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

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Version 2 2024-06-04, 13:57
Version 1 2020-03-30, 11:40
journal contribution
posted on 2024-06-18, 20:07 authored by Michael Le GrandeMichael Le Grande, A Beauchamp, Andrea DriscollAndrea Driscoll, AC Jackson
Abstract 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.

History

Journal

BMC Cardiovascular Disorders

Volume

20

Article number

ARTN 147

Location

England

Open access

  • Yes

ISSN

1471-2261

eISSN

1471-2261

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2020, The Author(s)

Issue

1

Publisher

BMC