Obstructive sleep apnea and stroke

Das, Aneesa M; Khan, Meena

doi:10.1586/erc.12.25

Cited by 30 publications

(14 citation statements)

References 100 publications

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“…The results of this literature review correlate with other recent literature reviews and meta-analyses, all of which show a consistent association of OSA with increased risk of stroke independent of other SRFs (Das & Khan, 2012, Dong, Zhang, & Qin, 2013, Johnson & Johnson 2010, Loke, Brown, Kwok, Niruban, & Myint, 2012. The Sleep Heart Health Study was the largest epidemiological study, involving 5,422 diverse community-based participants prospectively followed for over 8 years, that revealed statistically strong evidence that OSA increases the risk of first-time stroke, specifically in men (Redline et al, 2010).…”

Section: Literature Review Discussionsupporting

confidence: 88%

Obstructive Sleep Apnea as an Independent Stroke Risk Factor

King

Cuellar

2016

Journal of Neuroscience Nursing

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OSA is highly prevalent in patients with stroke/TIA independently increasing stroke risk. CPAP studies revealed reduced stroke recurrence and improved recovery with feasible initiation in stroke units. Patients with stroke/TIA have less OSA-associated daytime sleepiness and obesity, making the usual screening tools insufficient and CPAP adherence challenging. Treating OSA decreases stroke prevalence and mortality. OSA initiatives empower neuroscience nurses to integrate this OSA evidence into clinical practice and improve stroke/TIA patient outcomes.

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Section: Literature Review Discussionsupporting

confidence: 88%

Obstructive Sleep Apnea as an Independent Stroke Risk Factor

King

Cuellar

2016

Journal of Neuroscience Nursing

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“…45 Treatment of stroke patients presenting with OSA using CPAP has greater benefits in cognitive and overall functioning. 46 Although the treatment with CPAP greatly improves the depressive symptoms, neurological symptoms, and overall recovery in stroke patients with OSA, the compliance with CPAP therapy is a harder to maintain in stroke patients. Therefore, noncompliance could be a drawback in treatment of stroke patients with OSA.…”

Section: Treatmentmentioning

confidence: 99%

Obstructive sleep apnea and stroke

Jehan

Farag

Zizi

et al. 2018

SMDIJ

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Risk factors for stroke OSA is a risk factor for CVD. 16 Additionally, OSA is a common risk factor of stroke in CVD patients. 17 Severe OSA, which has an Apnea Hypopnea Index (AHI)≥30, is a major risk factor for stroke compared to less severe OSA, where the AHI is≥10. 18 Along with OSA, high blood pressure, increased lipids, sedentary lifestyle, T2DM, and unhealthy eating habits are the major risk factors for stroke. 19 Mohsenin 20 studied patients with OSA who also reported

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“…It also causes higher fibrinogen levels and increased blood viscosity in the morning, as well long-term atherosclerosis from oxidative stress due to hypoxia, all of which contribute to increased stroke risk. [31] In an analysis of small vessel disease in the general elderly Asian population, Hilal et al compared microvascular cerebral disease on neuroimaging with cognition testing. Of 1797 patients, 36.6% had white matter hypodensities, 24.6% had lacunes, and 26.9% had microhemorrhages.…”

Section: Clinical Considerationsmentioning

confidence: 99%

Contribution of Hypertension to Cerebrovascular Disease in the Asian Population

Khan¹,

Cher²,

Lee³

2018

johtn

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Background Definition Hypertension or high blood pressure (BP) is a known independent risk factor for cardiovascular diseases and continues to be a major contributor of cardiovascular mortality worldwide. The World Health Organization (WHO) reports a 40% overall prevalence of hypertension in adults over age 25 (2008), contributing to 7.5 million deaths (12.8% of all deaths) annually. While the incidence of hypertension has decreased, the overall number of hypertensive adults continues to rise due to population growth and aging. [1] The eighth report of the Joint National Committee (JNC) classified normal blood pressure as systolic blood pressure (SBP) greater than 120 mmHg, and diastolic blood pressure (DBP) greater than 80 mmHg, while prehypertension is defined as SBP 120-139 or DBP 80-89 mmHg. Class I hypertension is SBP 140-159 mmHg or DBP 90-99 mmHg, and Class II hypertension is SBP >160 mmHg or DBP >100 mmHg. The diagnosis of hypertension can be met with either DBP or SBP meeting criteria and does not require both values to be in the reference range. [2] Other than hyperlipidemia and diabetes mellitus, hypertension is one of the three main modifiable risk factors for stroke which is the second leading cause of death and the third leading cause of disability worldwide. [1] Hence, understanding the pathophysiology of hypertension and its contribution to

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Obstructive sleep apnea and stroke

Cited by 30 publications

References 100 publications

Obstructive Sleep Apnea as an Independent Stroke Risk Factor

Obstructive Sleep Apnea as an Independent Stroke Risk Factor

Obstructive sleep apnea and stroke

Contribution of Hypertension to Cerebrovascular Disease in the Asian Population

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