Obstructive sleep apnea. Implications for the cardiologist Review article
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Published:
Sep 30, 2008
Keywords:
obstructive sleep apnea, cardiovascular disease, CPAP therapy
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Abstract
Cardiovascular researches recently focus our interests on sleep issues. Sleep deprivation caused by recurrent episodes of apnea may precipitate cardiovascular disease. Unsocial, loud snoring with periods of cessation of breathing has been recognized as an independent risk factor for arterial hypertension, ischemic heart disease and stroke. Untreated sleep apnea results in deterioration of left ventricle function and precipitates occurrence of cardiac arrhythmias. It has been also well established that central sleep apnea accompanies failing heart where it may worsen outcome. The most important message out of numbers of research is amelioration of cardiovascular condition soon after introduction of CPAP therapy.
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Wolf , J., & Narkiewicz , K. (2008). Obstructive sleep apnea. Implications for the cardiologist. Cardiology in Practice, 2(3), 110-119. Retrieved from https://www.journalsmededu.pl/index.php/kwp/article/view/1681
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22. Wilcox I., Grunstein R.R., Hedner J.A. et al.: Effect of nasal continuous positive airway pressure during sleep on 24-hour blood pressure in obstructive sleep apnea. Sleep 1993, 16: 539-44.
23. Pepperell J.C., Ramdassingh-Dow S., Crosthwaite N. et al.: Ambulatory blood pressure after therapeutic and subtherapeutic nasal continuous positive airway pressure for obstructive sleep apnoea: a randomised parallel trial. Lancet 2002, 359: 204-210.
24. Becker H.F., Jerrentrup A., Ploch T. et al.: Effect of Nasal Continuous Positive Airway Pressure Treatment on Blood Pressure in Patients With Obstructive Sleep Apnea. Circulation 2003, 107: 68-73.
25. Tilkian A.G., Guilleminault C., Schroeder J.S., Lehrman K.L., Simmons F.B., Dement W.C.: Sleep-induced apnea syndrome. Prevalence of cardiac arrhythmias and their reversal after tracheostomy. Am. J. Med. 1977, 63: 348-358.
26. Zwillich C., Devlin T., White D., Douglas N., Weil J., Martin R.: Bradycardia during sleep apnea. Characteristics and mechanism. J. Clin. Invest. 1982, 69: 1286-1292.
27. Becker H.F., Koehler U., Stammnitz A., Peter J.H.: Heart block in patients with sleep apnoea. Thorax 1998, 53 (supl. 3): S29-32.
28. Garrigue S., Pépin J.L., Defaye P., Murgatroyd F., Poezevara Y., Clémenty J., Lévy P.: High prevalence of sleep apnea syndrome in patients with long-term pacing: the European Multicenter Polysomnographic Study. Circulation 2007, 115: 1703-1709.
29. Guilleminault C., Connolly S.J., Winkle R.A.: Cardiac arrhythmia and conduction disturbances during sleep in 400 patients with sleep apnea syndrome. Am. J. Cardiol. 1983, 52: 490-4 (abstrakt).
30. Flemons W.W., Remmers J.E., Gillis A.M.: Sleep apnea and cardiac arrhythmias. Is there a relationship? Am. Rev. Respir. Dis. 1993, 148(3): 618-21.
31. Mooe T., Franklin K.A., Wiklund U., Rabben T., Holmstrom K.: Cardiac rhythm in patients with sleep-disordered breathing and coronary artery disease. Scand. Cardiovasc. J. 2000, 34: 272-6.
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