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

Basil Nwaneri Okeahialam; Patrick Oyigebe Idoko

doi:doi:10.11648/j.ajim.20210903.15

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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

Basil Nwaneri Okeahialam, Patrick Oyigebe Idoko

Published in American Journal of Internal Medicine (Volume 9, Issue 3)

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), 2024. Published by Science Publishing Group

Keywords

Obstructive Sleep Apnea, Arrhythmias, Stroke, Severity, Outcome

References

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APA Style

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
AU - Patrick Oyigebe Idoko
Y1 - 2021/05/31
PY - 2021
N1 - https://doi.org/10.11648/j.ajim.20210903.15
DO - 10.11648/j.ajim.20210903.15
T2 - American Journal of Internal Medicine
JF - American Journal of Internal Medicine
JO - American Journal of Internal Medicine
SP - 138
EP - 141
PB - Science Publishing Group
SN - 2330-4324
UR - https://doi.org/10.11648/j.ajim.20210903.15
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
IS - 3
ER -

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Author Information

Basil Nwaneri Okeahialam

Cardiology Sub-Unit 1, Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria
Patrick Oyigebe Idoko

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

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APA Style

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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