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Prevalence of obstructive sleep apnoea in acute coronary syndrome patients: Systematic review and meta-analysis

Le Grande, Michael R., Beauchamp, Alison, Driscoll, Andrea and Jackson, Alun C. 2020, Prevalence of obstructive sleep apnoea in acute coronary syndrome patients: Systematic review and meta-analysis, BMC cardiovascular disorders, vol. 20, doi: 10.1186/s12872-020-01430-3.

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Title Prevalence of obstructive sleep apnoea in acute coronary syndrome patients: Systematic review and meta-analysis
Author(s) Le Grande, Michael R.
Beauchamp, AlisonORCID iD for Beauchamp, Alison orcid.org/0000-0001-6555-6200
Driscoll, AndreaORCID iD for Driscoll, Andrea orcid.org/0000-0002-6837-0249
Jackson, Alun C.
Journal name BMC cardiovascular disorders
Volume number 20
Article ID 147
Total pages 11
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2020-03
ISSN 1471-2261
Keyword(s) Obstructive sleep apnoea
Prevalence
Acute coronary syndrome
Sleep assessment
Summary Background:
Obstructive Sleep Apnoea (OSA) has been recognised as a risk factor for cardiovascular diseases such as hypertension and cardiovascular events such as acute coronary syndrome (ACS). Since it is also known to reduce exercise tolerance, it is important to establish the prevalence of OSA in ACS patients, particularly in those who are commencing cardiac rehabilitation (CR) programs.

Methods:
Using PRISMA guidelines a systematic search was conducted in order to identify studies that objectively measured (using polysomnography or portable monitoring) the prevalence of OSA in ACS patients following hospital admission. A data extraction table was used to summarise study characteristics and the quality of studies were independently assessed using the Joanna Briggs Institute Prevalence Critical Appraisal Tool. Meta-analysis of the selected studies was conducted in order to estimate OSA prevalence as a function of the two main methods of measurement, the severity of OSA, and timing of the OSA assessment following ACS hospital admission.

Results:
Pooled prevalence estimates of OSA using the “gold standard” polysomnography ranged from 22% for severe OSA to 70% for mild OSA, at any time after hospital admission. Similar prevalence estimates were obtained using portable monitoring, but interpretation of these results are limited by the significant heterogeneity observed among these studies.

Conclusions:
Prevalence of OSA following ACS is high and likely to be problematic upon patient entry into CR programs. Routine screening for OSA upon program entry may be necessary to optimise effectiveness of CR for these patients.
Language eng
DOI 10.1186/s12872-020-01430-3
Indigenous content off
Field of Research 1102 Cardiorespiratory Medicine and Haematology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Author(s)
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30135824

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.