TABLE 4.
Associations of composite metrics of minSpO2 and minSpO2-specific HR metrics with AMI.
Unadjusted |
Model 1 |
Model 2 |
||||
Items | OR (95% CI) | p-Value | OR (95% CI) | p-Value | OR (95% CI) | p-Value |
MinSpO2 + HRmean | ||||||
Group 1 | 1.00 | 1.00 | 1.00 | |||
Group 2 | 1.41 (0.83−2.39) | 0.210 | 1.42 (0.83−2.43) | 0.196 | 1.39 (0.81−2.37) | 0.234 |
Group 3 | 1.35 (0.93−1.95) | 0.114 | 1.36 (0.93−1.99) | 0.113 | 1.38 (0.94−2.01) | 0.103 |
Group 4 | 2.74 (1.82−4.13) | <0.001 | 2.74 (1.80−4.18) | <0.001 | 2.65 (1.74−4.05) | <0.001 |
MinSpO2 + HRmax | ||||||
Group 1 | 1.00 | 1.00 | 1.00 | |||
Group 2 | 1.55 (0.90−2.67) | 0.114 | 1.53 (0.88−2.64) | 0.130 | 1.54 (0.89−2.67) | 0.124 |
Group 3 | 1.66 (1.02−2.68) | 0.040 | 1.65 (1.01−2.68) | 0.045 | 1.70 (1.04−2.77) | 0.035 |
Group 4 | 2.33 (1.44−3.77) | 0.001 | 2.26 (1.39−3.70) | 0.002 | 2.25 (1.37−3.67) | 0.002 |
MinSpO2 + HRmin | ||||||
Group 1 | 1.00 | 1.00 | 1.00 | |||
Group 2 | 1.32 (0.76−2.31) | 0.329 | 1.40 (0.80−2.46) | 0.239 | 1.35 (0.77−2.37) | 0.304 |
Group 3 | 1.24 (0.87−1.77) | 0.228 | 1.27 (0.88−1.83) | 0.196 | 1.28 (0.89−1.85) | 0.184 |
Group 4 | 2.79 (1.89−4.11) | <0.001 | 2.91 (1.94−4.36) | <0.001 | 2.81 (1.87−4.21) | <0.001 |
MinSpO2 and HR metrics (including HRmax, HRmean, and HRmin) yield a total of four independent groups for individual HR response metric. Group 1 (Control) represents participants with minSpO2 ≥90% and mild HR reaction (i.e., HRmean ≤ 73 bpm, HRmax ≤ 83 bpm, or HRmin ≤ 60 bpm). Group 2 represents participants with minSpO2 <90% and mild HR reaction. Group 3 represents participants with minSpO2 ≥90% and substantial HR reaction (i.e., HRmax > 83 bpm, or HRmean > 73 bpm, or HRmin > 60 bpm). Group 4 represents participants with minSpO2 <90% and substantial HR reaction. Each line represents a separate regression model. Model 1 adjusted for age, gender, and BMI. Model 2 adjusted for age, gender, BMI, hypertension, dyslipidemia, eGFR, and diabetes mellitus.
AMI, acute myocardial infarction; BMI, body mass index; CI, confidence interval; eGFR, estimated glomerular filtration rate; HR, heart rate; minSpO2, minimal oxygen saturation. HRmin, minimal HR during apnea phase that elicits a subsequent minSpO2; HRmax, maximal HR in response to minSpO2 during post-apnea phase; HRmean, mean HR representing the average of the HRmax and the HRmin; OR, odds ratio.