Neurol. praxi. 2016;17(1):35-39 | DOI: 10.36290/neu.2016.007

Stroke and Sleep related breathing disorders

MUDr. Pavel Matuška, Ph.D.1, doc. MUDr. Tomáš Kára, Ph.D.1, MUDr. Stanislava Koliesková2, doc. MUDr. Robert Mikulík, Ph.D.2
1 Mezinárodní centrum klinického výzkumu &ndash, Kardiovaskulární spánkové výzkumné centrum, FN u sv. Anny, Brno
2 Mezinárodní centrum klinického výzkumu, FN u sv. Anny Brno, I. neurologická klinika, FN u sv. Anny a MU Brno

Sleep related breathing disorders (SRBD) are characterized by nocturnal hypoxemia. This hypoxemia induces sympathetic activation and consequently leads to cardiovascular complications. Untreated obstructive sleep apnea syndrome (OSAS) is a risk factor for obesity, hypertension, diabetes, ischemic heart disease, arrhythmias and stroke. SRBD may also arise as a result of stroke. The following article will discuss the epidemiology, pathophysiology, diagnosis and treatment of SRBD in relation to stroke. Raise of awareness about the relationship between SRBDDB and stroke should lead to the improvement of primary and secondary prevention of stroke and in particular to improve the prognosis of patients with stroke. This area is currently a part of the research and we are waiting for the results of large multicenter studies.

Keywords: respiratory disorders, stroke, sleep apnea

Published: February 1, 2016  Show citation

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Matuška P, Kára T, Koliesková S, Mikulík R. Stroke and Sleep related breathing disorders. Neurol. praxi. 2016;17(1):35-39. doi: 10.36290/neu.2016.007.
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References

  1. Ahn SH, Kim JH, Kim DU, Choo IS, Lee HO, Kim HW. Interaction between sleep-disordered breathing and acute ischemic stroke. J Clin Neurol. 2013; 9: 9-13. Go to original source... Go to PubMed...
  2. Bassetti CL, Aldrich MS. Sleep apnea in acute cerebrovascular diseases: final report on 128 patients. Sleep. 1999; 22: 217-223. Go to original source... Go to PubMed...
  3. Bassetti CL, Milanova M, Gugger M. Sleep-disordered breathing and acute ischemic stroke: diagnosis, risk factors, treatment, evolution, and long-term clinical outcome. Stroke. 2006; 37: 967-972. Go to original source... Go to PubMed...
  4. Bravata DM, Concato J, Fried T, Ranjbar N, Sadarangani T, McClain V, Struve F, Zygmunt L, Knight HJ, Lo A, Richerson GB, Gorman M, Williams LS, Brass LM, Agostini J, Mohsenin V, Roux F, Yaggi HK. Continuous positive airway pressure: evaluation of a novel therapy for patients with acute ischemic stroke. Sleep. 2011; 34: 1271-1277. Go to original source... Go to PubMed...
  5. Broadley SA, Jorgensen L, Cheek A, Salovikis S, Taylor J, Thompson PD, Antic R. Early investigation and treatment of obstructive sleep apnoea after acute stroke. J Clin Neurosci. 2007; 14: 328-333. Go to original source... Go to PubMed...
  6. Dyken ME, Somers VK, Yamada T, Ren ZY, Zimmerman MB. Investigation the relationship between stroke and obstructive sleep apnea. Stroke.1996; 27: 401-407. Go to original source... Go to PubMed...
  7. Dziewas R, Ritter M, Usta N, Boentert M, Hor H, Dittrich R, Schabitz WR, Ringelstein EB, Young P. Atherosclerosis and obstructive sleep apnea in patients with ischemic stroke. Cerebrovasc Dis.2007; 24: 122-126. Go to original source... Go to PubMed...
  8. Ferro JM, Massaro AR, Ma JL. Aetiological diagnosis of ischaemic stroke in young adults. Lancet Neurol. 2010; 9: 1085-1096. Go to original source... Go to PubMed...
  9. Hsu CY, Vennelle M, Li HY, Engelman HM, Dennis MS, Douglas NJ. Sleep-disordered breathing after stroke: a randomised controlled trial of continuous positive airway pressure. J Neurol Neurosurg Psychiatry 2006; 77: 1143-1149. Go to original source... Go to PubMed...
  10. Hui DS, Choy DK, Wong LK, Ko FW, Li TS, Woo J, Kay R. Prevalence of sleep-disordered breathing and continuous positive airway presssure compliance: results in chinese patients with first-ever ischemic stroke. Chest. 2012; 122: 852-860. Go to original source... Go to PubMed...
  11. Iranzo A, Santamaria J, Berenguer J, Sanchez M, Chamorro A. Prevalence and clinical importace of sleep apnea in the first night after cerebral infarction. Neurology.2002; 58: 944-916. Go to original source... Go to PubMed...
  12. Johnson K, Johnson DC. Frequency of sleep apnea in stroke and TIA patients: a metaanalysis. J Clin Sleep Med. 2010: 131-137. Go to original source... Go to PubMed...
  13. Kepplinger J, Barlinn, Kolieskova S, Shahripour RB, Pallesen LP, Schrempf W, Graehlert X, Scwanebeck U, Sisson A, Zerna, Puetz V, Reichmann H, Albright KC, Alexandrov, Vosko M, Mikulin R, Bodechtel U, Alexandrov AV. Reversal of the neurological deficit in acute stroke with the signal of efficacy trial of auto-BPAP to limit damage from suspected sleep apnea (Reverse-STEAL): study protocol for randomized controlled trial. Trials. 2013; 14: 552. Go to original source... Go to PubMed...
  14. Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, Fang MC, Fisher M, Furie KL, Heck DV, Johnston SC, Kasner SE, Kittner SJ, Mitchell PH, Rich MW, Richardson D, Schwamm LH, Wilson JA. Guidelines for preventive of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare Professional from the American Heart Association/American Stroke Association. 2014, ahead of print.
  15. Oza N, Baveja S, Khayat R, Houmsee M. Obstructive sleep apnea and atrial fibrilation: understanding the connection. Expert Rev Cardiovasc Ther.2014; 5(6): 157-163. Go to original source... Go to PubMed...
  16. Parra O, Arboix A, Bechich S, García-Eroles L, Monserrat JM, L=opez JA, Ballester E, Guerra JM, Sopeňa JJ. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. Am J Respir Crit Care. 2000; 161: 375-380. Go to original source... Go to PubMed...
  17. Pontes-Neto OM, Fernandes HH, da Silva LA, da Silva LA, Mariano DC, Nobre F, Simao G, de Araujo DB, dos Santos AC, Leite JP. Obstructive sleep apnea is frequent in patients with hypertensive intracerebral hemorrhage and is related to perihematoma edema. Cerebrovac Dis. 2010; 29: 36-42. Go to original source... Go to PubMed...
  18. Rola R, Wierzbicka A, Wichniak A, Jernajczyk W, Richter P, Ryglewicz D. Sleep related breathing disorders in patients with ischemic stroke and transient ischemic attacks: respiratory and clinical correlations. J Physiol Pharmacol. 2007; 58(Suppl 5): 575-582. Go to PubMed...
  19. Siccoli M, Valko P, Hermann DM, Bassetti CL. Central periodic breathing during sleep in 74 patients with acute ischemic stroke-neurogenic and cardiogenic factors. J Neurol. 2008; 255: 1687-1692. Go to original source... Go to PubMed...
  20. Somers VK, Dyken ME, Clary MP, Abboud FM. Sympatethic neural mechanism in obstructive sleep apnea. J Clin Invest. 1995; 96: 1897-1904. Go to original source... Go to PubMed...
  21. Šonka K, Příhodová I, Illnerová H, Jakoubková M, Němcová V, Nešpor E, Paul K, Pretl M, Příhodová I, Smolík P. Poruchy dýchání vázané na spánek. In: Poruchy spánku a bdění. Galén, 2007: 117-165.
  22. Tsivgoulis G, Zhang Y, Alexandrov AV, Tsivgoulis G, Zhang, Alexandrov AW, Harrigan MR, Sisson A, Zhao L, Brethour M, Cava L, Balucani C, Barlinn K, Patterson D, Giannopoulos S, deWolfe J, Alexandrov AV. Safety and tolerability of early noninvasive ventilatory correction using bilevel positive airway pressure in acute ischemic stroke. Stroke. 2011; 42: 1030-1034. Go to original source... Go to PubMed...
  23. Turkington PM, Bamford J, Wanklyn P, Elliott MW. Prevalence and predictors of uppper airway obstruction in the first 24 hours after acute stroke. Stroke. 2002; 33: 2037-2042. Go to original source... Go to PubMed...
  24. Wessendorf TE, Teschler H, Wang YM, Konietzko N, Thilmann AF. Sleep-disordered breathing among patients with first-ever stroke. J Neurol. 2000; 247: 41-47. Go to original source... Go to PubMed...
  25. Wierzbicka A, Rola R, Wichniak A, Richter P, Ryglewicz D, Jernajczyk W. The incidence of sleep apnea in patients with stroke or transient ischemic attack. J Physiol Pharmacol. 2006; 57(Suppl 4): 385-390. Go to PubMed...




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