Sleep-disordered breathing and stroke: chicken or egg? | Zendy

Filip Alexiev | Zendy; AnneKathrin Brill | Zendy; Sebastian R. Ott | Zendy; Simone B. Duss | Zendy; Markus H. Schmidt | Zendy; Claudio L. Bassetti | Zendy

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Sleep-disordered breathing and stroke: chicken or egg?

Author(s) -

Filip Alexiev,

AnneKathrin Brill,

Sebastian R. Ott,

Simone B. Duss,

Markus H. Schmidt,

Claudio L. Bassetti

Publication year - 2018

Publication title -

journal of thoracic disease

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.682

H-Index - 60

eISSN - 2077-6624

pISSN - 2072-1439

DOI - 10.21037/jtd.2018.12.66

Subject(s) - medicine , stroke (engine) , sleep disordered breathing , breathing , sleep apnea , pathological , cardiology , sleep (system call) , apnea , obstructive sleep apnea , anesthesia , mechanical engineering , computer science , engineering , operating system

The bidirectional interaction between sleep-disordered breathing (SDB) and stroke has been the subject of many studies. On the one hand, different forms of SDB, and especially obstructive sleep apnea, increase the risk of stroke either directly or indirectly by influencing other known cardiovascular risk factors such as arterial hypertension and arrhythmias. On the other hand, stroke itself can cause either de novo appearance of SDB, aggravate a pre-existing SDB, or trigger a transition from one type of pathological SDB pattern into another. In this review, we discuss some aspects of this "chicken or egg" relationship.

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