Skip to main content
Top
Published in: BMC Cardiovascular Disorders 1/2024

Open Access 01-12-2024 | CABG | Research

Investigate the relationship between obstructive sleep apnea and cardiac arrhythmia after CABG surgery

Authors: Somayeh Mohammadi, Ezzat Paryad, Atefeh Ghanbari Khanghah, Ehsan Kazemnezhad Leili, Marzieh Jahani Sayad Noveiri

Published in: BMC Cardiovascular Disorders | Issue 1/2024

Login to get access

Abstract

Background and objective

Heart rhythm disorder is one of the most common problems after coronary artery bypass graft surgery. Various factors, such as the history of sleep apnoea before the operation, may aggravate the occurrence of this disorder. The present study was conducted to determine the relationship between sleep apnoea before surgery and heart rhythm disorder after surgery in patients undergoing coronary Artery Bypass Grafting in 2019.

Methods

This analytical cross-sectional study was conducted on 192 patients who were selected by sequential sampling. The research tool included demographic information, a checklist of heart rhythm disorders, and the Berlin sleep apnoea questionnaire. Descriptive statistics and the Chi-square test, Fisher's exact test, Mann–Whitney’s U-test, and logistic regression were used to analyze the data.

Results

A total of 71.35% of the samples were male, and the mean age of the participants was 57.8 ± 7.5 years. Also, 46.0% of the samples had sleep pane and 21.35% had rhythm disorder. The most frequent heart rhythm disorder in patients with obstructive sleep apnoea was atrial fibrillation. There was a significant relationship between the occurrence of rhythm disorder and a history of smoking (P = 0.021), and the regression model showed that a history of smoking is the only variable related to the occurrence of rhythm disorder after coronary Artery Bypass Grafting (P = 0.005, CI 95%: 6.566–1.386, OR = 3.017).

Conclusions

The results showed that there is no statistically significant relationship between sleep apnea and rhythm disorder after coronary artery bypass surgery.
Literature
1.
go back to reference Sajja A, Alfaddagh A, Blumenthal RS. Primary prevention of cardiovascular disease guidelines. ASPC Manual of Preventive Cardiology: Springer; 2021. p. 653–72. Sajja A, Alfaddagh A, Blumenthal RS. Primary prevention of cardiovascular disease guidelines. ASPC Manual of Preventive Cardiology: Springer; 2021. p. 653–72.
2.
go back to reference Ellison DL. Acute diverticulitis management. Crit Care Nurs Clin. 2018;30:67–74.CrossRef Ellison DL. Acute diverticulitis management. Crit Care Nurs Clin. 2018;30:67–74.CrossRef
3.
go back to reference Faruzaniya SK, Abdulahi MH. Epidemiological study of 2000 cases of cardiac surgery in Afshar Hospital, Yazd. J Shahid Sadoughi Univ Med Sci Yazd. 2003;11(2):3–9. (Persian). Faruzaniya SK, Abdulahi MH. Epidemiological study of 2000 cases of cardiac surgery in Afshar Hospital, Yazd. J Shahid Sadoughi Univ Med Sci Yazd. 2003;11(2):3–9. (Persian).
4.
go back to reference Kucia A, Quinn T. Acute cardiac care: a practical guide for nurses. e-Book, Wiley-Blackwell; 2013. Kucia A, Quinn T. Acute cardiac care: a practical guide for nurses. e-Book, Wiley-Blackwell; 2013.
5.
go back to reference Bruno VD, Ascione R. Postoperative atrial fibrillation: Still in search of truth or a neglected complication?. J Thorac Cardiovasc Surg. 2018;155:236–7. Bruno VD, Ascione R. Postoperative atrial fibrillation: Still in search of truth or a neglected complication?. J Thorac Cardiovasc Surg. 2018;155:236–7.
6.
go back to reference Reznik ME, Merkler AE, Segal AZ, Navi BA, Kamel H. Abstract WP417: treatment of obstructive sleep apnea and the risk of subsequent stroke and cardiovascular events. Stroke. 2017;48:AWP417-AWP.CrossRef Reznik ME, Merkler AE, Segal AZ, Navi BA, Kamel H. Abstract WP417: treatment of obstructive sleep apnea and the risk of subsequent stroke and cardiovascular events. Stroke. 2017;48:AWP417-AWP.CrossRef
7.
go back to reference Karimi N, Kelava M, Kothari P, Zimmerman NM, Gillinov AM, Duncan AE. Patients at high risk for obstructive sleep apnea are at increased risk for atrial fibrillation after cardiac surgery: a cohort analysis. Anesth Analg. 2018;126:2025–31.CrossRefPubMed Karimi N, Kelava M, Kothari P, Zimmerman NM, Gillinov AM, Duncan AE. Patients at high risk for obstructive sleep apnea are at increased risk for atrial fibrillation after cardiac surgery: a cohort analysis. Anesth Analg. 2018;126:2025–31.CrossRefPubMed
8.
go back to reference Lomivorotov VV, Efremov SM, Pokushalov EA, Karaskov AM. New-onset atrial fibrillation after cardiac surgery: pathophysiology, prophylaxis, and treatment. J Cardiothorac Vasc Anesth. 2016;30:200–16.CrossRefPubMed Lomivorotov VV, Efremov SM, Pokushalov EA, Karaskov AM. New-onset atrial fibrillation after cardiac surgery: pathophysiology, prophylaxis, and treatment. J Cardiothorac Vasc Anesth. 2016;30:200–16.CrossRefPubMed
9.
go back to reference Zipes DP. Braunwald’s heart disease: a textbook of cardiovascular medicine. BMH Med J ISSN 2348–392X. 2018;5:63. Zipes DP. Braunwald’s heart disease: a textbook of cardiovascular medicine. BMH Med J ISSN 2348–392X. 2018;5:63.
10.
go back to reference Nunes FS, Danzi-Soares NJ, Genta PR, Drager LF, Cesar LA, Lorenzi-Filho G. Critical evaluation of screening questionnaires for obstructive sleep apnea in patients undergoing coronary artery bypass grafting and abdominal surgery. Sleep Breath. 2015;19:115–22.CrossRefPubMed Nunes FS, Danzi-Soares NJ, Genta PR, Drager LF, Cesar LA, Lorenzi-Filho G. Critical evaluation of screening questionnaires for obstructive sleep apnea in patients undergoing coronary artery bypass grafting and abdominal surgery. Sleep Breath. 2015;19:115–22.CrossRefPubMed
11.
go back to reference Amra B, Niknam N, Sadeghi MMM, Rabbani M, Fietze I, Penzel T. Obstructive sleep apnea and postoperative complications in patients undergoing coronary artery bypass graft surgery: a need for preventive strategies. Int J Prev Med. 2014;5:1446.PubMedPubMedCentral Amra B, Niknam N, Sadeghi MMM, Rabbani M, Fietze I, Penzel T. Obstructive sleep apnea and postoperative complications in patients undergoing coronary artery bypass graft surgery: a need for preventive strategies. Int J Prev Med. 2014;5:1446.PubMedPubMedCentral
12.
go back to reference Mungan U, Ozeke O, Mavioglu L, Ertan C, Karaca IO, Keskin G, et al. The role of the preoperative screening of sleep apnoea by Berlin Questionnaire and Epworth Sleepiness Scale for postoperative atrial fibrillation. Heart Lung Circ. 2013;22:38–42.CrossRefPubMed Mungan U, Ozeke O, Mavioglu L, Ertan C, Karaca IO, Keskin G, et al. The role of the preoperative screening of sleep apnoea by Berlin Questionnaire and Epworth Sleepiness Scale for postoperative atrial fibrillation. Heart Lung Circ. 2013;22:38–42.CrossRefPubMed
13.
go back to reference Kakar A, Ananthakrishnan R, Handa A, Joshi S, Tyagi R, Mohanty S. Prevalence of cardiac arrhythmias in patients of obstructive sleep apnea syndrome and changes after 6 months of continuous positive airway pressure therapy. Journal of Marine Medical Society. 2021;23:39.CrossRef Kakar A, Ananthakrishnan R, Handa A, Joshi S, Tyagi R, Mohanty S. Prevalence of cardiac arrhythmias in patients of obstructive sleep apnea syndrome and changes after 6 months of continuous positive airway pressure therapy. Journal of Marine Medical Society. 2021;23:39.CrossRef
15.
go back to reference Ghazal A, Roghani F, Sadeghi M, Amra B, Kermani-Alghoraishi M. Obstructive sleep apnea, diagnosed by the Berlin questionnaire and association with coronary artery disease severity. ARYA atherosclerosis. 2015;11:275.PubMedPubMedCentral Ghazal A, Roghani F, Sadeghi M, Amra B, Kermani-Alghoraishi M. Obstructive sleep apnea, diagnosed by the Berlin questionnaire and association with coronary artery disease severity. ARYA atherosclerosis. 2015;11:275.PubMedPubMedCentral
16.
go back to reference Vasheghani-Farahani A, Kazemnejad F, Sadeghniiat-Haghighi K, Saadat S, Tavakolipoor P, Yazdani T, et al. Obstructive sleep apnea and severity of coronary artery disease. Caspian J Intern Med. 2018;9:276.PubMedPubMedCentral Vasheghani-Farahani A, Kazemnejad F, Sadeghniiat-Haghighi K, Saadat S, Tavakolipoor P, Yazdani T, et al. Obstructive sleep apnea and severity of coronary artery disease. Caspian J Intern Med. 2018;9:276.PubMedPubMedCentral
17.
go back to reference Naghshtabrizi N, Alizadeh S, Naghshtabrizi B, Jalali A, Salarifar M. Relationship between severity and complexity of coronary artery involvement and obstructive sleep apnea based on STOP-BANG questionnaire. Int J Prevent Med. 2022;13:34. Naghshtabrizi N, Alizadeh S, Naghshtabrizi B, Jalali A, Salarifar M. Relationship between severity and complexity of coronary artery involvement and obstructive sleep apnea based on STOP-BANG questionnaire. Int J Prevent Med. 2022;13:34.
18.
go back to reference Schmidleitner C, Arzt M, Tafelmeier M, Ripfel S, Fauser M, Weizenegger T, et al. Sleep-disordered breathing is associated with disturbed cardiac repolarization in patients with a coronary artery bypass graft surgery. Sleep Med. 2018;42:13–20.CrossRefPubMed Schmidleitner C, Arzt M, Tafelmeier M, Ripfel S, Fauser M, Weizenegger T, et al. Sleep-disordered breathing is associated with disturbed cardiac repolarization in patients with a coronary artery bypass graft surgery. Sleep Med. 2018;42:13–20.CrossRefPubMed
20.
go back to reference Uchôa CHG, de Jesus D-S, Nunes FS, de Souza AA, Nerbass FB, Pedrosa RP, et al. Impact of OSA on cardiovascular events after coronary artery bypass surgery. Chest. 2015;147:1352–60.CrossRefPubMed Uchôa CHG, de Jesus D-S, Nunes FS, de Souza AA, Nerbass FB, Pedrosa RP, et al. Impact of OSA on cardiovascular events after coronary artery bypass surgery. Chest. 2015;147:1352–60.CrossRefPubMed
21.
go back to reference Selim BJ, Koo BB, Qin L, Jeon S, Won C, Redeker NS, et al. The association between nocturnal cardiac arrhythmias and sleep-disordered breathing: the DREAM study. J Clin Sleep Med. 2016;12:829–37.CrossRefPubMedPubMedCentral Selim BJ, Koo BB, Qin L, Jeon S, Won C, Redeker NS, et al. The association between nocturnal cardiac arrhythmias and sleep-disordered breathing: the DREAM study. J Clin Sleep Med. 2016;12:829–37.CrossRefPubMedPubMedCentral
22.
go back to reference Wu X, Liu Z, Chang SC, Fu C, Li W, Jiang H, et al. Screening and managing obstructive sleep apnoea in nocturnal heart block patients: an observational study. Respir Res. 2016;17:1–11.CrossRef Wu X, Liu Z, Chang SC, Fu C, Li W, Jiang H, et al. Screening and managing obstructive sleep apnoea in nocturnal heart block patients: an observational study. Respir Res. 2016;17:1–11.CrossRef
23.
go back to reference Arzt M, Woehrle H, Oldenburg O, Graml A, Suling A, Erdmann E, et al. Prevalence and predictors of sleep-disordered breathing in patients with stable chronic heart failure: the SchlaHF registry. JACC Heart Fail. 2016;4:116–25.CrossRefPubMed Arzt M, Woehrle H, Oldenburg O, Graml A, Suling A, Erdmann E, et al. Prevalence and predictors of sleep-disordered breathing in patients with stable chronic heart failure: the SchlaHF registry. JACC Heart Fail. 2016;4:116–25.CrossRefPubMed
24.
go back to reference Bielicki P, Trojnar A, Sobieraj P, Wąsik M. Smoking status in relation to obstructive sleep apnea severity (OSA) and cardiovascular comorbidity in patients with newly diagnosed OSA. Adv Respir Med. 2019;87:103–9.CrossRefPubMed Bielicki P, Trojnar A, Sobieraj P, Wąsik M. Smoking status in relation to obstructive sleep apnea severity (OSA) and cardiovascular comorbidity in patients with newly diagnosed OSA. Adv Respir Med. 2019;87:103–9.CrossRefPubMed
25.
go back to reference Ghazi L, Bennett A, Petrov ME, Howard VJ, Safford MM, Soliman EZ, et al. Race, sex, age, and regional differences in the association of obstructive sleep apnea with atrial fibrillation: reasons for geographic and racial differences in stroke study. J Clin Sleep Med. 2018;14:1485–93.CrossRefPubMedPubMedCentral Ghazi L, Bennett A, Petrov ME, Howard VJ, Safford MM, Soliman EZ, et al. Race, sex, age, and regional differences in the association of obstructive sleep apnea with atrial fibrillation: reasons for geographic and racial differences in stroke study. J Clin Sleep Med. 2018;14:1485–93.CrossRefPubMedPubMedCentral
26.
go back to reference Tafelmeier M, Weizenegger T, Ripfel S, Fauser M, Floerchinger B, Camboni D, et al. Postoperative complications after elective coronary artery bypass grafting surgery in patients with sleep-disordered breathing. Clin Res Cardiol. 2018;107:1148–59.CrossRefPubMed Tafelmeier M, Weizenegger T, Ripfel S, Fauser M, Floerchinger B, Camboni D, et al. Postoperative complications after elective coronary artery bypass grafting surgery in patients with sleep-disordered breathing. Clin Res Cardiol. 2018;107:1148–59.CrossRefPubMed
27.
go back to reference Lip GY, Coca A, Kahan T, Boriani G, Manolis AS, Olsen MH, et al. Hypertension and cardiac arrhythmias: a consensus document from the European heart rhythm association (EHRA) and ESC Council on hypertension, endorsed by the heart rhythm Society (HRS), Asia-Pacific heart rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca Y Electrofisiología (SOLEACE). Ep Europace. 2017;19:891–911.CrossRefPubMed Lip GY, Coca A, Kahan T, Boriani G, Manolis AS, Olsen MH, et al. Hypertension and cardiac arrhythmias: a consensus document from the European heart rhythm association (EHRA) and ESC Council on hypertension, endorsed by the heart rhythm Society (HRS), Asia-Pacific heart rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca Y Electrofisiología (SOLEACE). Ep Europace. 2017;19:891–911.CrossRefPubMed
28.
go back to reference Almeneessier AS, Alasousi N, Sharif MM, Pandi-Perumal SR, Hersi AS, BaHammam AS. Prevalence and predictors of arrhythmia in patients with obstructive sleep apnea. Sleep Sci. 2017;10:142.CrossRefPubMedPubMedCentral Almeneessier AS, Alasousi N, Sharif MM, Pandi-Perumal SR, Hersi AS, BaHammam AS. Prevalence and predictors of arrhythmia in patients with obstructive sleep apnea. Sleep Sci. 2017;10:142.CrossRefPubMedPubMedCentral
29.
go back to reference Rezaei Y, Peighambari MM, Naghshbandi S, Samiei N, Ghavidel AA, Dehghani MR, et al. Postoperative atrial fibrillation following cardiac surgery: from pathogenesis to potential therapies. Am J Cardiovasc Drugs. 2020;20:19–49.CrossRefPubMed Rezaei Y, Peighambari MM, Naghshbandi S, Samiei N, Ghavidel AA, Dehghani MR, et al. Postoperative atrial fibrillation following cardiac surgery: from pathogenesis to potential therapies. Am J Cardiovasc Drugs. 2020;20:19–49.CrossRefPubMed
30.
go back to reference Mahmoodi Z, Keikhaie KR, Salarzaei M, Havasian MR. The incidence of different kinds of cardiac arrhythmia after myocardial infarction in smokers and opium abusers hospitalized in imam Ali Hospital, Zahedan, 2016. J Pharm Sci Res. 2017;9:1243. Mahmoodi Z, Keikhaie KR, Salarzaei M, Havasian MR. The incidence of different kinds of cardiac arrhythmia after myocardial infarction in smokers and opium abusers hospitalized in imam Ali Hospital, Zahedan, 2016. J Pharm Sci Res. 2017;9:1243.
31.
go back to reference Zhu W, Yuan P, Shen Y, Wan R, Hong K. Association of smoking with the risk of incident atrial fibrillation: a meta-analysis of prospective studies. Int J Cardiol. 2016;218:259–66.CrossRefPubMed Zhu W, Yuan P, Shen Y, Wan R, Hong K. Association of smoking with the risk of incident atrial fibrillation: a meta-analysis of prospective studies. Int J Cardiol. 2016;218:259–66.CrossRefPubMed
32.
go back to reference Cheng WH, Lo LW, Lin YJ, Chang SL, Hu YF, Hung Y, et al. Cigarette smoking causes a worse long-term outcome in persistent atrial fibrillation following catheter ablation. J Cardiovasc Electrophysiol. 2018;29:699–706.CrossRefPubMed Cheng WH, Lo LW, Lin YJ, Chang SL, Hu YF, Hung Y, et al. Cigarette smoking causes a worse long-term outcome in persistent atrial fibrillation following catheter ablation. J Cardiovasc Electrophysiol. 2018;29:699–706.CrossRefPubMed
Metadata
Title
Investigate the relationship between obstructive sleep apnea and cardiac arrhythmia after CABG surgery
Authors
Somayeh Mohammadi
Ezzat Paryad
Atefeh Ghanbari Khanghah
Ehsan Kazemnezhad Leili
Marzieh Jahani Sayad Noveiri
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2024
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-023-03694-x

Other articles of this Issue 1/2024

BMC Cardiovascular Disorders 1/2024 Go to the issue