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Background <p>Obstructive sleep apnea syndrome (OSAS) is an epidemic disease. The correlation between OSAS and cardiovascular diseases has been explained in numerous approaches. Improving clinical outcome in OSA patients could be achieved with detailed echocardiographic screening using the speckle tracking technique to detect subclinical heart failure. This would raise awareness among OSA patients about the cardiological complications that can arise from OSA. For moderate to severe OSA, the treatment of choice is a continuous positive airway pressure (CPAP). However, there is still debate about whether or not CPAP decreases the risk of cardiovascular events including heart attacks and heart failures.</p> Aim <p>Primary aim: Detection of subclinical echocardiographic disorders in OSA patients through early detection approach and role of CPAP in improving these disorders. Secondary aim: Increase OSA complications awareness, CPAP tolerance for OSA patients, and primary prevention of all serious OSA hazardous.</p> Methods <p>Between November 2021 and November 2023, 115 patients suspected of OSA underwent diagnostic PSG, and new techniques of transthoracic echocardiography to early diagnosis of echocardiographic complications, and so 41 patients only had OSA with echocardiographic impairment, underwent 6&#xa0;months of CPAP therapy, and then were assessed at Tanta University Hospitals’ Chest Medicine Department collaborated with the Cardiology Department of the Faculty of Medicine.</p> Results <p>All the following parameters RV dilatation, RV speckle impairment, pulmonary hypertension, and diastolic dysfunction were the commonest cardiovascular abnormalities which mainly detected among OSA patients which improved after CPAP administration.</p> Conclusion <p>Early detection of subclinical of echocardiographic OSA complication and early CPAP administration could be beneficial in primary prevention of OSA complications and increase CPAP adherence.</p>

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Early diagnosis of cardiovascular complications in obstructive sleep apnea syndrome and impact of CPAP administration

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月10日

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  • Martina Reda Abdo,
  • Dalia Ezzat Elsharawy,
  • Randa Mohammed Abd Elmageed,
  • Hoda Mokhtar Bahr,
  • Mohammed Gamal Amer Elkholy

摘要

Background

Obstructive sleep apnea syndrome (OSAS) is an epidemic disease. The correlation between OSAS and cardiovascular diseases has been explained in numerous approaches. Improving clinical outcome in OSA patients could be achieved with detailed echocardiographic screening using the speckle tracking technique to detect subclinical heart failure. This would raise awareness among OSA patients about the cardiological complications that can arise from OSA. For moderate to severe OSA, the treatment of choice is a continuous positive airway pressure (CPAP). However, there is still debate about whether or not CPAP decreases the risk of cardiovascular events including heart attacks and heart failures.

Aim

Primary aim: Detection of subclinical echocardiographic disorders in OSA patients through early detection approach and role of CPAP in improving these disorders. Secondary aim: Increase OSA complications awareness, CPAP tolerance for OSA patients, and primary prevention of all serious OSA hazardous.

Methods

Between November 2021 and November 2023, 115 patients suspected of OSA underwent diagnostic PSG, and new techniques of transthoracic echocardiography to early diagnosis of echocardiographic complications, and so 41 patients only had OSA with echocardiographic impairment, underwent 6 months of CPAP therapy, and then were assessed at Tanta University Hospitals’ Chest Medicine Department collaborated with the Cardiology Department of the Faculty of Medicine.

Results

All the following parameters RV dilatation, RV speckle impairment, pulmonary hypertension, and diastolic dysfunction were the commonest cardiovascular abnormalities which mainly detected among OSA patients which improved after CPAP administration.

Conclusion

Early detection of subclinical of echocardiographic OSA complication and early CPAP administration could be beneficial in primary prevention of OSA complications and increase CPAP adherence.