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Master Thesis

Prévalence du syndrome d’apnées du sommeil dans les douleurs thoraciques et palpitations chez l’adulte non coronarien apres bilan aux urgences négatif

Abstract : Introduction: We spend almost one-third of our life sleeping. OSA is the main sleep disorder and is still underdiagnosed due to a lack of awareness. With various clinical symptoms and sometimes trivialized, it represents a real public health issue and causes complications than can be extremely serious. The aim of this study was to estimate the OSA prevalence in non-coronary patients presenting to emergency department for recurrent reasons for admission, “chest pain” or “palpitations” with negative investigations results. Materials and methods: This is a single-center, quantitative, prospective study with a descriptive, epidemiological aim, through a closed questionnaire showing the clinical signs of OSA (14 items) and the Epworth score as well as sleep recording after any etiology identified in emergency department. Results: 9 patients between 18 and 70 years old were included. 56% suffered from chest pain and 22% from palpitations. Among the associated symptoms, daytime sleepness, nocturia and mood disorders were inter alia presents. The morphological study was in favor of a metabolic profile with an BMI average of 32,3kg/m2 and the ENT study objected specific criteria. All patients underwent polygraphy, supplemented in 30% of cases by polysomnography. The mean AHI was 35,5 with a minimum of 9,2 resulting in a 100% OSA prevalence. Discussion-Conclusion: Our study estimated a 100% OSA prevalence in patients included, confirming the underdiagnosed character and the multiple forms of clinical presentation. Some limitations should nevertheless be noted: selection and analysis bias. A larger study with fixed analysis criteria would be interesting to lead to assess reproducibility. The aim of the study was also to sensitize emergency and general practitioners to this pathology with multiple complications, but reversible if taken care of. At this time, it appears important to mention OSA for any suggestive clinical symptom in emergency departments or in general medicine consultations and to pay attention to its screening from childhood to reduce its incidence.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03205514
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Submitted on : Thursday, April 22, 2021 - 12:56:58 PM
Last modification on : Thursday, June 24, 2021 - 3:35:06 AM
Long-term archiving on: : Friday, July 23, 2021 - 6:31:11 PM

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  • HAL Id : dumas-03205514, version 1

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Romane Timsit. Prévalence du syndrome d’apnées du sommeil dans les douleurs thoraciques et palpitations chez l’adulte non coronarien apres bilan aux urgences négatif. Médecine humaine et pathologie. 2020. ⟨dumas-03205514⟩

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