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Obstructive sleep apnea and stroke : The mechanisms, the randomized trials, and the road ahead

Javaheri, Shahrokh ; Peker, Yüksel LU ; Yaggi, H. Klar and Bassetti, Claudio L.A. (2022) In Sleep Medicine Reviews 61.
Abstract

When considered separately from cardiovascular disease, stroke is the third leading cause of death in the U.S. and is the leading cause of long-term disability in adults. New approaches that can be offered to the majority of ischemic stroke patients, can be continued throughout post-stroke care, can limit stroke severity, and can complement or even enhance rehabilitation, would transform ischemic stroke recovery. The treatment of obstructive sleep apnea (OSA) in patients with acute ischemic stroke may represent one such approach. This manuscript reviews the epidemiologic studies of the bidirectional association between OSA and stroke, and the mechanisms and molecular signatures of OSA leading to transient ischemic attack and stroke as... (More)

When considered separately from cardiovascular disease, stroke is the third leading cause of death in the U.S. and is the leading cause of long-term disability in adults. New approaches that can be offered to the majority of ischemic stroke patients, can be continued throughout post-stroke care, can limit stroke severity, and can complement or even enhance rehabilitation, would transform ischemic stroke recovery. The treatment of obstructive sleep apnea (OSA) in patients with acute ischemic stroke may represent one such approach. This manuscript reviews the epidemiologic studies of the bidirectional association between OSA and stroke, and the mechanisms and molecular signatures of OSA leading to transient ischemic attack and stroke as well as the randomized controlled trials and observational cohort studies examining continuous positive airway treatment efficacy on the impact of stroke outcomes. Finally, the insights these studies provide on future research are also discussed.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Continuous positive airway pressure, Obstructive sleep apnea, Randomized controlled trials, Stroke
in
Sleep Medicine Reviews
volume
61
article number
101568
publisher
Elsevier
external identifiers
  • pmid:34906778
  • scopus:85120946544
ISSN
1087-0792
DOI
10.1016/j.smrv.2021.101568
language
English
LU publication?
yes
id
ae3c2cee-281b-427b-a6ff-3fe350395776
date added to LUP
2022-01-25 15:28:33
date last changed
2024-06-16 00:25:52
@article{ae3c2cee-281b-427b-a6ff-3fe350395776,
  abstract     = {{<p>When considered separately from cardiovascular disease, stroke is the third leading cause of death in the U.S. and is the leading cause of long-term disability in adults. New approaches that can be offered to the majority of ischemic stroke patients, can be continued throughout post-stroke care, can limit stroke severity, and can complement or even enhance rehabilitation, would transform ischemic stroke recovery. The treatment of obstructive sleep apnea (OSA) in patients with acute ischemic stroke may represent one such approach. This manuscript reviews the epidemiologic studies of the bidirectional association between OSA and stroke, and the mechanisms and molecular signatures of OSA leading to transient ischemic attack and stroke as well as the randomized controlled trials and observational cohort studies examining continuous positive airway treatment efficacy on the impact of stroke outcomes. Finally, the insights these studies provide on future research are also discussed.</p>}},
  author       = {{Javaheri, Shahrokh and Peker, Yüksel and Yaggi, H. Klar and Bassetti, Claudio L.A.}},
  issn         = {{1087-0792}},
  keywords     = {{Continuous positive airway pressure; Obstructive sleep apnea; Randomized controlled trials; Stroke}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Sleep Medicine Reviews}},
  title        = {{Obstructive sleep apnea and stroke : The mechanisms, the randomized trials, and the road ahead}},
  url          = {{http://dx.doi.org/10.1016/j.smrv.2021.101568}},
  doi          = {{10.1016/j.smrv.2021.101568}},
  volume       = {{61}},
  year         = {{2022}},
}