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Impact of Obstructive Sleep Apnoea on Rate of Dysrrhythmia and Outcome in Stroke Admissions on the Medical Service of Jos University Teaching Hospital

Received: 25 April 2021     Accepted: 14 May 2021     Published: 31 May 2021
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Abstract

Obstructive sleep apnoea (OSA) is said to be associated with stroke and can be modulated to advantage. Given its impact on atrial fibrillation (AF), a predictor of severity and poor stroke outcome, we decided to study the relationship of OSA with arrhythmias and outcome in stroke patients admitted on our service. Stroke patients admitted and confirmed by neuro-imaging were examined physically, underwent 24 hour Holter monitoring and assessed for severity, dependency and survival status by 4 weeks after admission. They had arterial blood saturation checked between 10 pm and 2 am. Saturation < 90% defined OSAS and it was correlated with presence of arrhythmias, severity of stroke and outcome measures. Ninety four patients (52 M, 42 F) were enrolled. Ten, 6 M 4 F had OSA with a mean age of 56.00±16.80 years. AF was more associated with OSA to a statistically significant extent (chi-square=7.453, p=0.006). When it comes to mortality or whether patient was still on admission or had been discharged by 4 weeks, presence of OSA made an obvious difference. (chi-square=16.202. p=0.001). Those with OSA were more dependent 4 weeks after admission and had more severe stroke, but the difference missed statistical significance. In conclusion, OSA in stroke patients is fraught with a high risk of arrhythmias in which presence strokes are more severe with poorer outcomes. Appropriate management of OSA in patients at risk of stroke or after the ictus is bound to mitigate the burden and consequences of stroke.

Published in American Journal of Internal Medicine (Volume 9, Issue 3)
DOI 10.11648/j.ajim.20210903.15
Page(s) 138-141
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Obstructive Sleep Apnea, Arrhythmias, Stroke, Severity, Outcome

References
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Cite This Article
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    Basil Nwaneri Okeahialam, Patrick Oyigebe Idoko. (2021). Impact of Obstructive Sleep Apnoea on Rate of Dysrrhythmia and Outcome in Stroke Admissions on the Medical Service of Jos University Teaching Hospital. American Journal of Internal Medicine, 9(3), 138-141. https://doi.org/10.11648/j.ajim.20210903.15

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    ACS Style

    Basil Nwaneri Okeahialam; Patrick Oyigebe Idoko. Impact of Obstructive Sleep Apnoea on Rate of Dysrrhythmia and Outcome in Stroke Admissions on the Medical Service of Jos University Teaching Hospital. Am. J. Intern. Med. 2021, 9(3), 138-141. doi: 10.11648/j.ajim.20210903.15

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    AMA Style

    Basil Nwaneri Okeahialam, Patrick Oyigebe Idoko. Impact of Obstructive Sleep Apnoea on Rate of Dysrrhythmia and Outcome in Stroke Admissions on the Medical Service of Jos University Teaching Hospital. Am J Intern Med. 2021;9(3):138-141. doi: 10.11648/j.ajim.20210903.15

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  • @article{10.11648/j.ajim.20210903.15,
      author = {Basil Nwaneri Okeahialam and Patrick Oyigebe Idoko},
      title = {Impact of Obstructive Sleep Apnoea on Rate of Dysrrhythmia and Outcome in Stroke Admissions on the Medical Service of Jos University Teaching Hospital},
      journal = {American Journal of Internal Medicine},
      volume = {9},
      number = {3},
      pages = {138-141},
      doi = {10.11648/j.ajim.20210903.15},
      url = {https://doi.org/10.11648/j.ajim.20210903.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210903.15},
      abstract = {Obstructive sleep apnoea (OSA) is said to be associated with stroke and can be modulated to advantage. Given its impact on atrial fibrillation (AF), a predictor of severity and poor stroke outcome, we decided to study the relationship of OSA with arrhythmias and outcome in stroke patients admitted on our service. Stroke patients admitted and confirmed by neuro-imaging were examined physically, underwent 24 hour Holter monitoring and assessed for severity, dependency and survival status by 4 weeks after admission. They had arterial blood saturation checked between 10 pm and 2 am. Saturation < 90% defined OSAS and it was correlated with presence of arrhythmias, severity of stroke and outcome measures. Ninety four patients (52 M, 42 F) were enrolled. Ten, 6 M 4 F had OSA with a mean age of 56.00±16.80 years. AF was more associated with OSA to a statistically significant extent (chi-square=7.453, p=0.006). When it comes to mortality or whether patient was still on admission or had been discharged by 4 weeks, presence of OSA made an obvious difference. (chi-square=16.202. p=0.001). Those with OSA were more dependent 4 weeks after admission and had more severe stroke, but the difference missed statistical significance. In conclusion, OSA in stroke patients is fraught with a high risk of arrhythmias in which presence strokes are more severe with poorer outcomes. Appropriate management of OSA in patients at risk of stroke or after the ictus is bound to mitigate the burden and consequences of stroke.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Impact of Obstructive Sleep Apnoea on Rate of Dysrrhythmia and Outcome in Stroke Admissions on the Medical Service of Jos University Teaching Hospital
    AU  - Basil Nwaneri Okeahialam
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    Y1  - 2021/05/31
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    N1  - https://doi.org/10.11648/j.ajim.20210903.15
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    JF  - American Journal of Internal Medicine
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    AB  - Obstructive sleep apnoea (OSA) is said to be associated with stroke and can be modulated to advantage. Given its impact on atrial fibrillation (AF), a predictor of severity and poor stroke outcome, we decided to study the relationship of OSA with arrhythmias and outcome in stroke patients admitted on our service. Stroke patients admitted and confirmed by neuro-imaging were examined physically, underwent 24 hour Holter monitoring and assessed for severity, dependency and survival status by 4 weeks after admission. They had arterial blood saturation checked between 10 pm and 2 am. Saturation < 90% defined OSAS and it was correlated with presence of arrhythmias, severity of stroke and outcome measures. Ninety four patients (52 M, 42 F) were enrolled. Ten, 6 M 4 F had OSA with a mean age of 56.00±16.80 years. AF was more associated with OSA to a statistically significant extent (chi-square=7.453, p=0.006). When it comes to mortality or whether patient was still on admission or had been discharged by 4 weeks, presence of OSA made an obvious difference. (chi-square=16.202. p=0.001). Those with OSA were more dependent 4 weeks after admission and had more severe stroke, but the difference missed statistical significance. In conclusion, OSA in stroke patients is fraught with a high risk of arrhythmias in which presence strokes are more severe with poorer outcomes. Appropriate management of OSA in patients at risk of stroke or after the ictus is bound to mitigate the burden and consequences of stroke.
    VL  - 9
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Author Information
  • Cardiology Sub-Unit 1, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria

  • Cardiology Sub-Unit 1, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria

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