Obstructive sleep apnea and stroke: links to health disparities

Sleep Health
Alberto R RamosSalim I Dib

Abstract

Obstructive sleep apnea (OSA) is a novel cardiovascular and cerebrovascular risk factor that presents unique opportunities to understand and reduce seemingly intractable stroke disparity among non-Hispanic blacks and Hispanic/Latinos. Individuals from these 2 groups have up to a 2-fold risk of stroke and greater burden of OSA. Obstructive sleep apnea directly and indirectly increases risk of stroke through a variety of autonomic, chemical, and inflammatory mechanisms and vascular risk factors such as hypertension, obesity, and diabetes mellitus. Untreated OSA exacerbates poststroke prognosis, as it may also influence rehabilitation efforts and functional outcomes such as cognitive function after a stroke. Conversely, treatment of OSA may reduce the risk of stroke and may yield better poststroke prognosis. Unfortunately, in racial/ethnic minority groups, there are limited awareness, knowledge, and screening opportunities for OSA. Increasing awareness and improving screening strategies for OSA in minorities may alleviate stroke risk burden and improve stroke outcomes in these populations. This review article is intended to highlight the epidemiology, clinical characteristics, pathophysiology, diagnosis, and treatment of OSA in re...Continue Reading

Citations

Dec 21, 2017·Frontiers in Neurology·Alberto R RamosDouglas M Wallace
Apr 25, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Girardin Jean-LouisGbenga Ogedegbe
May 5, 2018·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Ryan A DonaldKim Jordan
Jan 24, 2019·International Journal of Environmental Research and Public Health·Andres R SchneebergerChristian G Huber
Jul 1, 2019·International Journal of Head and Neck Surgery·Pamela BarlettaAlejandro D Chediak
Jul 14, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Claire A AbijayRon B Mitchell
Aug 28, 2021·Journal of Clinical Medicine·Benjamin K PetrieHugo J Aparicio

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