Obstructive sleep apnea: Risk factor for arrhythmias, conduction disorders, and cardiac arrest.

Title

Obstructive sleep apnea: Risk factor for arrhythmias, conduction disorders, and cardiac arrest.

Creator

Acharya R;Basnet S;Tharu B;Koirala A;Dhital R;Shrestha P;Poudel D;Ghimire S;Kafle S

Publisher

Cureus

Date

2020
2020-08-24

Description

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.)

Subject

mortality; arrhythmia; conduction disorder; national inpatient sample; obstructive sleep apnea

Identifier

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Pages

e9992

Issue

8

Volume

12

ISSN

2168-8184

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

September 2020 List

Citation

Acharya R;Basnet S;Tharu B;Koirala A;Dhital R;Shrestha P;Poudel D;Ghimire S;Kafle S, “Obstructive sleep apnea: Risk factor for arrhythmias, conduction disorders, and cardiac arrest.,” NEOMED Bibliography Database, accessed January 27, 2021, https://neomed.omeka.net/items/show/11259.

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