在一家三级保健中心中阻塞性睡眠呼吸暂停患者中心房颤动的患病率。
Prevalence of Atrial Fibrillation in Obstructive Sleep Apnea Patients in a Tertiary Care Center.
机构信息
Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathamndu, Nepal.
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathamndu, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2020 Feb;58(222):80-83. doi: 10.31729/jnma.4812.
INTRODUCTION
Atrial fibrillation is the most common sustained arrhythmias.Recently there has been evidence of higher prevalence of atrial fibrillation in obstructive sleep apnea patients compared to the general population. The aim of this study was to find the prevalence of atrial fibrillation in patients of obstructive sleep apnea in a tertiary care center.
METHODS
This descriptive cross-sectional study was done in Om Hospital and Research Centre from January 2016 to 2018 March after ethical clearance. Convenience sampling was done. Data was collected and entry was done in microsoft excel, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
RESULTS
The prevalence of atrial fibrillation in patients with obstructive sleep apnea is 7 (10.44%) at 95% Confidence Interval (6.70-14.17%). Apnoea-Hypopnoea Index of more than 30was present in 3 (42.8%) patients of atrial fibrillation. Atrial fibrillation was seen highest, 3 (42.8%) in patients with BMI more than 30 and lowest, 1 (14.28%) patients with BMI less than 23.5. Prevalence of atrial fibrillation was seen 5 (71.4%) in male patients and 2 (28.57%) in female patients. Sixty seven (75.28%) patients had obstructive sleep apnea in which male patients was predominant 48 (71.64%).
CONCLUSIONS
Prevalence ofatrial fibrillation in patients of obstructive sleep apnea was found to higher than the similar studies done. It is important to obtain detail cardiac history in any patients with obstructive sleep apnea and look for arrhythmias speciallyatrial fibrillation.
简介
心房颤动是最常见的持续性心律失常。最近有证据表明，与普通人群相比，阻塞性睡眠呼吸暂停患者的心房颤动患病率更高。本研究旨在探讨三级保健中心阻塞性睡眠呼吸暂停患者心房颤动的患病率。
方法
本研究为描述性横断面研究，于 2016 年 1 月至 2018 年 3 月在 Om 医院和研究中心进行，经过伦理审查。采用方便抽样法。数据收集和输入均在 Microsoft Excel 中进行，计算了 95%置信区间的点估计值，以及二进制数据的频率和比例。
结果
阻塞性睡眠呼吸暂停患者中，心房颤动的患病率为 7 例（10.44%），95%置信区间为（6.70-14.17%）。心房颤动患者的呼吸暂停-低通气指数大于 30 的有 3 例（42.8%）。在 BMI 大于 30 的患者中，心房颤动发生率最高，为 3 例（42.8%），而 BMI 小于 23.5 的患者中，发生率最低，为 1 例（14.28%）。男性患者中，心房颤动的发生率为 5 例（71.4%），女性患者为 2 例（28.57%）。在 67 例（75.28%）患有阻塞性睡眠呼吸暂停的患者中，男性患者居多，有 48 例（71.64%）。
结论
阻塞性睡眠呼吸暂停患者心房颤动的患病率高于类似研究。在任何患有阻塞性睡眠呼吸暂停的患者中，详细了解心脏病史并寻找心律失常，特别是心房颤动，非常重要。
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