Cardiometabolic & kidneyCohort study

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

Eur J Prev CardiolPublished

  • Prospective cohort study
  • sleep-disordered breathing sub-study of DIACORE

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

Main finding

Incident MACE by T90

Adjusted hazard ratio

1.48

95% CI 1.04–2.12

P = 0.032

Q4 vs 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-specific · T90non-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

Summarised from the published abstract; every number is checked against it