Síndrome da Apnéia-Hipopnéia Obstrutiva do Sono e Doença Cerebrovascular

Autores

  • Carlos Maurício Oliveira de Almeida Médico Neurologista e Neurofisiologista, ex-aluno de pós-graduação da Universidade Federal de São Paulo-UNIFESP.
  • Dalva Poyares Neurologista, Professora Doutora pela UNIFESP.
  • Sérgio Tufik Professor Doutor e chefe da disciplina de Medicina e Biologia do Sono da UNIFESP.

DOI:

https://doi.org/10.34024/rnc.2008.v16.8637

Palavras-chave:

Doença Cerebrovascular, Apnéia do Sono, Pressão Positiva Contínua de Vias Aéreas

Resumo

A Doença Cerebrovascular (DCV) e Síndrome da Apnéia do Sono (SAHOS) são entidades consideradas como importante agravo à saúde pública. Por anos, aproximadamente 500.000 casos novos de AVC são notificados gerando 175.000 óbitos na América do Norte. No mesmo período 2–4% da população adulta são diagnosticados como portadores da SAHOS. A SAHOS e a DCV são interligadas, quase sempre, aos mesmos fatores de riscos, como hipertensão arterial, doença cardiovascular, idade, obesidade, diabetes mellitus e tabagismo. Cresce a evidência de que a SAHOS seja um fator de risco independente para as doenças cardiovasculares e neurovasculares e que deve ser sistematicamente investigada no momento de sua suspeita. Até o momento, existem poucos trabalhos utilizando o CPAP em pacientes com AVC e SAHOS. Com este objetivo, realizamos uma revisão da literatura sobre a relação entre SAHOS e DCV e a utilização do aparelho de pressão positiva contínua (CPAP) no tratamento de pacientes diagnosticados com SAHOS e AVC.

Métricas

Carregando Métricas ...

Downloads

Não há dados estatísticos.

Referências

Wolf PA, D’Agostinho RB. Epidemiology. In: Barnett HJM, Mohr JP, Stein BM, Yatsu FM, Barnett HJM (eds.). Stroke: pathophysiology, diagnosis, and management. 3rd ed. Philadelphia: Churchill Livingstone, 1998, 3-27.

Young T, Palta M, Dempsey J, Skatrud J, Webwe S, Badr S. The occurrence of sleep disordered breathing among middle age adults. N Engl J Med 1993;328:1230-5.

Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999;131:485-91.

Guilleminault C, Bassiri A. Clinical Features and Evaluation of Obstrutive Sleep Apnea-Hipopnea Syndrome and Upper Airway Resistance Syndrome. In: Kryger MH, Roth T, Dement WC (eds.). Principles and Practice of Sleep Medicine. 4th ed. Philadelphia: Elsevier Saunders, 2005, 1043-52.

Schwab RJ, Kuna ST, Remmers JE. Anatomy and Physiology of Upper Airway Obstruction. In: Kryger MH, Roth T, Dement WC (eds.). Principles and Practice of Sleep Medicine. 4th ed. Philadelphia: Elsevier Saunders, 2005, 983-1000.

American Academy of Sleep Medicine. International Classification of Sleep Disorders. Diagnostic and Coding Manual. 2nd ed. Westchester: American Academy of Sleep Medicine, 2005, 297 p.

Dyken ME. Cerebrovascular disease and sleep apnea. In: Bradley D, Floras JS (eds.). Sleep apnea: implications in cardiovascular and Cerebrovascular disease. New York: Marcel Dekker Inc, 2000, 285-335.

Babu AR, Herdegen J, Fogefeld L, Shott, S, Mazzone T. Type 2 diabetes, glycemic control, and continuos positive airways pressure in obstructive sleep apnea. Arch In Med 2005;165:4471-52.

Hung J, Whtiford EG, Parsons RW, Hillman DR. Association of sleep apnoea with myocardial infarction in men. Lancet 1990;336:261-4.

Kannel WB, McGee DL. Diabetes and cardiovascular disease. The Framingham study. JAMA 1979;241:2035-8.

Dyken ML, Wolf PA, Barnett HJM, Bergan JJ, Hass WK, Kannel WB, et al. Risk factor in stroke a statement for physicians by subcommittee on risk factors and stroke of the stroke council. Stroke 1984;15(6):1105-11.

Abbott RD, Donahue RP, MacMahon SW, Reed DM, Yano K. Diabetes and the risk of stroke. The Honolulu Heart Program. JAMA 1987;257:949-52.

Qizilbash N, Jones L, Warlow C, Mann J. Fibrinogen and lipid concentrations as risk factors for transient ischaemic attaks and minor ischaemic strokes. Br Med J 1991;303:605-9.

Neau Jean-Philippe, Paquereau J, Maurice JC, Chavagnat Jean-Jacques, Gil R. Stroke and sleep: cause or consequence? Sleep Med Rev 2002;6(6):457-69.

Dyken ME, Somers VK, Yamada T, Ren Zong-Ying, Zimmerman B. Investigating the relationship between stroke and obstructive sleep apnea. Stroke 1996;27:401-7.

Koskenvuo M, Kaprio J, Telakivi T, Partinen M, Heikkilã K, Sarna S. Snoring as a risk factor for ischaemic heart disease and stroke in men. Br Med J 1987;294:16-9.

Palomaki H, Partinen M, Juvela S, Kaste M. Snoring as a risk for sleep-related brain infarction. Stroke 1989;20: 1311-5.

Partinen M, Palomaki H. Snoring and cerebral infarction. Lancet 1985;2:1325-6.

Neau J, Ingrand P, Meurice JC, Paquereau J, Chavagnat JJ, Gil R. Habitual snoring as a risk factor for cerebral infarction. Acta Neurol Scand 1995;92:63-8.

Palomaki H. Snoring and the risk of ischemic brain infarction. Stroke 1991;22:1021-5.

Palomaki H, Partinen M, Erkinjuntti T, Kaste M. Snoring sleep apnea syndrome and stroke. Neurology 1992;42(6 Suppl):75-82.

Sullivan CE, Issa FG, Berthon-Jones M. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet 1981;1:682-5.

Faccenda JF, Mackay TW, Boon NA, Douglas NJ. Randomized placebo-controlled trial of continuous positive airway pressure on blood pressure in the sleep apnea-hypopnea syndrome. Am J Repir Crit Care Med 2001;163: 344-8.

Peker Y, Hedner J, Norum J, Kraiczi H, Carlson J. Increased incidence of cardiovascular disease in middle-aged men with obstructive sleep apnea a 7 year follow-up. Am J Repir Crit Care Med 2002;166:159-65.

Marin J.M, Carrizo SJ, Vicente E, Agusti AGN. Long-term cardiovascular outcomes in men with obstructive sleep apnea with or without treatment with continuous positive airways pressure: an observational study. Lancet 2005; 365:1046-53.

Basseti CL, Milanova M, Gugger M. Sleep-Disordered Breathing and Acute ischemic Stroke 2006;37:967-72.

Devereaux MW, Keane JR, Davis RL. Automatic respiratory failure. Report of two cases with pathologic study of one. Arch Neurol 1973;29:46-52.

Bogousslavsky J, Khurana R, Deruaz JP, Hornung JP, Regli F, Janzer R, et al. Respiratory failure and unilateral caudal brainstem infarction. Ann Neurol 1990;28:668-73.

Askenasy JJM, Goldhammer I. Sleep apnea as a feature of bulbar stroke. Stroke 1988;19:637-9.

Bassetti C, Aldrich MS, Quint D. Sleep-Disordered breathing in patients with acute supra- and infratentorial strokes- a prospective study of 39 patients. Stroke 1997;28:1765-72.

Heyman A, Birchfield RI, Sieker HO. Effects of bilateral cerebral infarction on respiratory center sensivity. Neurology 1958;8:694-700.

Plum F, Swanson AG. Central neurogenic hyperventilation in man. Arch Neurol Psychiatri 1959;81:535-49.

Lee MC, Klassen AC, Heaney LM, Resch JA. Respiratory rate and pattern disturbances in acute brainstem infarction. Stroke 1976;7:382-5.

Plum F, Alvord EC. Apneustic breathing in man. Arch Neurol 1964;10:101-12.

Turkington PM, Bamford J, Wanklyn P, Elliot MW. Prevalence and predictors of upper airway obstruction in the first hours after acute stroke. Stroke 2002;33:2037-42.

Kapen S, Park A, Goldberg J, Wynter J, Park A. The incidence and severity of obstructive sleep apnea in ischemic cerebrovascular disease. Neurology 1991;41 (1Suppl):125.

Basseti C, Aldrich MS, Chervin RD, Quint D. Sleep apnea in patients with transient ischemic attack and stroke:a prospective study of 59 patients. Neurology 1996;47:1167-73.

Mohsenin V, Valor R. Sleep apnea with hemispheric stroke. Arch Phys Med Rehab 1995;76:71-6.

Good DC, Henkle J, Gelber D, Welsh J, Verhulst S. Sleep-disordered breathing and poor functional outcome after stroke.Stroke1996;27:252-9.

Rivest J, Reiher J. Transient ischemic attacks triggered by symptomatic sleep apneas. Stroke 1987;18(1):293.

Bassetti C, Aldrich MS. Sleep apnea in acute cerebrovascular disease: final report on 128 patients. Sleep 1999;22: 217-23.

Parra O, Arboix A, Bechich S, Garcia-Eroles L, Montserrat JM, Lopez JA, et al. Time course of sleep-related breathing disorders in firstever stroke or transient ischemic attack. Am J Respir Crit Care Med 2000;161:375-80.

Munoz R, Duran-Catolla J, Martinez-Villa E, Gallego J, Rubio R, Aizpuru F, et al. Severer Sleep Apnea and risk of Ischemic Stroke in the Elderly. Stroke 2006;37:2317-21.

Wessendorf TE, Teschler H, Wang YM, Konietzko N, Thilmann AF. Sleep disordered breathing among patients with first-ever stroke. J Neurol 2000;247:41-7.

Cadilhac DA, Thorpe RD, Pearce DC, Barnes M, Rochford PD, Tarquinio N, et al. Sleep disordered breathing in cronic stroke survivors. A study of the long term follow-up of the Scopes cohort using home based polysomnography. J Clin Neurosc 2005;12(6):632-7.

Hajak G, Klingelhofer J, Schulz-Varszegi M, Sander D, Ruther E. Sleep apnea syndrome and cerebral hemodynamics. Chest 1996;110:670-9.

Balfors EM, Franklin KA. Impairment of cerebral perfusion during obstructive sleep apneas. Am J Repir Crit Care Med 1994;150:1587-91.

Jennum P, Borgesen SE. Intracranial pressure and obstructive sleep apnea. Chest 1989;95:279-83.

Englemam HM, Kingshott RN, Wraith PK, Mackay TW, Deary IJ, Douglas NJ. Randomized placebo-controlled crossover trial of continuous positive airway pressure for mild sleep apnea/hypopnea syndrome. Am J Repir Crit Care Med 1999;159:461-7.

Engleman HM, Martin SE, Deary IJ, Douglas NJ. Effect of continuous positive airway pressure treatment on daytime function in sleep apnea/hypopnea syndrome. Lancet 1994;343:572-5.

Logan AG, Tkacova R, Perlikowski SM, Leung RS, Tisler A, Floras JS, et al. Refractory hypertension and sleep apnoea:effect of cpap on blood pressure and baroreflex. Eur Respir J 2003;21:241-7.

Narkiewicz K, Kato M, Phillips BG, Pesek CA, Davison DE, Somers VK. Nocturnal continuous positive airway pressure decrease daytime sympathetic traffic in obstructive sleep apnea. Circulation 1999;100:2332-5.

Bokinsky G, Miller M, Aullt K, Husband P, Mitchell J. Spontaneous platelet activation and aggregation during obstructive sleep apnea and its response to therapy with nasal continuous positive airway pressure. Chest 1995; 108:625-30.

Chin K, Ohi M, Kita H, Noguchi T, Otsuka N, Tsuboi T, et al. Effects of NCPAP therapy on fibrinogen levels in obstructive sleep apnea syndrome. Am J Repir Crit Care Med 1996;1531:1972-6.

Mary SM, Lam B, Chan LY, Zheng L, Tsang KWT, Fung PCW, et al. Circulating nitric oxide is suppressed in obstructive sleep apnea and is reversed by nasal continuous positive airway pressure. Am J Repir Crit Care Med 2000;162:2166-71.

Sandberg O, Franklin KA, Bucht G. Nasal continuos positive airway in stroke patients with sleep apnoea: a randomized treatment study. Eur Resp J 2001;18:630-4.

Hsu CY, Vennelle M, Engleman HM, Dennis MS, Douglas NJ. Sleep-disordered breathing after stroke:a randomized controlled trial of continous positive airway pressure. J Neurol Neurosurg Psychiatr 2006;77:1143-9.

Guilleminaul C, Palombini L. Stroke and treatment with nasal CPAP. Eur J Neurol 2006;13:198-200.

Pressman MR, Schetman WR, Figueroa WG, Van Uitert B, Caplan HJ, Peterson DD. Transient ischemic attacks and minor stroke during sleep. Relationship to obstructive sleep apnea syndrome. Stroke1995;26:2361-5.

Iranzo A, Santamaria J, Berenguer J, Sanchez M, Chamorro A. Prevalence and clinical importane of sleep apnea in the first night after cerebral infarction. Neurology 2002;58:911-6.

Martinez-Garcia M, Galiano-Blancart R, Roman-Sanchez P, Soler JJ, Cabero-Salt L, Salcedo-Maiques E. Continuos positive airwais pressure treatment in sleep apnea prevents new vascular events after ischemic stroke. Chest 2005;128:2123-9.

Hui DS, Choy DK, Wong LK, Ko FW, Li TS, Woo J, et al. Prevalence of sleep-disordered breathing and continuous positive airway pressure compliance: results in chinese patients with first-ever ischemic stroke. Chest 2002;122: 852-60.

Downloads

Publicado

2008-09-30

Como Citar

Almeida, C. M. O. de, Poyares, D., & Tufik, S. (2008). Síndrome da Apnéia-Hipopnéia Obstrutiva do Sono e Doença Cerebrovascular. Revista Neurociências, 16(3), 231–236. https://doi.org/10.34024/rnc.2008.v16.8637

Edição

Seção

Revisão de Literatura
##plugins.generic.dates.received## 06/03/2019
##plugins.generic.dates.published## 30/09/2008

Artigos mais lidos pelo mesmo(s) autor(es)

Artigos Semelhantes

1 2 3 4 5 6 7 8 9 10 > >> 

Você também pode iniciar uma pesquisa avançada por similaridade para este artigo.