RT Journal Article
T1 High prevalence of obstructive sleep apnea syndrome in Spain's Stroke Belt
A1 Domínguez-Mayoral, Ana
A1 Sánchez-Gómez, Jesús
A1 Guerrero, Patricia
A1 Ferrer, Marta
A1 Gutiérrez, Carmen
A1 Aguilar, María
A1 Fouz-Rosón, Natalia
A1 Benítez, José María
A1 Pérez-Sánchez, Soledad
A1 Gamero-García, Miguel Ángel
A1 De Torres-Chacón, Reyes
A1 Barragán-Prieto, Ana
A1 Algaba, Pilar
A1 Ruiz-Bayo, Lidia
A1 Montaner, Joan
K1 Spanish stroke belt
K1 Ischemic stroke
K1 Obstructive sleep apnea–hypopnea syndrome
K1 Polygraphy
K1 Polysomnography
K1 Screening
K1 Prevalence
K1 Facial palsy
K1 Hypertension
K1 Accidente cerebrovascular isquémico
K1 Apnea obstructiva del sueño
K1 Síndromes de la apnea del sueño
K1 Polisomnografía
K1 Tamizaje masivo
K1 Prevalencia
K1 Parálisis facial
K1 Hipertensión
K1 Estudios transversales
K1 Andalucía
AB ObjectiveSpain’s so-called Stroke Belt is an area with high prevalence of vascular disease. We aimed to determine the prevalence of undetected obstructive sleep apnea–hypopnea syndrome (OSAHS) among patients with acute ischemic stroke (AIS) in southern Spain.MethodsWe conducted a cross-sectional study at the Virgen Macarena University Hospital Stroke Unit during 2018 to 2019. We included patients <72 hours after AIS with a neuroimaging lesion and performed sleep tests.ResultsSeventy-two patients were included. The median participant age was 72 years. Mean body mass index was 27.07 kg/m2, and 40.28% were daily alcohol drinkers. Hypertension, atrial fibrillation, ischemic cardiomyopathy, and previous stroke were detected in 63.9%, 11.1%, 15.3%, and 17.6% of patients, respectively. Polygraphy was feasible in 91.38% of patients. The prevalence of OSAHS was 84.72% (apnea–hypopnea index ≥5). Patients with moderate and severe OSAHS were more likely to be obese and to have a larger neck circumference and facial palsy. The diagnostic criteria of central sleep apnea syndrome were met in only 1.38% of patients.ConclusionsThe high prevalence of OSAHS found in the Spanish Stroke Belt justifies further investigation and development of a screening program as a strategy to identify patients with undetected OSAHS.
PB Sage Publications Ltd.
YR 2021
FD 2021-10-30
LK http://hdl.handle.net/10668/4493
UL http://hdl.handle.net/10668/4493
LA en
NO Domínguez-Mayoral A, Sánchez-Gómez J, Guerrero P, Ferrer M, Gutiérrez C, Aguilar M, et al. High prevalence of obstructive sleep apnea syndrome in Spain's Stroke Belt. J Int Med Res. 2021 Oct;49(10):3000605211053090
DS RISalud
RD Apr 7, 2025