Relationship between obstructive sleep apnea-hypopnea syndrome and aortic dissection
10.7507/1007-4848.201808006
- VernacularTitle:阻塞性睡眠呼吸暂停低通气综合征与主动脉夹层的相关性研究
- Author:
FAN Kangjun
1
;
LI Zhaoshui
1
;
SUN Zhanfa
1
;
QIAO Youjin
1
;
LIN Mingshan
1
;
LIU Tingxing
1
;
SUN Long
1
;
CHI Yifan
1
;
HUANG Qiang
1
Author Information
1. Department of Cardiovascular Surgery, Qingdao Municipal Hospital, Medical College of Qingdao University, Qingdao, 266071, Shandong, P.R.China
- Publication Type:Journal Article
- Keywords:
Obstructive sleep apnea-hypopnea syndrome;
aortic dissection;
hypertension
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(5):457-460
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between obstructive sleep apnea-hypopnea syndrome (OSAHS) and aortic dissection (AD). Methods Fifty three patients with AD diagnosed by CTA in our hospital from January 2016 to January 2018 were selected. All the patients with AD were scored by the STOP-BANG questionnaire. The patients who scored more than or equal to 3 received polysomnography (PSG) after surgical or conservative treatment, and according to whether the sleep apnea-hypopnea index was higher than or equal to 5. Fifty-three patients were divided into an OSAHS group and a non OSAHS group. Results There were 18 patients with 17 males and 1 female at average age of 43.3±8.4 years in the OSAHS group, and 35 patients with 23 males and 12 females at average age of 56.6±12.9 years in the non OSAHS group. There was no statistical difference between the two groups in the Stanford classification of aortic dissection, the time of onset, personal history, the history of diabetes, coronary heart disease and hyperlipidemia, or post-treatment systolic/diastolic blood pressure before sleep (P>0.05). The age of patients in the OSAHS group was significantly less than that in the non OSAHS group (P<0.01), the proportion of men/women (P=0.021), weight (P<0.01), height (P=0.028), body mass index (P<0.01), and post-treatment systolic/diastolic blood pressure after waking up (P=0.028,P=0.044) in the OSAHS group were significantly higher than those in the non OSAHS group. In the OSAHS group, the proportion of previous hypertension was significantly higher than that in the non OSAHS group (P=0.042). Conclusion AD patients combined with OSAHS are mostly male patients. The number of young and high-fat people is significantly more than that in the non OSAHS group. OSAHS may be one of the risk factors for young, high-fat men with AD.
