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Text
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<a href="http://doi.org/10.7759/cureus.9992" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.9992</a>
Pages
e9992
Issue
8
Volume
12
ISSN
2168-8184
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Update Year & Number
September 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
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Title
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Obstructive sleep apnea: Risk factor for arrhythmias, conduction disorders, and cardiac arrest.
Publisher
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Cureus
Date
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2020
2020-08-24
Subject
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mortality; arrhythmia; conduction disorder; national inpatient sample; obstructive sleep apnea
Creator
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Acharya R;Basnet S;Tharu B;Koirala A;Dhital R;Shrestha P;Poudel D;Ghimire S;Kafle S
Description
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Background Obstructive sleep apnea (OSA) has been described as a risk factor for cardiac arrhythmias. Its association with atrial fibrillation has been established. However, relationships with other arrhythmias and conduction disorders have not been fully studied. Methods We used the National Inpatient Sample database from 2009 to 2011 to explore the relationship between OSA and arrhythmias and conduction disorders. The presence of diagnosis was determined based on the International Classification of Disease-9 (ICD-9) codes. Univariate and multivariate logistic regressions were used to establish mortality risks among all groups. Results Multivariate logistic regression showed increased mortality in patients with OSA in comparison to patients without OSA and patients across all categories of arrhythmias and conduction disorders. One significant finding was the increased association of cardiac arrest in patients with OSA versus patients without OSA (OR: 95.72; CI: 89.13-105.81, p < 0.001). Conclusions OSA is significantly associated with non-atrial fibrillation arrhythmias, conduction disorders, and sudden cardiac arrest. Awareness regarding this association is important for early screening for OSA in obese patients to prevent cardiovascular morbidity and mortality. The use of continuous positive airway pressure (CPAP) might be beneficial against all kinds of arrhythmias and sudden cardiac death. (Copyright © 2020, Acharya et al.)
Identifier
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<a href="http://doi.org/10.7759/cureus.9992" target="_blank" rel="noreferrer noopener">10.7759/cureus.9992</a>
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journalArticle
2020
Acharya R
Arrhythmia
Basnet S
conduction disorder
Cureus
Department of Internal Medicine
Dhital R
Ghimire S
journalArticle
Kafle S
Koirala A
Mortality
National Inpatient Sample
NEOMED College of Medicine
obstructive sleep apnea
Poudel D
September 2020 List
Shrestha P
Tharu B