scholarly journals Prevalence of Atrial Fibrillation in Obstructive Sleep Apnea Patients in a Tertiary Care Center

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Subodh Sagar Dhakal ◽  
Asmita Neupane ◽  
Mahesh Bhattarai ◽  
Dambar Bahadur Karki
Keyword(s):  
Atrial Fibrillation ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Confidence Interval ◽  
Care Center ◽  
Tertiary Care ◽  
Research Centre ◽  
Tertiary Care Center ◽  
Obstructive Sleep ◽  
Male Patients

Introduction: Atrial fibrillation is the most common sustained arrhythmias.Recently there has been evidence of higher prevalence of atrial fibrillation in obstructive sleep apnea patients compared to the general population. The aim of this study was to find the prevalence of atrial fibrillation in patients of obstructive sleep apnea in a tertiary care center. Methods: This descriptive cross-sectional study was done in Om Hospital and Research Centre from January 2016 to 2018 March after ethical clearance. Convenience sampling was done. Data was collected and entry was done in microsoft excel, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The prevalence of atrial fibrillation in patients with obstructive sleep apnea is 7 (10.44%) at 95% Confidence Interval (6.70-14.17%). Apnoea–Hypopnoea Index of more than 30was present in 3 (42.8%) patients of atrial fibrillation. Atrial fibrillation was seen highest, 3 (42.8%) in patients with BMI more than 30 and lowest, 1 (14.28%) patients with BMI less than 23.5. Prevalence of atrial fibrillation was seen 5 (71.4%) in male patients and 2 (28.57%) in female patients. Sixty seven (75.28%) patients had obstructive sleep apnea in which male patients was predominant 48 (71.64%). Conclusions: Prevalence ofatrial fibrillation in patients of obstructive sleep apnea was found to higher than the similar studies done. It is important to obtain detail cardiac history in any patients with obstructive sleep apnea and look for arrhythmias speciallyatrial fibrillation.

scholarly journals Screening for obstructive sleep apnea in a diabetic retinopathy clinic in a tertiary care center

2021 ◽  
Vol 69 (11) ◽  
pp. 3349
Author(s):  
Sandeep Bansal ◽  
Rakesh Kaswan ◽  
Reema Bansal ◽  
Deeksha Katoch ◽  
Mohit Dogra ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Diabetic Retinopathy ◽  
Sleep Apnea ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Obstructive Sleep

Prediction of obstructive sleep apnea in patients presenting to a tertiary care center

2006 ◽  
Vol 10 (3) ◽  
pp. 147-154 ◽  
Author(s):  
S.K. Sharma ◽  
V. Malik ◽  
C. Vasudev ◽  
Amit Banga ◽  
Alladi Mohan ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Obstructive Sleep

scholarly journals Polysomnographic Outcomes After Observation for Mild Obstructive Sleep Apnea in Children Younger Than 3 Years

2020 ◽  
pp. 019459982095438
Author(s):  
Kathleen M. Sarber ◽  
Douglas C. von Allmen ◽  
Raisa Tikhtman ◽  
Javier Howard ◽  
Narong Simakajornboon ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Care Center ◽  
Tertiary Care ◽  
Apnea Hypopnea Index ◽  
Optimal Timing ◽  
Obstructive Apnea ◽  
Obstructive Sleep ◽  
Mild Obstructive Sleep Apnea ◽  
The Impact

Objective Mild obstructive sleep apnea (OSA), particularly in young children, is often treated with observation. However, there is little evidence regarding the outcomes with this approach. Our aim was to assess the impact of observation on sleep for children aged <3 years with mild OSA. Study Design Case-control study. Setting Pediatric tertiary care center. Methods We reviewed cases of children (<3 years old) diagnosed with mild OSA (obstructive apnea-hypopnea index, 1-5 events/h) who were treated with observation between 2012 and 2017 and had at least 2 polysomnograms performed 3 to 12 months apart. Demographic data and comorbid diagnoses were collected. Results Twenty-six children met inclusion criteria; their median age was 7.2 months (95% CI, 1.2-22.8). Nine (35%) were female and 24 (92%) were White. Their median body mass index percentile was 39 (95% CI, 1-76). Comorbidities included cardiac disease (42.3%), laryngomalacia (42.3%), allergies (34.6%), reactive airway disease (23.1%), and prematurity (7.7%). The obstructive apnea-hypopnea index significantly decreased from 2.7 events/h (95% CI, 1-4.5) to 1.3 (95% CI, 0-4.5; P = .013). There was no significant improvement in median saturation nadir (baseline, 86%; P = .76) or median time with end-tidal carbon dioxide >50 mm Hg (baseline, 0 minutes; P = .34). OSA resolved in 8 patients (31%) and worsened in 1 (3.8%). Only race was a significant predictor of resolution per regression analysis; however, only 2 non-White children were included. Conclusion In our cohort, resolution of mild OSA occurred in 31% of patients treated with 3 to 12 months of observation. The presence of laryngomalacia, asthma, and allergies did not affect resolution. Larger studies are needed to better identify factors (including race) associated with persistent OSA and optimal timing of intervention for these children. Level of Evidence 4.

scholarly journals Prevalence of hypothyroidism among patients with obstructive sleep apnea: A study in a tertiary care center

2021 ◽  
Vol 6 (3) ◽  
pp. 161-164
Author(s):  
D.S Sowjanya ◽  
M Ravindranath
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Epworth Sleepiness Scale ◽  
Care Center ◽  
Tertiary Care ◽  
Arousal Index ◽  
Obstructive Sleep ◽  
The Mean ◽  
Saturated Oxygen

Obstructive sleep apnea is a common disorder wherein there are recurrent episodes of sleep disordered breathing resulting in disrupted sleep and other sequelae. The symptoms of hypothyroidism are very similar to OSA, a number of studies have been performed to analyze their association with conflicting results. A questionnaire based on the Wisconsin Sleep Apnea questionnaire for quality of sleep, sleep pattern, symptoms during sleep, snoring were asked to 118 patients included in the study. The day time sleep patterns were assessed by the Epworth Sleepiness scale. Polysomnography testing, Saturated oxygen levels, sleep efficiency and arousal index were also done for all the patients. Blood was collected for the detection of thyroid hormones. There were 82 (69.5%) males and 36 (30.5%) females on the present study out of 118 patients. The mean age of the patients under study was 53.91 ± 4.69 years, the weight was 89.48 ± 12.83 kgs and the BMI was 34.86 ± 6.11. Amongst the patients with OSA and hypothyroid, the apnea hypoapnea index was 66.22 ± 18.31 episodes per hour, and Epworth sleepiness scale was 15.18 ± 5.26 while in patients with OSA and without hypothyroid, it was 24.17 ± 6.29 and 8.25 ± 5.82 respectively. Our study shows a significant association between OSA and hypothyroidism among patients, thus having a considerable implications in managing the thyroid condition of the patients.

scholarly journals Gender differences in clinical profile and risk factors for obstructive sleep apnea in a public health care setting

2019 ◽  
Vol 7 (7) ◽  
pp. 2808
Author(s):  
Vijay Kapse ◽  
Vikas Patel ◽  
Dilip Mhaisekar ◽  
Mithilesh Kulkarni
Keyword(s):  
Gender Differences ◽  
Obstructive Sleep Apnea ◽  
Risk Factor ◽  
Sleep Apnea ◽  
Tertiary Care ◽  
Sleep Apnea Syndrome ◽  
Neck Circumference ◽  
Endocrine Disorder ◽  
Obstructive Sleep ◽  
Male Patients

Background: Obstructive Sleep Apnea Syndrome is an increasingly prevalent chronic condition which is, unfortunately, still underdiagnosed. It is peculiarity of this noisy disease that it announces itself to everyone within earshot-except its victims. The intermittent hypoxemia and sleep fragmentation caused by recurrent episodes of upper airway collapse are chiefly responsible for the pathophysiology associated with this condition.Methods: The present study was carried out from January 2014 to August 2015 in a tertiary care government hospital. In this comparative hospital based study 94 patients with Sleep Disordered Breathing and >13 years of age were included. There were 58 males and 36 females in the present study. All patients who satisfied inclusion criteria were studied after taking written consent. Collection of data was carried out with predesigned proforma.Results: Of all the 94 patients who underwent overnight Polysomnographic study,80 patients were diagnosed as Obstructive Sleep Apnea. Risk factor of OSA have gender differences in their distribution. Female patient is older with significantly higher mean age compared to male patients with OSA (52.9 vs 44.7 years). Females are having significantly higher BMI compared to male OSA(38.2 vs 31.5) but neck circumference is higher in males (44.7 Vs 38.1 cm).The prevalence of Smoking and Alcoholism as a risk factor is higher in male patients while endocrine disorder are more common in females. ENT abnormalities are present more or less equally in both the sexes.Conclusions: In the present study females’ patients with Obstructive Sleep Apnea were mainly Older, Obese, Postmenopausal and endocrine disorder like Hypothyroidism were more prevalent while male patients were Smoker, Alcoholic and had higher neck circumference.

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