Factors Related to Obstructive Sleep Apnea in Patients with Heart Failure and Atrial Fibrillation
Authors
Abstract
Introduction: Obstructive sleep apnea (OSA) causes cardiovascular disturbances due to intermittent hypoxia, oxidative stress, systemic inflammation, excessive negative intrathoracic pressure, sympathetic activation, and increased blood pressure. These factors can impair myocardial contractility, leading to the development of heart failure and atrial fibrillation (AF). Epidemiological studies have shown a significant independent association between OSA, heart failure, and AF. This study aims to identify factors associated with obstructive sleep apnea (OSA) in patients with heart failure accompanied by atrial fibrillation.
Method: This study was conducted on patients diagnosed with heart failure and atrial fibrillation hospitalized at the Integrated Heart Center of Adam Malik Hospital. Data collection began in August 2023 and continued until the required sample size was reached. This is an observational analytic study with a cross-sectional design.
Results: A total of 51 patients participated in this study. The majority of respondents were male (66.7%), with most being aged between 60-69 years. The study found that the degree of OSA in heart failure patients with AF was predominantly mild (30.8%), followed by moderate (25.0%) and severe (17.3%). The average AHI value was 16.78 with a standard deviation of 14.359. Multivariate analysis identified two significant variables: smoking history and functional capacity (NYHA Class) (p > 0.05).
Conclusion: A significant association was found between gender and smoking history with the occurrence of OSA in patients with heart failure and atrial fibrillation. The multivariate analysis also highlighted the significance of smoking history and functional capacity (NYHA Class) (p > 0.05).
Similar Articles
- Grace Nikensari, Ali Nafiah Nasution, Abdullah Afif Siregar, Monocyte to High-Density Lipoprotein Ratio (MHR) as A Predictor of Major Cardiovascular Events in Acute Myocardial Infarction Patients with ST-Segment Elevation in Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Central General Hospital , Journal of Society Medicine: Vol. 3 No. 5 (2024): May
- Al-Ma’ Arij Akbar Lubis, Cut Aryfa Andra, Andre Pasha Ketaren, Relationship between QTc interval prolongation and mortality of acute ischaemic stroke patients during treatment and three months after treatment at Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 3 (2024): March
- Dadang Mulyawan, Osmond M. Pison, Management of Peripartum Cardiomyopathy in Severe Preeclampsia Patients in ICU , Journal of Society Medicine: Vol. 3 No. 2 (2024): February
- Fentti selli Kurnia, Tresna Kusumah Natapraja, Epidural Anesthesia with Eissenmenger Syndrome Undergoing Caesarean Section : a Case Report , Journal of Society Medicine: Vol. 3 No. 11 (2024): November
- Suci Asriri Pradina Muslim, Hilfan Ade Putra Lubis , Ali Nafiah Nasution , The Relationship Between Low-Density Lipoprotein Cholesterol and Coronary Artery Calcium Score in Patients with Chronic Coronary Syndrome Without Diabetes Mellitus at RSUP Haji Adam Malik Medan , Journal of Society Medicine: Vol. 4 No. 3 (2025): March
- Akbar Sinaga, Refli Hasan, Abdul Halim Reynaldo, Harris Hasan, Nizam Zikri Akbar, Cut Aryfa Andra, Association of Triglyceride/High Density Lipoprotein Cholesterol Ratio and Coronary Lesion Severity in Acute Myocardial Infarction Patients at Adam Malik Hospital, Medan , Journal of Society Medicine: Vol. 2 No. 3 (2023): March
- Rahmah Evelin Lubis, Diza Tanzira, Nurhakiki Zahara Arif, Cardiovascular Disease with COVID-19 in Rural Area: Case Series , Journal of Society Medicine: Vol. 2 No. 6 (2023): June
- Radian Ahmad Halimi, Ardi Zulfariansyah, Post-Operative Management for Craniotomy Decompression in Cerebral Edema Patients Due to Cerebral Infarction in The Right Carotic System which Occurred Cerebral Vasospasm , Journal of Society Medicine: Vol. 3 No. 4 (2024): April
- Muhammad Hafiz Mahruzza Putra, Refli Hasan, Andika Sitepu, Harris Hasan, Andre Pasha Ketaren, Cut Aryfa Andra, Abdul Halim Raynaldo, Kamal Kharrazi Ilyas, Relationship between Coronary Artery Calcium Score (CACS) and Diastolic Dysfunction in Patients with Stable Coronary Heart Disease at Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 4 No. 6 (2025): June
- Arna Fransisca, Osmond Muftilov Pison , Management of A Preeclampsia Patient with Diabetic Ketoacidosis and Acute Pulmonary Edema : A Case Report , Journal of Society Medicine: Vol. 4 No. 3 (2025): March
You may also start an advanced similarity search for this article.