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Published on: December 6, 2016
Sleep-disordered breathing: clinical features, pathophysiology and diagnosis
Sebastian Robert Ott1, Lyudmila Korostovtseva2, Markus Schmidt3
1Department of Pulmonary Medicine, University Hospital (Inselspital) and University Bern, Switzerland; Interdisciplinary Sleep Wake Centre (SWEZ), University Hospital (Inselspital) and University Bern, Switzerland.
Sleep-disordered breathing (SDB) is increasingly common and linked to cardiovascular and cerebrovascular diseases. Early screening for at-risk populations is recommended, though treatment benefits remain debated.
Area of Science:
- Cardiology
- Neurology
- Sleep Medicine
- Epidemiology
Background:
- Sleep-disordered breathing (SDB) prevalence is rising due to obesity and aging.
- SDB is associated with significant cardiovascular and cerebrovascular diseases, including hypertension, coronary heart disease, and stroke.
- Growing evidence links SDB to adverse long-term cardiovascular morbidity and mortality.
Purpose of the Study:
- To summarize epidemiological data on SDB and its link to cardio- and cerebrovascular disorders.
- To explore the pathophysiological mechanisms connecting SDB with cardiovascular and cerebrovascular diseases.
- To provide a critical overview of current SDB diagnostic procedures.
Main Methods:
- Review of epidemiological studies investigating SDB and cardiovascular/cerebrovascular outcomes.
- Analysis of pathophysiological pathways implicated in SDB-related diseases.
- Critical evaluation of diagnostic tools and screening strategies for SDB.
Main Results:
- SDB is a significant risk factor for hypertension, coronary heart disease, and stroke.
- Systematic screening for SDB is advised in high-risk populations due to potential long-term health effects.
- The long-term benefits of SDB treatment and optimal management strategies require further investigation.
Conclusions:
- SDB poses a considerable threat to cardiovascular and cerebrovascular health.
- Further research is needed to clarify the prognostic impact of SDB treatments.
- A comprehensive understanding of SDB's pathophysiology and diagnostics is crucial for effective management.
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