Article ; Online: Central Sleep Apnea in Patients With Coronary Heart Disease Taking P2Y12 Inhibitors.
Journal of cardiovascular pharmacology
2024 Volume 83, Issue 1, Page(s) 126–130
Abstract: Abstract: Central sleep apnea (CSA) is common in patients with heart failure. Recent studies link ticagrelor use with CSA. We aimed to evaluate CSA prevalence in patients with coronary heart disease (CHD) and whether ticagrelor use is associated with ... ...
Abstract | Abstract: Central sleep apnea (CSA) is common in patients with heart failure. Recent studies link ticagrelor use with CSA. We aimed to evaluate CSA prevalence in patients with coronary heart disease (CHD) and whether ticagrelor use is associated with CSA. We reviewed consecutive patients with CHD who underwent a polysomnography (PSG) test over a 5-year period from 3 sleep centers. We sampled patients who were on ticagrelor or clopidogrel during a PSG test at a 1:4 ticagrelor:clopidogrel ratio. Patients with an active opioid prescription during PSG test were excluded. Age, left ventricle (LV) dysfunction, and P2Y12 inhibitor use were included in a multivariate logistic regression. A total of 135 patients were included with 26 on ticagrelor and 109 on clopidogrel (age 64.1 ± 11.4, 32% male). High CSA burden (12%) and strict CSA (4.4%) were more common in patients on ticagrelor than in those on clopidogrel (27% vs. 8.3% and 10.0% vs. 1.8%). Ticagrelor use (vs. clopidogrel) was associated with high CSA burden (OR 3.53, 95% CI 1.04-12.9, P = 0.039) and trended toward significance for strict CSA (OR 6.32, 95% CI 1.03-51.4, P = 0.052) when adjusting for age and LV dysfunction. In an additional analysis also adjusting for history of atrial fibrillation, ticagrelor use and strict CSA became significantly associated (OR 10.0, 95% CI 1.32-117, P = 0.035). CSA was uncommon in patients with CHD undergoing sleep studies. Ticagrelor use (vs. clopidogrel) was associated with high CSA burden and trended toward significance for strict CSA. |
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MeSH term(s) | Humans ; Male ; Middle Aged ; Aged ; Female ; Sleep Apnea, Central/chemically induced ; Sleep Apnea, Central/diagnosis ; Sleep Apnea, Central/epidemiology ; Clopidogrel ; Ticagrelor/adverse effects ; Analgesics, Opioid ; Coronary Disease/diagnosis ; Coronary Disease/drug therapy ; Coronary Disease/epidemiology |
Chemical Substances | Clopidogrel (A74586SNO7) ; Ticagrelor (GLH0314RVC) ; Analgesics, Opioid |
Language | English |
Publishing date | 2024-01-01 |
Publishing country | United States |
Document type | Review ; Journal Article |
ZDB-ID | 391970-5 |
ISSN | 1533-4023 ; 0160-2446 |
ISSN (online) | 1533-4023 |
ISSN | 0160-2446 |
DOI | 10.1097/FJC.0000000000001510 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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