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. 2019 Feb 11;45(1):e20170333.
doi: 10.1590/1806-3713/e20170333.

Obstructive sleep apnea and quality of life in elderly patients with a pacemaker

[Article in English, Portuguese]
Tatiana Albuquerque Gonçalves de Lima  1 , Evandro Cabral de Brito  2 , Robson Martins  2 , Sandro Gonçalves de Lima  3 , Rodrigo Pinto Pedrosa  2
Affiliations

Obstructive sleep apnea and quality of life in elderly patients with a pacemaker

[Article in English, Portuguese]
Tatiana Albuquerque Gonçalves de Lima et al. J Bras Pneumol. .

Abstract
in English, Portuguese

Objective: To evaluate quality of life in elderly patients with obstructive sleep apnea (OSA) who have a pacemaker.

Methods: This was a cross-sectional study involving elderly patients (≥ 60 years of age) with a pacemaker. The dependent variable was quality of life, as evaluated with the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). Sociodemographic and clinical parameters, including anxiety and depression (Hospital Anxiety and Depression Scale score), as well as the presence of OSA (defined as an apnea-hypopnea index ≥ 15 events/h), were analyzed as independent variables. Patients with cognitive/neurological deficits or decompensated heart failure were excluded.

Results: We evaluated 72 patients, 17 (23.6%) of whom presented OSA. Of those 17 patients, 9 (52.9%) were male. The mean age was 72.3 ± 9.3 years. A diagnosis of OSA was not associated with gender (p = 0.132), age (p = 0.294), or body mass index (p = 0.790). There were no differences between the patients with OSA and those without, in terms of the SF-36 domain scores. Fourteen patients (19.4%) presented moderate or severe anxiety. Of those 14 patients, only 3 (21.4%) had OSA (p = 0.89 vs. no OSA). Twelve patients (16.6%) had moderate or severe depression. Of those 12 patients, only 2 (16.6%) had OSA (p = 0.73 vs. no OSA).

Conclusions: In elderly patients with a pacemaker, OSA was not found to be associated with quality of life or with symptoms of anxiety or depression.

Objetivo:: Avaliar a qualidade de vida em idosos portadores de marca-passo e apneia obstrutiva do sono (AOS).

Métodos:: Estudo de corte transversal com idosos (idade ≥ 60 anos) portadores de marca-passo cardíaco. A variável dependente foi qualidade de vida, avaliada por meio do Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). Dados sociodemográficos e clínicos foram analisados como variáveis independentes, entre os quais ansiedade e depressão (por meio da Hospital Anxiety and Depression Scale), assim como presença de AOS (definida como um índice de apneia-hipopneia ≥ 15 eventos/h). Pacientes com déficits cognitivos/neurológicos ou descompensação cardíaca foram excluídos.

Resultados:: A amostra foi composta por 72 pacientes, 17 dos quais (23,6%) apresentaram AOS - 9 homens (52,9%). A média de idade foi de 72,3 ± 9,3 anos. Não houve associações de presença de AOS com sexo (p = 0,132), idade (p = 0,294) e índice de massa corpórea (p = 0,790). Não foram observadas diferenças dos domínios do SF-36 entre os grupos com e sem AOS. Em relação à ansiedade, 14 pacientes (19,4%) apresentaram sintomas moderados ou graves, dos quais apenas 3 (21,4%) tinham AOS (p = 0,89 vs. sem AOS). No tocante à depressão, 12 pacientes (16,6%) apresentaram sintomas moderados ou graves, dos quais 2 (16,6%) tinham AOS (p = 0,73 vs. sem AOS).

Conclusões:: Nesta amostra em idosos portadores de marca-passo, a presença de AOS não foi associada a qualidade de vida e sintomas de ansiedade e depressão.

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Figures

Figure 1
Figure 1. Distribution of scores on the anxiety subscale of the Hospital Anxiety and Depression Scale among patients with pacemakers, with and without obstructive sleep apnea.
Figure 2
Figure 2. Distribution of scores on the depression subscale of the Hospital Anxiety and Depression Scale among patients with pacemakers, with and without obstructive sleep apnea.
See this image and copyright information in PMC

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