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Importance of Cardiac Implantable Eletronic Devices in the Diagnosis of Sleep Apnea Syndrome

2019-06Journal article Open access
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dc.contributor.authorRibeiro, S
dc.contributor.authorBonito, L
dc.contributor.authorGuimarães, MJ
dc.contributor.authorPortuguês, J
dc.contributor.authorRodrigues, B
dc.contributor.authorAlves, A
dc.contributor.authorDurães, C
dc.contributor.authorFerreira, D
dc.contributor.authorSanfins, V
dc.contributor.authorLourenço, A
dc.date.accessioned2022-08-22T14:49:30Z
dc.date.available2022-08-22T14:49:30Z
dc.date.issued2019-06
dc.description.abstractIntroduction: Sleep Apnea Syndrome (SAS) is a prevalent respiratory disease with marked expression in the population with cardiovascular disease. The diagnosis is based on polysomnography. In patients with cardiac implantable electronic devices (CIED), the prevalence of SAS may reach 60%. The objective of this study was to evaluate the value of DEC in the SAS screening. Methods: Prospective study that included patients with CIED with sleep apnea algorithm. The frequency response function was activated and simplified polygraphy was performed. The data of the device were collected on the day of the polygraph. Results: The sample included 29 patients, with a mean age of 76.1 years, 71.4% of the male gender. The prevalence of SAS was 77%. For SAS, the agreement between polysomnography and the Pacemaker was Kappa = 0.54 (p = 0.001), 95% CI (0.28, 0.81) (moderate agreement); for moderate to severe SAS, the agreement was Kappa = 0.73 (p <0.001), 95% CI (0.49, 0.976) (substantial agreement). Severe SAS was obtained: sensitivity 60%, specificity 100%, positive predictive value 100%, negative predictive value 60% and diagnostic accuracy 75%; for moderate to severe SAS: sensitivity of 90%, specificity of 83%, positive predictive values of 90% and negative of 87.5%, with a diagnostic accuracy of 87.5%. Conclusion: SAS is highly prevalent in patients with CIED. The values obtained through these devices have a strong positive correlation with the Apnea-Hypopnea Índex, which makes them a good tool for the screening of severe SAS.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cardiol (Engl Ed) . 2019 Jun;38(6):451-455.pt_PT
dc.identifier.doi10.1016/j.repc.2018.06.002.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4223
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Españapt_PT
dc.subjectHSJ MEDpt_PT
dc.subjectAgedpt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectAlgorithmspt_PT
dc.subjectFemalept_PT
dc.subjectCardiac Resynchronization Therapy Devices / adverse effects*pt_PT
dc.subjectFollow-Up Studiespt_PT
dc.subjectHeart Failure / therapy*pt_PT
dc.subjectPolysomnography / methods*pt_PT
dc.subjectPredictive Value of Testspt_PT
dc.subjectProspective Studiespt_PT
dc.subjectSleep Apnea Syndromes / diagnosis*pt_PT
dc.subjectSleep Apnea Syndromes / etiologypt_PT
dc.titleImportance of Cardiac Implantable Eletronic Devices in the Diagnosis of Sleep Apnea Syndromept_PT
dc.title.alternativeImportância dos Dispositivos Eletrónicos Cardíacos Implantáveis no Diagnóstico da Síndrome da Apneia do Sonopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage455pt_PT
oaire.citation.startPage451pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologiapt_PT
oaire.citation.volume38pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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