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Published on: December 6, 2016
Beyond Sleep: The Cardiovascular Impact of Obstructive Sleep Apnea Syndrome
Pasquale Palmiero1,2, Francesca Amati3, Lucrezia Bombini3
1Cardiology Equipe, ASL Brindisi, 72100 Brindisi, Italy.
Obstructive Sleep Apnea Syndrome (OSAS) significantly increases cardiovascular risks, including hypertension and arrhythmias. Echocardiography reveals cardiac abnormalities in OSAS patients, necessitating routine screening and multidisciplinary management.
Area of Science:
- Cardiology
- Sleep Medicine
- Internal Medicine
Background:
- Obstructive Sleep Apnea Syndrome (OSAS) is a chronic condition causing airway obstruction, intermittent hypoxia, and sympathetic overactivity.
- OSAS is strongly associated with cardiovascular diseases like hypertension, heart failure, and atherosclerosis, leading to cardiac structural and functional changes.
Purpose of the Study:
- To investigate the prevalence of cardiovascular abnormalities in patients with Obstructive Sleep Apnea Syndrome (OSAS) using echocardiography.
- To assess the association between OSAS and cardiac structural and functional alterations.
Main Methods:
- Enrolled 105 consecutive OSAS patients and 100 controls.
- Conducted comprehensive echocardiographic evaluations with Doppler imaging to assess cardiac structure and function.
Main Results:
- OSAS patients showed higher rates of hypertension (81% vs. 74%), left ventricular diastolic dysfunction (56.2% vs. 26%), left atrial enlargement (21% vs. 13%), and left ventricular hypertrophy (51.4% vs. 5%).
- Permanent atrial fibrillation was significantly more frequent in the OSAS group (17.1% vs. 7%).
Conclusions:
- OSAS is linked to significant cardiovascular abnormalities detectable by echocardiography.
- Routine cardiovascular screening and a multidisciplinary approach are essential for managing OSAS patients to mitigate cardiovascular risk.
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