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Sleep and Breathing

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01-03-2016 | Original Article

The prevalence of sleep-disordered breathing among survivors of acute pulmonary embolism

Authors: Thomas M. Berghaus, Christian Faul, Wolfgang von Scheidt, Martin Schwaiblmair

Published in: Sleep and Breathing | Issue 1/2016

Abstract

Background

Sleep-disordered breathing (SDB) is associated with prothrombotic effects that could lead to venous thromboembolic diseases.

Objective

The objective of this study is to clarify the prevalence of SDB among survivors of pulmonary embolism (PE).

Methods

One hundred six consecutive PE patients were prospectively evaluated by portable monitoring (PM). Nocturnal polysomnography was performed in all subjects who were diagnosed by PM to have an apnoea-hypopnoea index (AHI) > 15/h or evidence of increased daytime sleepiness.

Results

The overall SDB prevalence in the study population was 58.5 %. Mild obstructive sleep apnoea (OSA) was diagnosed in 35.8 % of patients. Of the subjects, 12.3 % suffered from moderate OSA. In 10.4 % of study participants, OSA was found to be severe. High-risk PE was significantly more frequent among subjects with an AHI > 15/h (p = 0.005).

Conclusion

OSA is a common comorbidity of PE and possibly represents an additional risk factor for hemodynamic instability in PE patients.

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Title: The prevalence of sleep-disordered breathing among survivors of acute pulmonary embolism
Authors: Thomas M. Berghaus
Christian Faul
Wolfgang von Scheidt
Martin Schwaiblmair
Publication date: 01-03-2016
Publisher: Springer Berlin Heidelberg
Published in: Sleep and Breathing / Issue 1/2016
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-015-1209-8

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Abstract

Background

Objective

Methods

Results

Conclusion

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