Neurol. praxi. 2022;23(3):188-191 | DOI: 10.36290/neu.2022.006

Sleep apnea in patients with ischemic stroke

doc. MUDr. Pavel Šiarnik, PhD., prof. MUDr. Branislav Kollár, PhD.
I. neurologická klinika Lekárskej fakulty Univerzity Komenského a Univerzitnej nemocnice Bratislava

Sleep-disordered breathing is a significant risk factor for cerebrovascular diseases. Sleep apnea syndrome is common among patients with stroke and negatively influences outcomes of patients. However, most cases of sleep apnea in patients with stroke remain undiagnosed and patients are losing potential benefits of positive airway pressure therapy. In this article, we focus in detail on the specific aspects of epidemiology, etiopathogenesis, diagnostic process, and therapy of sleep apnea syndrome in stroke patients. We also deal with the relationships and connections between these two separate nosological units.

Keywords: stroke, sleep apnea, positive airway pressure.

Received: February 17, 2022; Revised: February 17, 2022; Accepted: February 18, 2022; Prepublished online: February 18, 2022; Published: June 16, 2022  Show citation

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Šiarnik P, Kollár B. Sleep apnea in patients with ischemic stroke. Neurol. praxi. 2022;23(3):188-191. doi: 10.36290/neu.2022.006.
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    References

    1. American Academy of Sleep Medicine. International Classification of Sleep Disorders. Darien: American Academy of Sleep Medicine. 2014: 383 s. Go to PubMed...
    2. Bassetti C. Sleep-Disordered Breathing and Stroke. In: Kryger M, Dement W, Roth E. Principles and Practice of Sleep Medicine. Philadelphia: WB Saunders. 2021: 1696 s.
    3. Bassetti CLA, Randerath W, Vignatelli L, et al, EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke. Eur J Neurol. 2020;27:1117-1136. Go to original source... Go to PubMed...
    4. Bravata DM, McClain V, Austin C, et al. Diagnosing and mana­ging sleep apnea in patients with chronic cerebrovascular disease: a randomized trial of a home-based strategy. Sleep Breath. 2017;21:713-725. Go to original source... Go to PubMed...
    5. Campos-Rodriguez F-G, Mohsenion V, Javaheri S. Systemic and Pulmonary Hypertension in Obstructive Sleep Apnea. In: Kryger M, Dement W, Roth E. Principles and Practice of Sleep Medicine. Philadelphia: WB Saunders. 2021: 1696 s.
    6. Colelli DR, Kamra M, Rajendram P, et al. Predictors of CPAP adherence following stroke and transient ischemic attack. Sleep Med. 2020;66:243-249. Go to original source... Go to PubMed...
    7. Dostálová S, Šusta M, Nepožitek J, et al. Polysomnografické nálezy u osob nad 50 let bez subjektivních příznaků poruch spánku. Cesk Slov Neurol N. 2020;83/116:57-63. Go to original source...
    8. Feigin VL, Norrving B, Mensah GA. Global Burden of Stroke. Circ Res. 2017;120:439-448. Go to original source... Go to PubMed...
    9. Genzor S, Prasko J, Vanek J, et al. Adherence of obstructive sleep apnoea syndrome patients to positive airway pressure therapy - 10-year follow-up. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021 Jul 2. doi: 10.5507/bp.2021.041. Epub ahead of print. PMID: 34282803. Go to original source... Go to PubMed...
    10. Hermann DM, Bassetti CL. Role of sleep-disordered breathing and sleep-wake disturbances for stroke and stroke recovery. Neurology. 2016;87:1407-1416. Go to original source... Go to PubMed...
    11. Javaheri S. Hypoxemia lowers cerebrovascular resistance without changing brain and blood [H+]. J Appl Physiol. 1986;60:802-808. Go to original source... Go to PubMed...
    12. Javaheri S, Peker Y, Yaggi HK, Bassetti CL. Obstructive Sleep Apnea and Stroke: The Mechanisms, the Randomized Trials, and the Road Ahead. Sleep Med Rev. 2021:101568. Go to original source... Go to PubMed...
    13. Johnson KG, Johnson DC. Frequency of sleep apnea in stroke and TIA patients: a meta-analysis. J Clin Sleep Med. 2010;6:131-137. Go to original source...
    14. Kleindorfer DO, Towfighi A, Chaturvedi S, et al. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2021;52:364-467. Go to original source... Go to PubMed...
    15. Mcevoy RD, Antic NA, Heeley E, et al. CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea. N Engl J Med. 2016;375:919-931. Go to original source... Go to PubMed...
    16. Ott SR, Korostovtseva L, Schmidt M, et al. Sleep-disordered breathing: clinical features, pathophysiology and diag­nosis. Swiss Med Wkly. 2017;147:14436. Go to original source... Go to PubMed...
    17. Parra O, Arboix A, Bechich S, et al. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. Am J Respir Crit Care Med. 2000;161:375-380. Go to original source... Go to PubMed...
    18. Peppard PE, Young T, Barnet JH, et al. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177:1006-1014. Go to original source... Go to PubMed...
    19. Qaseem A, Dallas P, Owens DK, et al. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014;161:210-220. Go to original source... Go to PubMed...
    20. Qaseem A, Holty JE, Owens DK, et al. Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2013;159:471-483. Go to original source... Go to PubMed...
    21. Reuter H, Herkenrath S, Treml M, et al. Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires. Clin Res Cardiol. 2018;107:1071-1078. Go to original source... Go to PubMed...
    22. Seiler A, Camilo M, Korostovtseva L, et al. Prevalence of sleep-disordered breathing after stroke and TIA: A meta-ana­lysis. Neurology. 2019;92:648-654. Go to original source... Go to PubMed...
    23. Urbano F, Roux F, Schindler J, Mohsenin V. Impaired cerebral autoregulation in obstructive sleep apnea. J Appl Physiol. 2008;105:1852-1857. Go to original source... Go to PubMed...
    24. Xiao Z, Xie M, You Y, et al. Wake-up stroke and sleep-disor­dered breathing: a meta-analysis of current studies. J Neurol. 2018;265:1288-1294. Go to original source... Go to PubMed...
    25. Yumino D, Kasai T, Kimmerly D, et al. Differing effects of obstructive and central sleep apneas on stroke volume in patients with heart failure. Am J Respir Crit Care Med. 2013;187:433-438. Go to original source... Go to PubMed...

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