| The diagnostic yield of exercise stress testing as a screening tool for subclinical coronary artery disease in patients with moderate to severe obstructive sleep apnea. | |
| | |
MedLine Citation:
|
PMID: 21344047 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY OBJECTIVE: To address the yield of routine exercise stress testing as a screening tool for subclinical coronary artery disease (CAD) in patients with moderate to severe obstructive sleep apnea (OSA). DESIGN AND SETTING: A cross-sectional study in a university hospital. PARTICIPANTS: Of 380 consecutive patients with OSA, data from 206 subjects (mean apnea-hypopnea index [AHI] 41 ± 21 events/h) were studied; data from 78 with a history of CAD and 96 with mild OSA (AHI 5-15 events/h) were excluded. MEASUREMENTS: Routine exercise stress testing. RESULTS: Six subjects could not reach maximal exercise capacity. Of the remaining 200 patients, the results of exercise stress testing were normal in 189. Three had a positive stress test, with coronary angiography confirming the diagnosis of CAD. Eight patients had suspected positive findings on the stress test, but the results of the myocardial perfusion study were negative. CONCLUSION: The prevalence of subclinical CAD in this selected population with OSA was 1.5%, which is not higher than that in a general population. Our results do not support the routine use of exercise stress testing in patients with moderate to severe OSA who do not have symptoms of CAD. |
| | |
Authors:
|
Aykut Cilli; Fulsen Batmaz; Ibrahim Demir; Adil Boz; Evren Toprak; Tülay Ozdemir; Yüksel Peker |
Related Documents
:
|
21484037 - Post-resistance exercise hypotension in patients with intermittent claudication. 8205747 - Biochemical changes in relation to a maximal exercise test in patients with fibromyalgia. 10502077 - Effect of work and recovery duration on skeletal muscle oxygenation and fuel use during... 9167197 - Hepatic and gastrointestinal oxygen and lactate metabolism during low cardiac output in... 10416277 - The importance of measured end-points in demonstrating the occurrence of interactions: ... 1755477 - Measurement of gastric secretion as a student teaching exercise. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine Volume: 7 ISSN: 1550-9397 ISO Abbreviation: J Clin Sleep Med Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-02-23 Completed Date: 2011-07-13 Revised Date: 2011-08-25 |
Medline Journal Info:
|
Nlm Unique ID: 101231977 Medline TA: J Clin Sleep Med Country: United States |
Other Details:
|
Languages: eng Pagination: 25-9 Citation Subset: IM |
Affiliation:
|
Department of Respiratory Diseases, Akdeniz University Hospital, Antalya, Turkey. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Distribution Comorbidity Coronary Angiography Coronary Artery Disease / diagnosis*, epidemiology* Cross-Sectional Studies Exercise Test Female Follow-Up Studies Humans Incidence Male Mass Screening / methods Middle Aged Polysomnography / methods Reference Values Risk Assessment Severity of Illness Index Sex Distribution Sleep Apnea, Obstructive / diagnosis*, epidemiology* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A multi-component cognitive-behavioral intervention for sleep disturbance in veterans with PTSD: a p...
Next Document: Emotional content of dreams in obstructive sleep apnea hypopnea syndrome patients and sleepy snorers...