High risk for obstructive sleep apnea in patients with acute myocardial
infarction
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| Authors: | Carla Renata Silva Andrechuk Maria Filomena Ceolim |
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| Institution: | 2.Doctoral student, Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil. Scholarship holder from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil;3.PhD, Associate Professor, Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brazil |
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| Abstract: | Objectives: to stratify the risk for obstructive sleep apnea in patients with acute
myocardial infarction, treated at a public, tertiary, teaching hospital of the
state of São Paulo, Brazil, and to identify related sociodemographic and clinical
factors. Method: cross-sectional analytical study with 113 patients (mean age 59.57 years, 70.8%
male). A specific questionnaire was used for the sociodemographic and clinical
characterization and the Berlin Questionnaire for the stratification of the risk
of obstructive sleep apnea syndrome. Results: the prevalence of high risk was 60.2% and the outcome of clinical worsening
during hospitalization was more frequent among these patients. The factors related
to high risk were body mass index over 30 kg/m2, arterial hypertension and waist
circumference indicative of cardiovascular risk, while older age (60 years and
over) constituted a protective factor. Conclusion: considering the high prevalence of obstructive sleep apnea and its relation to
clinical worsening, it is suggested that nurses should monitor, in their clinical
practice, people at high risk for this syndrome, guiding control measures of
modifiable factors and aiming to prevent the associated complications, including
worsening of cardiovascular diseases. |
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| Keywords: | Sleep Myocardial Infarction Sleep Apnea Syndromes Nursing |
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