Undiagnosed sleep apnoea syndrome in patients with acute myocardial infarction: Potential importance of the STOP-BANG screening tool for clinical practice

Potential underdiagnosis of obstructive sleep apnoea in the cardiology outpatient setting

“…If we selected ‘pure’ patients with valvular diseases, HF and so on, we may limit the external validation of our findings . Although we agree that the present results may not be applied to secondary and primary care, the low awareness of OSA observed in three different studies from the USA and UK, including patients with myocardial infarction23 24 and HF25 suggests that the present results may be applicable to other tertiary cardiology hospitals.…”

“…Fifty-one patients (69%) had at least mild OSA and 41% had moderate to severe OSA. More recently, McCormack et al 24 used another screening questionnaire for OSA (STOP-BANG) in 135 consecutive patients admitted with acute myocardial infarction in a tertiary referral centre. A STOP-BANG score suggestive of OSA was present in 100 (74%) patients.…”

Proportion of surgical patients with undiagnosed obstructive sleep apnoea

“…28 In a recent series of 135 patients presenting with MI, 74% of those with confirmed MI had a STOP-BANG score suggestive of high risk of OSA. 29 Undiagnosed OSA has been associated with an increased risk of perioperative complications. 9 30 Recently, Kaw and colleagues 10 found that in patients with OSA undergoing non-cardiac surgery, there was a higher incidence of postoperative hypoxaemia, overall complications, ICU transfer, and a longer hospital length of stay.…”

Vitamin D deficiency and metabolic syndrome in elderly Chinese individuals: evidence from CLHLS

“…Weight loss can lower serum cholesterol and ,triglycerides, blood pressure and glucose, and raise HDL cholesterol, and reduce insulin resistance. We used the following three ethnicity-specific MetS criteria to compute the prevalence of MetS and study the relationship between vitamin D level and MetS [17]: (1) the Adult Treatment Panel Ⅲ of the National Cholesterol Education Program (ATP Ⅲ) guidelines, modified in accordance with the World Health Organization (WHO)'s proposed WC cutoff points for Asians (modified ATP Ⅲ) [18], (2) the Chinese Diabetes Society (CDS) criteria [19], and (3) the modified CDS criteria (2012) [20] (Table 1). The modified ATP III guidelines have been widely used in the study of the relationship between vitamin D and MetS in various countries.…”

“…Increased WC plus one other MetS component was required for diagnosis [20]. was applied when the continuous variables did not conform to a normal distribution.…”