[Cardiac effects of obstructive sleep apnea].

Abstract

Sleep disordered breathing, especially obstructive sleep apnea, are common in cardiovascular disease. Negative hemodynamic effects are mediated by nocturnal ischemia and intrathoracal pressure swings. Therefore "therapy resistant" arterial hypertension and congestive heart failure, as well as atrial fibrillation or sleep associated bradycardia are suggestive of sleep disordered breathing. Further on, clinical course of coronary artery disease seems to be influenced by nocturnal breathing disorders. Application of continuous positive airway pressure (CPAP) is effective in most of the patients and attenuates cardiodepressive hemodynamic effects of obstructive sleep apnea.

• Authors: S Steiner, R Willinghöfer
• Journal: Der Internist (Internist (Berl)) Vol. 51 Issue 7 Pg. 857-62 (Jul 2010) ISSN: 1432-1289 [Electronic] Germany
• Vernacular Title: Kardiale Auswirkungen der obstruktiven Schlafapnoe.
• PMID: 20574739 (Publication Type: English Abstract, Journal Article)

Topics

• Heart Diseases (diagnosis, etiology, therapy)
• Humans
• Sleep Apnea, Obstructive (complications, diagnosis, therapy)