Journals / Tüberküloz ve Toraks / 2005 / Cilt: 53 - Sayı: 3

Obstructive sleep apnea syndrome, endothelial dysfunction and coronary atherosclerosis

Obstrüktif uyku apne sendromu, endotel disfonksiyonu ve koroner ateroskleroz

Pages
299–306
Publication Date
2022-11-03
DOI
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AI Summary & Key Takeaways

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

In this review, the relationship between OSAS and endothelial dysfunction was overviewed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In obstructive sleep apnea syndrome (OSAS), repetitive episodes of apnea cause increased sympathetic nerve activity, increased surges in arterial blood pressure, swings in intrathoracic pressure, oxidative stress, hypoxia and hypercapnia.
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Key Findings & Data:Increased sympathetic nerve activity and also endothelial dysfunction which are the results of hypoxia, have important roles in vascular complications of OSAS.
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Conclusion & Impact:In this review, the relationship between OSAS and endothelial dysfunction was overviewed.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In obstructive sleep apnea syndrome (OSAS), repetitive episodes of apnea cause increased sympathetic nerve activity, increased surges in arterial blood pressure, swings in intrathoracic pressure, oxidative stress, hypoxia and hypercapnia. Theassociation of OSAS with some diseases, having endothelial dysfunction in their physiopathology, such as hypertension,diabetes mellitus, obesity, coronary artery diseases, stroke and heart failure is common. Increased sympathetic nerve activity and also endothelial dysfunction which are the results of hypoxia, have important roles in vascular complications of OSAS. When compared with healthy population, an important endothelial dysfunction in OSAS patients and relationship between OSAS severity and endothelial dysfunction have been shown. In this review, the relationship between OSAS and endothelial dysfunction was overviewed.

Özet

Obstrüktif uyku apne sendromu (OUAS)’nda ardı sıra gelen apne atakları sempatik sistem aktivitesinde artışa, oksidatif strese, intratorasik basınç dalgalanmalarına, sistemik kan basıncında ani sıçramalara, hipoksi ve hiperkapniye yol açmaktadır. Hipertansiyon, diyabet, obezite, koroner arter hastalıkları, inme ve kalp yetersizliği gibi fizyopatolojisinde endotel disfonksiyonun önemli rol oynadığı hastalıklar ile OUAS’ın birlikteliği sıktır. OUAS’da hipoksi sonucu artmış sempatik sistem aktivitesinin yanı sıra, gelişen endotel disfonksiyonunun da vasküler komplikasyonlarda rol oynadığı düşünülmektedir. Sağlıklı kişilerle karşılaştırıldığında, OUAS’lı hastalarda endotel fonksiyonunun bozulduğu ve sendromun şiddeti ile endotel disfonksiyonu arasında anlamlı bir ilişkinin olduğu gösterilmiştir. Bu derlemede OUAS ile endotel disfonksiyonu ilişkisi gözden geçirilmiştir.

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Cite This Article

DURSUNOĞLU, N., DURSUNOĞLU, D. (2022). Obstructive sleep apnea syndrome, endothelial dysfunction and coronary atherosclerosis. Tüberküloz ve Toraks, Cilt: 53 - Sayı: 3, 299–306. https://ajindex.com/articles/619191

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References (16)

  1. Guilleminault C, Tilkian A, Dement WC. The sleep apnea syndromes. Ann Rev Med 1976; 27:465-84
  2. Köktürk O, Tatlıcıoğlu T, Kemaloğlu Y ve ark. Habitüel horlaması olan olgularda obstrüktif sleep apne sendromu prevalansı. Tüberküloz ve Toraks 1997; 45: 7-11
  3. Shamsuzzaman AS, Gersh BJ, Somers VK. Obstructive sleep apnea: implications for cardiac and vascular disease. JAMA 2003; 290: 1906-14
  4. Malhotra A, White DP. Obstructive sleep apnoea. Lancet 2002; 360:237-45
  5. Lavie L. Obstructive sleep apnoea syndrome-an oxidative stress disorder. Sleep Med Rev 2003; 7: 35-51
  6. Chobanian AV, Bakris GL, Black HR, et al. National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289:2560-72
  7. Williams AJ, Houston D, Finberg S, et al. Sleep apnea syndrome and essential hypertension. Am J Cardiol 1985; 55: 1019-22
  8. Weitzenblum E, Krieger J, Apprill M, et al. Daytime pulmonary hypertension in patients with obstructive sleep apnea. Am Rev Respir Dis 1988; 138:345-9
  9. Malone S, Liu PP, Holloway R, et al. Obstructive sleep apnea in patients with dilated cardiomyopathy: effects of CPAP. Lancet 1991; 338: 1480-4
  10. Guilleminault C, Connoly S, Winkle RA. Cardiac arrhythmia and conduction disturbances during sleep in 400 patients with sleep apnea syndrome. Am j Cardiol 1983; 52: 490-4
  11. Sandberg O, Fraklin KA, Bucht G, et al. Nasal-CPAP in stroke patients with sleep apnoea: a randomized treatment study. In: Sandberg O (ed). Delirium, Psychiatric Symptoms and Treatment of Sleep Apnea in Older Patients, 2000
  12. Palomaki H, Partinen M, Erkinjuntti I, Kaste M. Snoring,sleep apnea syndrome and stroke. Neurology 1992; 42:75-82
  13. Hung J, Whitford EG, Parsons RW, Hillman DR. Association of sleep apnoea with myocardial infarction in men.Lancet 1990; 336: 261-4
  14. Dursunoğlu N, Dursunoğlu D. Obstrüktif uyku apne hipopne sendromunun kardiyouasküler sistem üzerine etkileri. Anadolu Kardiyol Derg 2005; 5: 41-5
  15. Dursunoğlu N, Dursunoğlu D, Kılıç M. Impact of obstructive sleep apnea on right ventricular global function: sleep apnea and myocardial performance index. Respiration 2005; 72:278-84
  16. Dursunoğlu N, Dursunoğlu D, Çuhadaroğlu Ç, Kılıçaslan Z.