Publications
Detailed Information
Prevalence of sleep-disordered breathing in acute ischemic stroke as determined using a portable sleep apnea monitoring device in Korean subjects
Cited 21 time in
Web of Science
Cited 22 time in Scopus
- Authors
- Issue Date
- 2011-01
- Publisher
- Springer Verlag
- Citation
- Sleep and Breathing, Vol.15 No.1, pp. 77-82
- Keywords
- 의약학 ; Sleep-disordered breathing ; Prevalence ; Acute ischemic stroke ; Portable sleep apnea monitoring device
- Abstract
- It has been suggested that there is a strong association between sleep-disordered breathing (SDB) and stroke. However, this connection has not been studied in Korean subjects. Sixty-one patients with acute cerebral infarction (ACI) and 13 patients with transient ischemic attack (TIA) were consecutively enrolled. SDB was evaluated within 48 h of stroke or TIA onset using a portable screening device, which allowed incidents of apnea, hypopnea, and snoring to be automatically analyzed. Clinical and sleep-related variables, including body mass indices (BMI), cardiovascular risk factors, stroke severity and disability, and Epworth sleepiness scale, Stanford sleepiness scale, and Berlin questionnaire scores were assessed. Sixty-four age-matched patient's spouses or family members with no history of physician-diagnosed stroke were enrolled as controls. Mean apnea-hypopnea index (AHI# was significantly higher in TIA #14.6 +/- 10.4# and ACI #15.6 +/- 14.7# patients than in the controls #7.8 +/- 7.0; p = 0.001#. The prevalences of SDB were 69.2% in TIA and 50.8% in ACI patients and 32.8% in controls. BMI and systolic blood pressure #SBP# were significantly higher in patients with SDB than in patients without SDB. Sleep-related stroke onset occurred in 17 patients #22.9%#, and these patients had significantly higher AHIs. Multiple logistic regression analysis showed that BMI #odds ratio, 1.293; p = 0.027# and SBP #odds ratio, 1.030; p = 0.004) were found to independently predict SDB in patients with TIA or ACI. SDB is prevalent during the 48 h following ACI or TIA in Korean subjects. The authors recommend that SDB be evaluated after an ACI or TIA, especially in those with a high BMI and an elevated SBP.
- ISSN
- 1520-9512
- Language
- English
- Files in This Item:
- There are no files associated with this item.
- Appears in Collections:
Item View & Download Count
Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.