Journals / Anadolu Kardiyoloji Dergisi / 2010 / Cilt: 10 - Sayı: 2

Uyku apnesinin kardiyovasküler sonuçları: II-Kardiyovasküler mekanizmalar

Cardiovascular consequences of sleep apnea: II-Cardiovascular mechanisms

Pages
168–175
Publication Date
2022-10-10
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The current article focuses on the available research evidence addressing the cardiovascular mechanisms in this context.

📌 3 Key Takeaways

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Objective & Hypothesis:Obstructive sleep apnea (OSA) is a common disorder with serious cardiovascular consequences.
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Key Findings & Data:The pathogenesis in this context is likely to be multifactorial process including large negative swings in intrathoracic pressure, intermittent hypoxemia and hypercapnia, increased sympathetic nervous system activity, vascular endothelial dysfunction, oxidative stress, systemic inflammation, excessive platelet activation as well as metabolic dysregulation.
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Conclusion & Impact:The current article focuses on the available research evidence addressing the cardiovascular mechanisms in this context.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Obstructive sleep apnea (OSA) is a common disorder with serious cardiovascular consequences. The pathogenesis in this context is likely to be multifactorial process including large negative swings in intrathoracic pressure, intermittent hypoxemia and hypercapnia, increased sympathetic nervous system activity, vascular endothelial dysfunction, oxidative stress, systemic inflammation, excessive platelet activation as well as metabolic dysregulation. Although there is scientific support for a considerable impact of OSA on vascular structure and function, it is likely that development of cardiovascular diseases is determined by multiple genotypic and phenotypic factors. The current article focuses on the available research evidence addressing the cardiovascular mechanisms in this context.

Özet

Obstrüktif uyku apnesi (OSA), sık karşılaşılan ve ciddi kardiyovasküler sonuçları olan bir hastalıktır. Kardiyovasküler hastalıkların gelişimi, negatif intratorasik basınçta büyük dalgalanmaları, intermittan hipoksi ve hiperkapniyi, sempatik sinir sistemi aktivitesinde artışı, vasküler endotelyal disfonksiyonu, oksidatif stresi, sistemik inflamasyonu, aşırı trombosit aktivasyonunu ve metabolik disregülasyonu içeren multifaktoryel süreçtir. Obstrüktif uyku apnesinin tek başına vasküler yapı ve fonksiyonları üzerine olumsuz etkisi olduğunu destekleyen bilimsel veriler olmasına karşın, OSA hastalarında kardiyovasküler hastalık gelişimi çok sayıda fenotipik ve genotipik faktörlere bağlı olması muhtemeldir. Bu makalede OSA’da kardiyovasküler hastalık gelişim mekanizmalarını inceleyen araştırmaların verilerine odaklanılmıştır.

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Cite This Article

PEKER, Y., ÇELEN, T. Y. (2022). Uyku apnesinin kardiyovasküler sonuçları: II-Kardiyovasküler mekanizmalar. Anadolu Kardiyoloji Dergisi, Cilt: 10 - Sayı: 2, 168–175. https://ajindex.com/articles/436804

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References (13)

  1. Turgut Celen Y, Peker Y. Cardiovascular consequences of sleep apnea: I- Epidemiology. Anadolu Kardiyol Derg 2010
  2. doi:10.5152/akd.2010.017 2. Fletcher EC. Effect of episodic hypoxia on sympathetic activity and blood pressure. Respir Physiol 2000
  3. doi:10.1016/S0034-5687(99)00114-0 3. Somers VK, Mark AL, Abboud FM. Potentiation of sympathetic nerve responses to hypoxia in borderline hypertensive subjects. Hypertens 1988
  4. Morgan BJ, Denahan T, Ebert TJ. Neurocirculatory consequences of negative intrathoracic pressure vs asphyxia during voluntary apnea. J Appl Physiol 1993
  5. PMid:8365996 5. Shiomi T, Guilleminault C, Stoohs R, Schnittger I. Leftward shift of the interventricular septum and pulsus paradoxus in obstructive sleep apnea syndrome. Chest 1991
  6. doi:10.1378/chest.100.4.894 PMid:1914603 6. Arias MA, García-Río F, Alonso-Fernandez A, Mediano O, Martinez I, Villamor J. Obstructive sleep apnea syndrome affects left ventricular diastolic function: effects of nasal continuous positive airway pressure in men. Circulation 2005
  7. doi:10.1161/CIRCULATIONAHA.104.501841 PMid:16009798 7. Bradley TD. Right and left ventricular functional impairment and sleep apnea. Clin Chest Med 1992
  8. PMid:1521413 8. Somers VK, Dyken ME, Clary MP, Abboud FM. Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 1995
  9. doi:10.1172/JCI118235 PMid:7560081 PMCid:185826 9. Carlson JT, Hedner J, Elam M, Ejnell H, Sellgren J, Wallin BG. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993
  10. doi:10.1378/chest.103.6.1763 PMid:8404098 10. Narkiewicz K, Montano N, Cogliati C, van de Borne PJ, Dyken ME, Somers VK. Altered cardiovascular variability in obstructive sleep apnea. Circulation 1998
  11. PMid:9736593 11. Narkiewicz K, van de Borne PJ, Cooley RL, Dyken ME, Somers VK. Sympathetic activity in obese subjects with and without obstructive sleep apnea. Circulation 1998
  12. PMid:9727547 12. Christou K, Kostikas K, Pastaka C, Tanou K, Antoniadou I, Gourgoulianis KI. Nasal continuous positive airway pressure treatment reduces systemic oxidative stress in patients with severe obstructive sleep apnea syndrome. Sleep Med 2009
  13. doi:10.1016/j.sleep.2007.10.011 PMid:18077211 13. Ridker PM, Buring JE, Cook NR, Rifai N. C-reactive protein, the metabolic syndrome, and risk of incident cardiovascula