PMID- 38428343
OWN - NLM
STAT- MEDLINE
DCOM- 20240325
LR  - 20240325
IS  - 1878-5506 (Electronic)
IS  - 1389-9457 (Linking)
VI  - 116
DP  - 2024 Apr
TI  - An observational study: The relationship between sleep quality and angiographic 
      progression in patients with chronic coronary artery disease.
PG  - 56-61
LID - S1389-9457(24)00081-9 [pii]
LID - 10.1016/j.sleep.2024.02.039 [doi]
AB  - BACKGROUND AND AIMS: Previous studies reported that sleeping disorders were 
      associated with presence and severity of coronary artery disease (CAD). We aimed 
      to evaluate the relationship between the angiographic progression of CAD with 
      sleep quality. METHODS: We enrolled 690 patients who had angiography history with 
      diagnosis of chronic CAD, requiring new angiography according to clinical, and 
      laboratory evaluation among 1654 patients with complaint of stable angina. 
      Previous and new coronary angiography images of patients were compared to 
      evaluate the presence of angiographic progression using quantitative coronary 
      analysis measurement. A 1:2 propensity score matching was performed. Thus, the 
      patient population was divided into two groups including non-progressors group 
      (n = 156) and progressors group (n = 78). Groups were compared in terms of sleep 
      quality and disorder using Pittsburgh Sleep Quality Index (PSQI) and STOP-Bang 
      questionnaire. RESULTS: Progressors had shorter sleep duration, higher PSQI score 
      indicating poorer sleep quality and higher STOP BANG score indicating increased 
      sleep apnea risk than non-progressors (p < 0.05). The multivariate logistic 
      regression analysis determined that night shift work (OR: 1.38, p = 0.04), sleep 
      duration difference (OR: 1.25, p = 0.03), poorer sleep quality (OR: 2.08, 
      p = 0.01), high STOP BANG score (OR: 1.86, p = 0.004), and high risk of sleep 
      apnea (OR: 3.84, p = 0.008) were independently associated with significant risk 
      of angiographic CAD progression. CONCLUSION: Our findings suggested that 
      angiographically proven chronic CAD progression was associated with poor sleep 
      quality including high apnea risk. Selected patients should be subjected to an 
      advanced evaluation including sleep study to diagnose sleep disorders such as 
      sleep apnea. Treatment of sleep disorders can support existing medical and/or 
      invasive treatments in chronic CAD and improve outcomes.
CI  - Copyright (c) 2024 Elsevier B.V. All rights reserved.
FAU - Yarlioglues, Mikail
AU  - Yarlioglues M
AD  - Department of Cardiology, Ankara Training and Research Hospital, Ankara, Turkey. 
      Electronic address: drmikailyar@gmail.com.
FAU - Karacali, Kadir
AU  - Karacali K
AD  - Department of Cardiology, Ankara Training and Research Hospital, Ankara, Turkey.
FAU - Ilhan, Bilal Canberk
AU  - Ilhan BC
AD  - Department of Cardiology, Ankara Training and Research Hospital, Ankara, Turkey.
FAU - Yalcinkaya Oner, Damla
AU  - Yalcinkaya Oner D
AD  - Department of Cardiology, Ankara Training and Research Hospital, Ankara, Turkey.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20240228
PL  - Netherlands
TA  - Sleep Med
JT  - Sleep medicine
JID - 100898759
SB  - IM
MH  - Humans
MH  - *Coronary Artery Disease/complications/diagnostic imaging
MH  - Sleep Quality
MH  - Risk Factors
MH  - Coronary Angiography
MH  - *Sleep Apnea Syndromes
OTO - NOTNLM
OT  - Angiographic progression
OT  - Coronary artery diseases
OT  - Sleep quality
COIS- Declaration of competing interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2024/03/02 10:43
MHDA- 2024/03/25 06:43
CRDT- 2024/03/01 18:13
PHST- 2023/11/05 00:00 [received]
PHST- 2024/01/28 00:00 [revised]
PHST- 2024/02/25 00:00 [accepted]
PHST- 2024/03/25 06:43 [medline]
PHST- 2024/03/02 10:43 [pubmed]
PHST- 2024/03/01 18:13 [entrez]
AID - S1389-9457(24)00081-9 [pii]
AID - 10.1016/j.sleep.2024.02.039 [doi]
PST - ppublish
SO  - Sleep Med. 2024 Apr;116:56-61. doi: 10.1016/j.sleep.2024.02.039. Epub 2024 Feb 
      28.