NDLI: P17 Interrelations entre coronarite et syndrome d’apnée du sommeil (SAS) chez le diabétique de type 2 (DT2) mal équilibré

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P17 Interrelations entre coronarite et syndrome d’apnée du sommeil (SAS) chez le diabétique de type 2 (DT2) mal équilibré

Content Provider	Semantic Scholar
Author	Courrèges, J. Pierre Iosup, Alexandru Thuan, J. F. Bonnaure, Hélène Vigier-Simmore, N. Banciu, Eldda Bastide, Nadia
Copyright Year	2014
Abstract	Introduction La frequence du syndrome d’apnee du sommeil (SAS) est elevee chez le diabetique de type 2 (DT2) et chez le coronarien severe (CS). Nous etudions les relations entre SAS et coronarite chez des DT2, hospitalises (hors situation d’urgence) pour destabilisation du diabete. Patients et methodes 372 patients DT2, consecutifs, hospitalises pour desequilibre, beneficient d’un depistage du SAS par oxymetrie de pouls + interrogatoire (Echelle Epsworth + Berlin simplifiee). En cas d’anomalie, un controle polysomnographique est realise. Est retenu pour le diagnostic du SAS, le calcul de l’index apnee-hypopnee (IAH) : SAS modere si IAH > 15 30/h. Resultats : 52,7 % des DT2 (Hba1c : 8,9 %) presentent un SAS (32,5 % severes). La prevalence de la CS est plus elevee (21,2 vs 13 %, p = 0,05) dans le groupe SAS vs non SAS. Les 2 groupes different par la frequence des macroangiopathies (58,9 vs 47,7 %, p = 0,03) et l’IMC (35,3 vs 32,7 kg/m2, p Conclusion La prevalence du SAS dans une population de diabetiques desequilibres et coronariens est tres elevee ; inversement, la frequence de la coronarite est elevee chez le SAS. Cette interrelation est d’autant plus nette que le patient est obese, multicomplique et invite donc a un depistage simple systematique.
File Format	PDF HTM / HTML
DOI	10.1016/S1262-3636(14)72311-0
Alternate Webpage(s)	https://www.em-consulte.com/showarticlefile/881980/main.pdf
Alternate Webpage(s)	https://doi.org/10.1016/S1262-3636%2814%2972311-0
Volume Number	40
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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