Study finds that obstructive sleep apnea causes earlier death in stroke patientsMay 19, 2008Stroke victims who have obstructive sleep apnea die sooner than stroke victims who do not have sleep apnea or who have central sleep apnea, according to Swedish researchers, who will present their findings at the American Thoracic Society's 2008 International Conference in Toronto on Monday, May 19. The researchers followed 132 stroke patients over 10 years. Twenty-three of those patients had obstructive sleep apnea; 28 of those patients had central sleep apnea. Those with an obstructive apnea-hypopnea index of 15 or greater were 76 percent more likely to die earlier. Those with a lower apena-hypopnea index of 10 were also at greater risk of early death. "The findings are particularly interesting because obstructive sleep apnea is a treatable condition," said Karl Franklin, M.D., who led the research team at University Hospital in Umea, Sweden. The researchers' results were independent of age, gender, smoking, body-mass index, hypertension, diabetes, atrial fibrillation, cognitive ability and how dependent patients were on help in their daily lives. According to Dr. Franklin, patients with central sleep apnea tended to have an increased risk of earlier death, but unlike those with obstructive sleep apnea, that risk was not independent of confounders. Earlier research Dr. Franklin and his colleagues conducted using trans-cranial Doppler found that cerebral blood flow and arterial blood pressure increase during obstructive apneas and then rapidly decrease to low values when the apnea ends. This pattern, the researchers said, suggests cerebral ischemia occurs at the same time as oxygen saturation is low. The findings of their latest study, Dr. Franklin noted, indicate the importance of a clinical trial for stroke patients with obstructive sleep apnea to see whether treating the sleep disorder will extend their lives. American Thoracic Society |
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| Related Obstructive Sleep Apnea Current Events and Obstructive Sleep Apnea News Articles Improved diet and exercise alone unlikely to cure obstructive sleep apnea in obese patients A study in the Oct. 15 issue of the Journal of Clinical Sleep Medicine found that while a strict diet and exercise program may benefit obese patients with mild to moderate obstructive sleep apnea (OSA), it is unlikely to eliminate the condition. Minimally invasive procedure effective for treating snoring Radiofrequency ablation, a procedure that uses heat to shrink the tissue of the soft palate, is an effective and minimally invasive procedure that can be used to treat patients who snore. Many patients with sleep apnea also suffer from GI tract conditions Patients who suffer from obstructive sleep apnea (OSA) also tend to have additional gastrointestinal (GI) tract conditions, such as gastric reflux and hiatal hernia, which form at the opening in your diaphragm where your food pipe (esophagus) joins your stomach. Stress, fatigue plague patients with allergic rhinitis and obstructive sleep apnea Patients who suffer from both allergic rhinitis and obstructive sleep apnea (OSA) may experience escalated symptoms of stress and fatigue. Severe sleep apnea tied to increased risk of death Moderate to severe obstructive sleep apnea is associated with an increased risk of death from any cause in middle-aged adults, especially men, according to new results from a landmark study supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH). Obstructive sleep apnea is prevalent in adults with Down syndrome A study in the Aug. 15 issue of the Journal of Clinical Sleep Medicine shows that adults with Down syndrome also frequently suffer from obstructive sleep apnea (OSA). Study finds increased 'sibling risk' of obstructive sleep apnea in children A study in the Aug. 1 issue of the journal SLEEP indicates that children have an increased risk of developing obstructive sleep apnea (OSA) if they have at least one sibling who has been diagnosed with the sleep disorder. Benefits from upper airway surgery for sleep apnea found to equal CPAP Adults who struggle with CPAP treatment for obstructive sleep apnea (OSA) should be considered candidates for reconstructive surgery on the upper airway, because it holds the same quality-of-life (QOL) benefits but with more permanence. Biomarker of breathing control abnormality associated with hypertension and stroke A study in the July 1 issue of the journal SLEEP identified a distinct ECG-derived spectrographic phenotype, designated as narrow-band elevated low frequency coupling (e-LFCNB), that is associated with prevalent hypertension, stroke, greater severity of sleep disordered breathing and sleep fragmentation in patients suffering from obstructive sleep apnea (OSA). CPAP treatment linked to lower mortality in stroke patients with OSA Stroke patients with obstructive sleep apnea (OSA) who undergo treatment with continuous positive airway pressure (CPAP) following their stroke may substantially reduce their risk of death. More Obstructive Sleep Apnea Current Events and Obstructive Sleep Apnea News Articles |
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