Author + information
- Benjamin Hendricksona,b,
- Damilola Olatunjia,b,
- David Bristona,b,
- Pamela Goldsmitha,b,
- Matthew Grangera,b,
- Trisha Gribblea,b,
- Krista Kukoveca,b,
- Renee Schnuga,b,
- Rami Khayata,b,
- Curtis Danielsa,b and
- Elisa Bradleya,b
Background: Obstructive sleep apnea (OSA) is common in patients with cardiovascular disease. In patients with adult congenital heart disease (ACHD), risk for OSA is not well described. We aimed to define ACHD patients at high risk for OSA.
Methods: ACHD patients (≥18 yo, not peripartum) were offered participation in cardiology clinic (survey duration: 8 weeks). An e-questionnaire comprised of OSA screening tools was administered (Epworth Sleepiness Scale, Berlin and STOP-BANG questionnaires) and demographic data was collected.
Results: A total of 150 patients participated (male n=75(50%), 36±15 yo, BMI 28+8). Of these, 19(13%) had an established diagnosis of OSA, 41(30%) were high risk on at least one and 11(8%) on >2 OSA screening tools. Older age was associated with increased risk for OSA or formal OSA diagnosis (1-screen positive 31±11yo, ≥2-screen positive 33±15yo, OSA 48+16yo, p<0.001). Serial increases in BMI were seen across high risk and OSA groups (No OSA/low risk 26+6kg/m2, 1-screen positive 29±8kg/m2, >2-screen positive 31±7kg/m2, OSA 36±11kg/m2, p<0.001). Patients with moderate/severe CHD were more likely to test high risk or have known OSA compared to simple CHD (X2=5.8, p<0.05, Fig 1).
Conclusions: This is the first prospective study evaluating the presence or risk for OSA in a diverse ACHD population. Half of patients with moderate/severe ACHD had a diagnosis of, or were high risk for OSA, compared to one-third of those with simple ACHD. Younger, leaner patients were found to be at less risk.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Adult Patients With Congenital Heart Disease: How Do They Compare?
Abstract Category: 9. Congenital Heart Disease: Adult
Presentation Number: 1142-011
- 2017 American College of Cardiology Foundation