Obstructive sleep apnea during rapid eye movement sleep in patients after percutaneous coronary intervention: a multicenter study

Aung, Aye-Thandar; Kristanto, William; Tan, M.J.I.; Koo, Chieh Yang; Xu, P; Chin, Calvin Woon Loong; Roldan, Glenn; Thant, As Tar; Chan, Siew‐Pang; Chua, Ai-Ping; Barbé, Ferrán; Kojodjojo, Pipin; Lee, Chi‐Hang

doi:10.1007/s11325-020-02057-6

Cited by 2 publications

(1 citation statement)

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“…The Mental Component Summary of the Short-Form 36 Assessment of Quality of Life was the only outcome significantly and inversely correlated with REM AHI [ 73 ]. Another study in patients with percutaneous coronary intervention within the previous 6–36 months found an 81% prevalence of REM OSA, positively associated with BMI, systolic BP and diabetes mellitus at univariate analysis, whereas only diabetes was a significant predictor of REM OSA at multivariate analysis [ 74 ].…”

Section: Epidemiologymentioning

confidence: 99%

REM sleep obstructive sleep apnoea

Bonsignore,

Mazzuca,

Baiamonte

et al. 2024

Eur Respir Rev

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Obstructive sleep apnoea (OSA) can occur in both rapid eye movement (REM) and non-REM sleep or be limited to REM sleep, when the upper airway is most prone to collapse due to REM sleep atonia. Respiratory events are usually longer and more desaturating in REM than in NREM sleep. The prevalence of REM OSA is higher in women than in men and REM OSA usually occurs in the context of mild–moderate OSA based on the apnoea–hypopnoea index calculated for the entire sleep study. Studies have highlighted some detrimental consequences of REM OSA; for example, its frequent association with systemic hypertension and a degree of excessive daytime sleepiness similar to that found in nonsleep-stage-dependent OSA. Moreover, REM OSA could increase cardiometabolic risk. Continuous positive airway pressure (CPAP) treatment aimed at preventing REM OSA should be longer than the 4 h usually considered as good compliance, since REM sleep occurs mostly during the second half of the night. Unfortunately, patients with REM OSA show poor adherence to CPAP. Alternative non-CPAP treatments might be a good choice for REM OSA, but data are lacking. This review summarises the available data on REM OSA and critically examines the weaknesses and strengths of existing literature.

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Section: Epidemiologymentioning

confidence: 99%