Cardiometabolic & kidney

Nocturnal hypoxaemic burden is associated with incident major adverse cardiovascular events in patients with type 2 diabetes

Eur J Prev CardiolPublished Prospective cohort study

Main finding · Incident MACE by T90Result — go to the resultAdjusted hazard ratio 1.48 95% CI 1.04–2.12

Authors' conclusion

In the present study, NHB was associated with MACE in patients with T2D and can be easily measured using oximetry.

Study context

Population
Patients with T2DM in a German cohort (DIACORE) with overnight oximetry
Participants
1,255 patients
Exposure
Highest quartile vs quartiles 1–3 of nocturnal hypoxaemic burden
Outcome
Incident MACE:
  • MI
  • Stroke
  • CV death
Follow-up
Median 6.5 years
Methodological detailssleep-disordered breathing sub-study of DIACORE
  • Sleep-disordered breathing sub-study of DIACORE

Main finding

Incident MACE by T90

Adjusted hazard ratio

1.48

95% CI 1.04–2.12

P = 0.032

Q4vs Q1-3
adjusted HR 1.48 (95% CI 1.04–2.12); P = 0.032

As reported in the abstract

Major adverse cardiovascular events (MACE) occurred (overall)
149 (12%)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)P value
Incident MACE by T90non-specificT90non-specific1.62 (1.14–2.30)P = 0.007

Original publication

Nocturnal hypoxaemic burden is associated with incident major adverse cardiovascular events in patients with type 2 diabetes. Eur J Prev Cardiol. Published 28 April 2025. doi:10.1093/eurjpc/zwaf259

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