OSAS与STEMI及不良心脑血管事件发生的相关性

Correlation of OSAS with STEMI and adverse cardiovascular and cerebrovascular events

目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)与急性ST段抬高型心肌梗死(STEMI)及不良心脑血管事件发生的相关性。方法:以130例STEMI患者为研究对象,对患者的性别、年龄、BMI、吸烟情况等资料进行分析,监测睡眠、血氧饱和度下降指数、睡眠呼吸暂停低通气指数、平均血氧饱和度等指标,分析OSAS与STEMI及不良心脑血管事件发生的相关性。结果:130例STEMI患者中,合并OSAS者共计76例(58.46%),轻度患者25例(19.23%)、中重度51例(39.23%)。STEMI发生的独立危险因素为中重度OSAS、年龄≥60岁以及BMI。结论:中重度OSAS与STEMI及不良心脑血管事件发生具有密切相关性,因此STEMI患者还需早期进行睡眠监测,以便及时开展临床诊疗。

Objective:To study the correlation between obstructive sleep apnea syndrome(OSAS)and acute ST-segment elevation myocardial infarction(STEMI)and unconscionable cerebrovascular events.Methods:130 patients with STEMI were selected as the research object.The data of gender,age,BMI and smoking were analyzed.The indexes of sleep,oxygen saturation decline index,sleep apnea hypopnea index and mean oxygen saturation were monitored to analyze the correlation between OSAS and STEMI and unconscionable cerebrovascular events.Results:130 STEMI patients,76(58.46%)were complicated with OSAS,25(19.23%)were mild and 51(39.23%)were moderate to severe.The independent risk factors for STEMI were moderate to severe OSAS,age≥60 and BMI.Conclusion:Moderate and severe OSAS are closely related to THE occurrence of STEMI and unconscionable cerebrovascular events.Therefore,early sleep monitoring is needed in STEMI patients for timely clinical diagnosis and treatment.