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Incidence of ischemic stroke in patients with periodic limb movements in sleep: one-year follow-up
Author(s) -
E. D. Spektor,
К. А. Магомедова,
М. Г. Полуэктов
Publication year - 2021
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2021-27-5-522-529
Subject(s) - medicine , incidence (geometry) , stroke (engine) , cardiorespiratory fitness , odds ratio , cardiology , physical therapy , mechanical engineering , physics , optics , engineering
Objective. To assess the influence of periodic limb movements in sleep on the incidence of acute cardiovascular events.  Design and methods. Fifty-six participants aged 60–75 years were included in the study. Eligibility criteria included no history of acute cardiovascular events and the presence of 1 or more risk factors for cardiovascular diseases. Nocturnal actigraphy and cardiorespiratory monitoring were performed. Patients with apnea/hypopnea index > 5/h were excluded (n = 6). Based on periodic limb movements index (PLMI) two groups were formed: main (PLMI ≥ 15/h, n = 26) and controls (PLMI < 15/h, n = 24). The groups were prospectively observed during 1 year. The endpoints of the study were cases of acute cardiovascular events.  Results . Despite the similar prevalence of common risk factors for cardiovascular diseases in two groups, the patients with PLMI ≥ 15/h have a higher incidence of ischemic stroke within 1 year (odds ratio 1,07).  Conclusions . Elevated PLMI might be regarded as a potential predictor for higher risk for ischemic stroke. Nevertheless, further investigations in the field are needed.

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