass index was 28.7 kg/m 2 . The apnea-hypopnea index improved from 44.2 ± 10.2 to 12.0 ± 6.6 ( P < 0.005) following ESP and from 38.1 ± 6.46 to 19.6 ± 7.9 in the uvulopalatopharyngoplasty group ( P < 0.005). Lowest oxygen saturation improved from 78.4 ± 8.52% to 85.2 ± 5.1% in the ESP group ( P = 0.003) and from 75.1 ± 5.9% to 86.6 ± 2.2% in the uvulopalatopharyngoplasty group ( P < 0.005). Selecting a threshold of a 50% reduction in apnea-hypopnea index and apnea-hypopnea index less than 20, success was 82.6% in ESP compared with 68.1% in uvulopalatopharyngoplasty ( P < 0.05). CONCLUSION/SIGNIFICANCE: The ESP may offer benefits in a selected group of OSA patients.


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