Avaliação do risco de apneia obstrutiva do sono através do questionário de Berlim em pacientes submetidos à cirurgia de revascularização do miocárdio em um hospital de referência no interior da Paraíba.

Abstract

Introduction: Acute myocardial infarction is considered the leading cause of death in Brazil, accounting for 100,000 deaths annually and corresponding to 10% of hospital admissions in the SUS. It has a direct relationship with several risk factors and studies detect Obstructive Sleep Apnea (OSA) as a factor that generates adverse consequences for the cardiovascular system, including an association with Acute Myocardial Infarction (AMI). Justification: It is noticed the deficiency of the literature in terms of preventive medicine and the epidemiological assessment of modifiable risk factors capable of minimizing unfavorable outcomes. In this context, the greater production of studies may be the beginning of a process of transformation of the current CVD morbidity and mortality profile. Objectives: To identify the prevalence of OSA symptoms in patients who suffered coronary events undergoing myocardial revascularization in a hospital in the interior of Paraíba. To investigate the relationship between high risk for OSAS and ischemic coronary events using the Berlin questionnaire. Evaluate the profile of patients who would be indicated for polysomnography. Identify which patients underwent prior screening or received guidance about this risk factor. Methods: This is a descriptive observational cross-sectional study, carried out through a questionnaire in a single collection, in which patients admitted in the postoperative period of revascularization surgery at Hospital João XXIII in the city of Campina Grande - PB and diagnosed with ACS were invited answering the Berlin Questionnaire. The participation of the subjects in the research took place by signing the Free and Informed Consent Term (TCLE). Results: There is a high prevalence of symptomatology of OSA in patients who suffered coronary events, as well as patients indicated as High Risk for OSA according to the Berlin Questionnaire, the majority being men over 50 years old. It is also evident that, despite the fact that most of the interviewees reported having received care prior to the coronary incident, the minority received medical advice regarding the quality of sleep and a smaller number even performed polysomnography.