Obstructive sleep apnea is associated with nonsustained ventricular tachycardia in patients with hypertrophic

Shengwei Wang1, Hao Cui2, Changpeng Song3

  • 1Department of Cardiovascular Surgery, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Heart Rhythm
|December 22, 2018
PubMed

Insights

Obstructive sleep apnea (OSA) is common in hypertrophic obstructive cardiomyopathy (HOCM) and linked to nonsustained ventricular tachycardia (NSVT). OSA severity correlates with NSVT risk, a marker for sudden cardiac death.

Area of Science:

  • Cardiology
  • Sleep Medicine
  • Genetics

Background:

  • Hypertrophic cardiomyopathy (HCM) increases risk of arrhythmias and sudden cardiac death.
  • Obstructive sleep apnea (OSA) is prevalent in HCM patients and linked to atrial fibrillation.

Purpose of the Study:

  • To investigate the association between nonsustained ventricular tachycardia (NSVT) and OSA in patients with hypertrophic obstructive cardiomyopathy (HOCM).

Main Methods:

  • 130 HOCM patients underwent polysomnography and Holter ECG.
  • Data analyzed for correlation between OSA severity and NSVT prevalence.

Main Results:

  • 55% of patients had OSA; 21% had NSVT.
  • NSVT prevalence increased significantly with OSA severity (P < .001).
  • Apnea-hypopnea index and family history of HCM/SCD were independent predictors of NSVT.

Conclusions:

  • OSA presence and severity are independently associated with NSVT in HOCM patients.
  • NSVT is a significant risk factor for adverse cardiovascular events in this population.
Abstract

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