Impact of Sleep Apnea Treatment Compliance on Cardiovascular Health Outcomes: A Quantitative Analysis of Adherence to CPAP Therapy and Its Effects on Cardiovascular Metrics (original) (raw)

2022, International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences

Impact of Sleep Apnea Treatment Compliance on Cardiovascular Health Outcomes Objective: To investigate the relationship between adherence to Continuous Positive Airway Pressure (CPAP) therapy and improvements in cardiovascular health outcomes in patients with obstructive sleep apnea (OSA). Methods: A cross-sectional study was conducted with 50 OSA patients using CPAP therapy for at least six months. Participants were categorized into low, moderate, and high adherence groups based on average nightly CPAP usage. Cardiovascular outcomes, including systolic and diastolic blood pressure, lipid profile (total cholesterol, LDL, HDL, and triglycerides), and incidence of cardiovascular events, were assessed. Statistical analyses included multiple regression and correlation analysis to evaluate associations between adherence levels and cardiovascular metrics. Results: Higher CPAP adherence was significantly associated with lower systolic and diastolic blood pressure (p < 0.01). Participants with high adherence had significantly lower LDL cholesterol compared to those with low adherence (p = 0.03), while total cholesterol approached significance (p = 0.05). HDL cholesterol and triglycerides did not show significant differences across adherence levels (p = 0.08 and p = 0.07, respectively). The incidence of cardiovascular events was lower in the high adherence group (p = 0.04). Conclusion: Adherence to CPAP therapy is positively associated with improved cardiovascular health outcomes, including lower blood pressure, better lipid profiles, and reduced incidence of cardiovascular events. These findings emphasize the importance of enhancing patient adherence to CPAP therapy to achieve better cardiovascular health in OSA patients.

Severity of OSAS, CPAP and cardiovascular events: A follow-up study

European journal of clinical investigation, 2018

Previous studies suggested obstructive sleep apnoea syndrome (OSAS) as a major risk factor for incident cardiovascular events. However, the relationship between OSAS severity, the use of continuous positive airway pressure (CPAP) treatment and the development of cardiovascular disease is still matter of debate. The aim was to test the association between OSAS and cardiovascular events in patients with concomitant cardio-metabolic diseases and the potential impact of CPAP therapy on cardiovascular outcomes. Prospective observational cohort study of consecutive outpatients with suspected metabolic disorders who had complete clinical and biochemical workup including polysomnography because of heavy snoring and possible OSAS. The primary endpoint was a composite of major adverse cardiovascular and cerebrovascular events (MACCE). Median follow-up was 81.3 months, including 434 patients (2701.2 person/years); 83 had a primary snoring, 84 had mild, 93 moderate and 174 severe OSAS, respecti...

A Prospective Study of CPAP Therapy in Relation to Cardiovascular Outcome in a Cohort of Romanian Obstructive Sleep Apnea Patients

Journal of Personalized Medicine, 2021

Background: Despite efforts at treatment, obstructive sleep apnea (OSA) remains a major health problem, especially with increasing evidence showing an association with cardiovascular morbidity and mortality. The treatment of choice for OSA patients is Continuous Positive Airway Pressure (CPAP), which has been proven in randomized controlled trials to be an effective therapy for this condition. The impact of CPAP on the cardiovascular pathology associated with OSA remains, however, unclear. Although the effect of CPAP has been previously studied in relation to cardiovascular outcome, follow-up of the treatment impact on cardiovascular risk factors at one year of therapy is lacking in a Romanian population. Thus, we aimed to evaluate the one-year effect of CPAP therapy on lipid profile, inflammatory state, blood pressure and cardiac function, assessed by echocardiography, on a cohort of Romanian OSA patients. Methods: We enrolled 163 participants and recorded their baseline demographi...

CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea

The New England journal of medicine, 2016

Background Obstructive sleep apnea is associated with an increased risk of cardiovascular events; whether treatment with continuous positive airway pressure (CPAP) prevents major cardiovascular events is uncertain. Methods After a 1-week run-in period during which the participants used sham CPAP, we randomly assigned 2717 eligible adults between 45 and 75 years of age who had moderate-to-severe obstructive sleep apnea and coronary or cerebrovascular disease to receive CPAP treatment plus usual care (CPAP group) or usual care alone (usual-care group). The primary composite end point was death from cardiovascular causes, myocardial infarction, stroke, or hospitalization for unstable angina, heart failure, or transient ischemic attack. Secondary end points included other cardiovascular outcomes, health-related quality of life, snoring symptoms, daytime sleepiness, and mood. Results Most of the participants were men who had moderate-to-severe obstructive sleep apnea and minimal sleepine...

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