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Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study

Background: Obstructive sleep apnea syndrome (OSA) is common in patients with acute myocardial infarction (AMI). Whether OSA impacts on the ventricular remodeling post-AMI remains unclear. We compared cardiac ventricular remodeling in patients assessed by cardiac magnetic resonance (CMR) imaging at...

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Autores principales: Bughin, François, Kovacsik, Hélène, Jaussent, Isabelle, Solecki, Kamila, Aguilhon, Sylvain, Vanoverschelde, Juliette, Zarqane, Hamid, Mercier, Jacques, Gouzi, Fares, Roubille, François, Dauvilliers, Yves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9656926/
https://www.ncbi.nlm.nih.gov/pubmed/36362568
http://dx.doi.org/10.3390/jcm11216341
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author Bughin, François
Kovacsik, Hélène
Jaussent, Isabelle
Solecki, Kamila
Aguilhon, Sylvain
Vanoverschelde, Juliette
Zarqane, Hamid
Mercier, Jacques
Gouzi, Fares
Roubille, François
Dauvilliers, Yves
author_facet Bughin, François
Kovacsik, Hélène
Jaussent, Isabelle
Solecki, Kamila
Aguilhon, Sylvain
Vanoverschelde, Juliette
Zarqane, Hamid
Mercier, Jacques
Gouzi, Fares
Roubille, François
Dauvilliers, Yves
author_sort Bughin, François
collection PubMed
description Background: Obstructive sleep apnea syndrome (OSA) is common in patients with acute myocardial infarction (AMI). Whether OSA impacts on the ventricular remodeling post-AMI remains unclear. We compared cardiac ventricular remodeling in patients assessed by cardiac magnetic resonance (CMR) imaging at baseline and six months after AMI based on the presence and severity of OSA. Methods: This prospective study included 47 patients with moderate to severe AMI. They all underwent CMR at inclusion and at six months after an AMI, and a polysomnography was performed three weeks after AMI. Left and right ventricular remodeling parameters were compared between patients based on the AHI, AHI in REM and NREM sleep, oxygen desaturation index, and daytime sleepiness. Results: Of the 47 patients, 49% had moderate or severe OSA with an AHI ≥ 15/h. No differences were observed between these patients and those with an AHI < 15/h for left ventricular end-diastolic and end-systolic volumes at six months. No association was found for left and right ventricular remodeling parameters at six months or for the difference between baseline and six months with polysomnographic parameters of OSA severity, nor with daytime sleepiness. Conclusions: Although with a limited sample size, our proof-of-concept study does not report an association between OSA and ventricular remodeling in patients with AMI. These results highlight the complexity of the relationships between OSA and post-AMI morbi-mortality.
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spelling pubmed-96569262022-11-15 Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study Bughin, François Kovacsik, Hélène Jaussent, Isabelle Solecki, Kamila Aguilhon, Sylvain Vanoverschelde, Juliette Zarqane, Hamid Mercier, Jacques Gouzi, Fares Roubille, François Dauvilliers, Yves J Clin Med Article Background: Obstructive sleep apnea syndrome (OSA) is common in patients with acute myocardial infarction (AMI). Whether OSA impacts on the ventricular remodeling post-AMI remains unclear. We compared cardiac ventricular remodeling in patients assessed by cardiac magnetic resonance (CMR) imaging at baseline and six months after AMI based on the presence and severity of OSA. Methods: This prospective study included 47 patients with moderate to severe AMI. They all underwent CMR at inclusion and at six months after an AMI, and a polysomnography was performed three weeks after AMI. Left and right ventricular remodeling parameters were compared between patients based on the AHI, AHI in REM and NREM sleep, oxygen desaturation index, and daytime sleepiness. Results: Of the 47 patients, 49% had moderate or severe OSA with an AHI ≥ 15/h. No differences were observed between these patients and those with an AHI < 15/h for left ventricular end-diastolic and end-systolic volumes at six months. No association was found for left and right ventricular remodeling parameters at six months or for the difference between baseline and six months with polysomnographic parameters of OSA severity, nor with daytime sleepiness. Conclusions: Although with a limited sample size, our proof-of-concept study does not report an association between OSA and ventricular remodeling in patients with AMI. These results highlight the complexity of the relationships between OSA and post-AMI morbi-mortality. MDPI 2022-10-27 /pmc/articles/PMC9656926/ /pubmed/36362568 http://dx.doi.org/10.3390/jcm11216341 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bughin, François
Kovacsik, Hélène
Jaussent, Isabelle
Solecki, Kamila
Aguilhon, Sylvain
Vanoverschelde, Juliette
Zarqane, Hamid
Mercier, Jacques
Gouzi, Fares
Roubille, François
Dauvilliers, Yves
Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study
title Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study
title_full Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study
title_fullStr Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study
title_full_unstemmed Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study
title_short Impact of Obstructive Sleep Apnea Syndrome on Ventricular Remodeling after Acute Myocardial Infarction: A Proof-of-Concept Study
title_sort impact of obstructive sleep apnea syndrome on ventricular remodeling after acute myocardial infarction: a proof-of-concept study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9656926/
https://www.ncbi.nlm.nih.gov/pubmed/36362568
http://dx.doi.org/10.3390/jcm11216341
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