Yıl 2020, Cilt 27 , Sayı 1, Sayfalar 39 - 44 2020-03-01

Evaluation of obstructive sleep apnea syndrome in patients with acute coronary syndrome
Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi

Serdar KUYUMCU [1] , Fatih Öksüz [2]


Background: Obstructive sleep apnea syndrome (OSAS) is closely associated with cardiovascular diseases. Evaluation of simplified OSAS diagnostic methodologies is still new and has not been deeply investigated in the field of cardiology. In this study, we aimed to evaluate the relationship between OSAS and the severity of coronary artery disease in our patients with acute coronary syndrome (ACS), using the SYNTAX score, the Berlin Sleep Questionnaire (BUA) and the Epworth Sleepiness Scale (EUÖ).

Patients & Methods:  200 patients with acute coronary syndrome who underwent coronary angiography were enrolled in the study. SYNTAX scores of the patients were calculated. Patients were administered BUA and EUÖ before discharge. The scales were compared between the two groups and with SYNTAX scores of patients.

Results: In NSTEMI patients, the rate of high-risk patients in the BUA and ACL was statistically significant compared to the STEMI group (p<0.001, p=0.023). The total score of the BUA and the total score in the EUÖ was statistically significant in NSTEMI patients compared to the STEMI group (p<0.001). Pearson correlation analysis revealed a significant positive correlation between the SYNTAX score and the total score in the BUA and between the SYNTAX score and the EUÖ (r = 0.865, p <0.001 ve r = 0.761, p <0.001)

Conclusions: In this study, the relationship between OSAS and ACS was evaluated. The results of the BUA and EUÖ scale were higher than those of other countries and a positive correlation was found between SYNTAX score and OSAS risk.

Amaç: Obstrüktif uyku apne sendromu (OSAS) kardiyovasküler hastalıklar ile yakın ilişki içindedir. Basitleştirilmiş OSAS diyagnostik metodolojilerinin değerlendirilmesi halen yenidir ve kardiyoloji alanında derinlemesine araştırılmamıştır. Bu çalışmada, ülkemizdeki akut koroner sendrom (AKS) hastalarında OSAS ilişkisini ve koroner arter hastalığı ciddiyeti ilişkisini, SYNTAX skoru, Berlin Uyku Anketi (BUA) ve Epworth Uykululuk Ölçeği (EUÖ) kullanarak değerlendirmeyi amaçladık.

Hastalar ve Yöntemler: Akut koroner sendrom ile başvuran ve koroner anjiyografi yapılan 160 hasta çalışmaya dahil edildi [n=80 ST segment yükselmeli myokard infaktüsü (STEMİ) ve n=80 ST segment yükselmesiz myokard infaktüsü (NSTEMİ)]. Hastaların SYNTAX skorları hesaplandı. Hastalara taburculuk öncesi  (BUA) ve (EUÖ) uygulandı. Ölçekler iki grup arasında ve hastaların SYNTAX skoru ile kıyaslandı.

Bulgular: NSTEMİ hastalarında BUA ve EUÖ’ye göre yüksek riskli hasta oranı STEMİ grubuna göre istatiksel olarak anlamlı saptanmıştır (p<0.001, p=0.023). BUA ve EUÖ’de saptanan toplam puan miktarları NSTEMİ hastalarında STEMİ grubuna göre istatiksel olarak anlamlı saptanmıştır (p<0.001). Pearson korelasyon analizinde SYNTAX skoru ile BUA’da saptanan toplam puan arasında ve SYNTAX skoru ile EUÖ arasında anlamlı pozitif korelasyon saptanmıştır (r = 0.865, p <0.001 ve r = 0.761, p <0.001)

Sonuç: Bu çalışmada, OSAS ve AKS arasındaki ilişki değerlendirilmiştir. BUA ve EUÖ ölçeği sonuçları literatüre göre yüksek saptanmıştır ve SYNTAX skoru ve OSAS riski arasında pozitif korelasyon saptanmıştır.

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Birincil Dil tr
Konular Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Yazar: Serdar KUYUMCU (Sorumlu Yazar)
Kurum: SÜLEYMAN DEMİREL ÜNİVERSİTESİ TIP FAKÜLTESİ
Ülke: Turkey


Yazar: Fatih Öksüz

Tarihler

Başvuru Tarihi : 26 Eylül 2018
Kabul Tarihi : 19 Ekim 2018
Yayımlanma Tarihi : 1 Mart 2020

Bibtex @araştırma makalesi { sdutfd464307, journal = {SDÜ Tıp Fakültesi Dergisi}, issn = {1300-7416}, eissn = {2602-2109}, address = {}, publisher = {Süleyman Demirel Üniversitesi}, year = {2020}, volume = {27}, pages = {39 - 44}, doi = {10.17343/sdutfd.464307}, title = {Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi}, key = {cite}, author = {KUYUMCU, Serdar and Öksüz, Fatih} }
APA KUYUMCU, S , Öksüz, F . (2020). Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi. SDÜ Tıp Fakültesi Dergisi , 27 (1) , 39-44 . DOI: 10.17343/sdutfd.464307
MLA KUYUMCU, S , Öksüz, F . "Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi". SDÜ Tıp Fakültesi Dergisi 27 (2020 ): 39-44 <https://dergipark.org.tr/tr/pub/sdutfd/issue/52788/464307>
Chicago KUYUMCU, S , Öksüz, F . "Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi". SDÜ Tıp Fakültesi Dergisi 27 (2020 ): 39-44
RIS TY - JOUR T1 - Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi AU - Serdar KUYUMCU , Fatih Öksüz Y1 - 2020 PY - 2020 N1 - doi: 10.17343/sdutfd.464307 DO - 10.17343/sdutfd.464307 T2 - SDÜ Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 39 EP - 44 VL - 27 IS - 1 SN - 1300-7416-2602-2109 M3 - doi: 10.17343/sdutfd.464307 UR - https://doi.org/10.17343/sdutfd.464307 Y2 - 2018 ER -
EndNote %0 SDÜ Tıp Fakültesi Dergisi Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi %A Serdar KUYUMCU , Fatih Öksüz %T Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi %D 2020 %J SDÜ Tıp Fakültesi Dergisi %P 1300-7416-2602-2109 %V 27 %N 1 %R doi: 10.17343/sdutfd.464307 %U 10.17343/sdutfd.464307
ISNAD KUYUMCU, Serdar , Öksüz, Fatih . "Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi". SDÜ Tıp Fakültesi Dergisi 27 / 1 (Mart 2020): 39-44 . https://doi.org/10.17343/sdutfd.464307
AMA KUYUMCU S , Öksüz F . Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi. SDÜ Tıp Fakültesi Dergisi. 2020; 27(1): 39-44.
Vancouver KUYUMCU S , Öksüz F . Akut koroner sendrom hastalarında, obstrüktif uyku apne sendromunun değerlendirilmesi. SDÜ Tıp Fakültesi Dergisi. 2020; 27(1): 44-39.