Obstructive sleep apnea and peripheral vascular disease: a systematic review based on current literature

Journal of Community Hospital Internal Medicine Perspectives

Faiz Anwer¹  Mohsin Mirza²  Mark Holmberg²  Zubair Ashfaq²  Vikas Kapoor²  Muhammad Junaid Ahsan²  Azka Latif²  Noman Lateef²  Muhammad Zoraiz Ahsan³  Hafiz Muhammad Fazeel⁴  Syeda Sabeeka Batool⁵ 

[1] Cleveland Medical Center;Creighton University Medical Center;Fatima Memorial Hospital;Services Institute of Medical Sciences;UAB-Huntsville Hospital;

关键词: obstructive sleep apnea;    peripheral arterial disease;    coronary artery disease;    sleep apnea;    apnea hypopnea index;    ankle brachial index;   

DOI  :  10.1080/20009666.2020.1764276

来源: DOAJ

【 摘 要 】

Introduction Obstructive sleep apnea (OSA) is an established risk factor for poor cardiovascular outcomes and coronary artery disease, but its influence on the development of peripheral artery disease (PAD) is not well established. The aim of our study was to understand the mutual prevalence of OSA and PAD and any reported statistical association between the two conditions. Methods PubMed, Ovid Embase, Web of Science, Cochrane library and clinicaltrials.gov databases were systematically searched up to 29 November 2018. A total of 844 articles were identified and 744 articles were screened for relevance. Results and Conclusion Eleven prospective cohorts qualified for inclusion with N = 63,642 (M = 28,062, F = 35,494). All studies evaluated OSA severity primarily with apnea–hypopnea index (AHI) values. The overall prevalence of PAD was 20.5% (N = 13,068). Except for two studies, all studies reported an increased prevalence of OSA in patients with PAD. OSA severity was not found to have an association with poor ankle brachial index values or increasing daytime sleepiness as measured by Epworth sleepiness scale. Further prospective clinical trials are required to further delineate this finding.

【 授权许可】

Unknown