Sleep Apnea and the Risk for Perioperative Myocardial Infarction
Authors: Louis Dominguez Ortega
Journal: Annals of Internal Medicine (1993)

Letters1 November 1993Sleep Apnea and the Risk for Perioperative Myocardial InfarctionLouis Dominguez Ortega, MD, Daniel Carnevali-Ruiz, MD, and Elena Diaz Gallego, MDLouis Dominguez Ortega, MDSearch for more papers by this author, Daniel Carnevali-Ruiz, MDSearch for more papers by this author, and Elena Diaz Gallego, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-119-9-199311010-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The article by Ashton and colleagues [1] focused on the stratification of patients before noncardiac surgery in order to estimate the risk for perioperative myocardial infarction. Surprisingly, given the large number of patients (1487 men older than 40 years), they did not report a single case of obstructive sleep apnea, which is a risk factor for ischemic heart disease [2, 3]. Assuming a 1% prevalence of this syndrome in the general population (the lower limit of the many reported epidemiologic studies) [4], at least 15 patients might have had the syndrome before the intervention. We suggest that ...References1. Ashton CM, Petersen NJ, Wray NP, Kiefe CI, Dumm JK, Wu L, et al. The incidence of perioperative myocardial infarction in men undergoing non-cardiac surgery. Ann Intern Med. 1993; 118:504-10. Google Scholar2. Koskenvuo M, Kaprio J, Telakivi T, Partinen M, Heikkila K, Sarna S. Snoring as a risk factor for ischaemic heart disease and stroke in men. BMJ. 1987; 294:16-9. Google Scholar3. Hung J, Whitford EG, Parsons RW, Hillman DR. Association of sleep apnoea with myocardial infarction in men. Lancet. 1990; 336: 261-4. Google Scholar4. Phillipson EA. Sleep apnea: a major public health problem. N Engl J Med. 1993; 328:1271-3. Google Scholar5. Borison HL. Central nervous respiratory depressants-anesthetics, hypnotics, sedatives, and other respiratory depressants. Pharmacol Ther. 1978; 3:337-95. Google Scholar Author, Article, and Disclosure InformationAuthors: Louis Dominguez Ortega, MD; Daniel Carnevali-Ruiz, MD; Elena Diaz Gallego, MD PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byManagement Plan to Reduce Risks in Perioperative Care of Patients with Obstructive Sleep Apnoea Averts the Need for Presurgical PolysomnographyIntraoperative and immediate postoperative managementPreoperative Evaluation of Patients with Obesity and Obstructive Sleep ApneaThe Diagnosis of Obstructive Sleep Apnea as a Risk Factor for Unanticipated Admissions in Outpatient SurgeryPerioperative complications in obstructive sleep apnea patients 1 November 1993Volume 119, Issue 9 Page: 953 Keywords Cardiovascular therapy Continuous positive airway pressure Epidemiology Medical risk factors Myocardial infarction Overweight Risk assessments Risk management Sleep apnea Surgery ePublished: 15 August 2000 Issue Published: 1 November 1993 Copyright & PermissionsCopyright © 1993 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...