Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
Hannes ReuterWinfried J Randerath

Abstract

Sleep-disordered breathing (SDB) is highly prevalent in patients with cardiovascular diseases (CVD) and associated with poor outcome. At least 50% of heart failure (HF) patients present with SDB, equally divided in obstructive sleep apnea (OSA) and central sleep apnea (CSA). CVD patients with SDB do not always present with typical SDB symptoms. Therefore, we asked whether established questionnaires allow for the reliable detection of SDB. In this prospective cohort study, 89 CVD patients (54 male, 59 ± 15 years, BMI 30 ± 6 kg/m2) in stable clinical state underwent an ambulatory polygraphy. SDB was defined as an apnea-hypopnea index (AHI) ≥ 15/h. We evaluated the Epworth Sleepiness Scale (ESS), STOP-BANG and Berlin questionnaires as well as anthropometric data and comorbidities regarding their ability to predict SDB. The ESS showed no correlation with SDB. The sensitivity of the Berlin Questionnaire to detect SDB was 73%, specificity was 42%. The STOP-BANG questionnaire showed a sensitivity of 97% while specificity was 13%. Coronary heart disease and/or history of myocardial infarction, hyperuricemia and age significantly contributed to a logistic regression model predicting presence of SDB. However, our regression model explain...Continue Reading

References

Oct 6, 1999·American Journal of Respiratory and Critical Care Medicine·D D SinT D Bradley
May 11, 2000·The New England Journal of Medicine·P E PeppardJ Skatrud
Nov 29, 2001·Journal of Hypertension·A G LoganT D Bradley
Jul 14, 2004·Circulation·Apoor S GamiVirend K Somers
Mar 18, 2006·Stroke; a Journal of Cerebral Circulation·Claudio L BassettiMatthias Gugger
Sep 20, 2006·Archives of Internal Medicine·Michael ArztT Douglas Bradley
Feb 6, 2007·Journal of the American College of Cardiology·Apoor S GamiVirend K Somers
Aug 4, 2007·American Journal of Respiratory and Critical Care Medicine·Nikolaus J BuchnerLars C Rump
Dec 26, 2007·Indian Journal of Ophthalmology·Rajul ParikhRavi Thomas
Aug 29, 2009·American Journal of Respiratory and Critical Care Medicine·Vincent PialouxMarc J Poulin
Jan 18, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·P R SrijitheshM Behari
Oct 18, 2011·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Graciela E SilvaStuart F Quan
Oct 26, 2011·Respiration; International Review of Thoracic Diseases·Thomas BrackKonrad E Bloch
Nov 15, 2011·The European Respiratory Journal·Maria R BonsignoreFerran Barbé
Mar 10, 2012·British Journal of Anaesthesia·F ChungY Sun
May 24, 2012·JAMA : the Journal of the American Medical Association·José M MarinSanja Jelic
Dec 18, 2013·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Effie J PereiraMichael F Fitzpatrick
Apr 4, 2014·Kidney International·Micol ArtomJoseph Chilcot
Feb 16, 2015·The Lancet. Respiratory Medicine·R HeinzerJ Haba-Rubio
Sep 2, 2015·The New England Journal of Medicine·Martin R CowieHelmut Teschler
Nov 11, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Henrik FoxOlaf Oldenburg
Feb 14, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Dominik LinzOlaf Oldenburg
Oct 23, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·T M BerghausW von Scheidt
Aug 30, 2016·The New England Journal of Medicine·R Doug McEvoyUNKNOWN SAVE Investigators and Coordinators
Nov 2, 2016·The Lancet. Respiratory Medicine·Bryant Furlow
Dec 7, 2016·The European Respiratory Journal·Winfried RanderathPatrick Levy
Apr 19, 2017·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Richard B BerryBradley V Vaughn
Apr 19, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Maximilian V MalfertheinerM Arzt
May 12, 2017·BMC Cardiovascular Disorders·Brent A Williams
May 27, 2017·Stroke; a Journal of Cerebral Circulation·Janice L HinkleUNKNOWN American Heart Association Council on Cardiovascular and Stroke Nursing and Stroke Council
Sep 25, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Johanna StrotmannOlaf Oldenburg
Dec 1, 2017·Journal of the American Heart Association·Michael ArztUNKNOWN SchlaHF Investigators
Jan 27, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Katharina HeiderMaximilian Valentin Malfertheiner

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Citations

Mar 27, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Patrick KooCharles B Eaton
Mar 20, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Astrid MonfortRemi Neviere
Aug 2, 2019·European Respiratory Review : an Official Journal of the European Respiratory Society·Winfried RanderathSimon Herkenrath
Jun 11, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Dries TestelmansBertien Buyse
Jul 12, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Henrik FoxOlaf Oldenburg
Aug 23, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Sutapa Mukherjee
Oct 13, 2019·The Canadian Journal of Cardiology·Kadhim KadhimDominik Linz
Dec 29, 2020·Nature and Science of Sleep·Frank LobbezooGhizlane Aarab
Dec 11, 2020·Sleep Medicine·Pavel ŠiarnikMarek Sýkora
Mar 13, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Louise M O'BrienGalit Levi Dunietz
Apr 27, 2021·Frontiers in Cardiovascular Medicine·Jin ChenYiming Zeng
Jul 11, 2019·Respiration; International Review of Thoracic Diseases·Simon Dominik Herkenrath, Winfried Johannes Randerath
Oct 22, 2021·Chest·Sunil Sharma, Robert C Stansbury

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