Sleep-disordered breathing and stroke: Therapeutic approaches

Melissa Lipford, John G. Park, Kannan Ramar

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

The majority of stroke patients have clinically significant obstructive sleep apnea (OSA). Also, recent evidence demonstrates that OSA serves as an independent risk factor for stroke. Treatment of OSA following stroke is associated with neurologic and functional improvements, as well as long-term reduced risk of cardiovascular events. Identification of stroke patients at risk of OSA and subsequent diagnosis and treatment is essential in stroke recovery and reducing recurrent stroke risk. Continuous positive airway pressure (CPAP), the standard modality of treating OSA, is highly effective, but is often inadequately tolerated by stroke patients. Education and medical provider support are essential in establishing CPAP use in this population. However, in cases where CPAP therapy is not feasible, it is important for clinicians to be familiar with alternative modalities in treating OSA.

Original languageEnglish (US)
JournalCurrent Neurology and Neuroscience Reports
Volume14
Issue number2
DOIs
StatePublished - Jan 1 2014

Fingerprint

Sleep Apnea Syndromes
Obstructive Sleep Apnea
Stroke
Continuous Positive Airway Pressure
Therapeutics
Medical Education
Nervous System
Population

Keywords

  • Central sleep apnea
  • Cerebrovascularaccident
  • Continuous positive airway pressure
  • CVA
  • Obstructive sleep apnea
  • Sleep-disordered breathing
  • Stroke
  • Treatment

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this

Sleep-disordered breathing and stroke : Therapeutic approaches. / Lipford, Melissa; Park, John G.; Ramar, Kannan.

In: Current Neurology and Neuroscience Reports, Vol. 14, No. 2, 01.01.2014.

Research output: Contribution to journalReview article

@article{5c0c5c0e58fa410ebcc0986d5b6f947c,
title = "Sleep-disordered breathing and stroke: Therapeutic approaches",
abstract = "The majority of stroke patients have clinically significant obstructive sleep apnea (OSA). Also, recent evidence demonstrates that OSA serves as an independent risk factor for stroke. Treatment of OSA following stroke is associated with neurologic and functional improvements, as well as long-term reduced risk of cardiovascular events. Identification of stroke patients at risk of OSA and subsequent diagnosis and treatment is essential in stroke recovery and reducing recurrent stroke risk. Continuous positive airway pressure (CPAP), the standard modality of treating OSA, is highly effective, but is often inadequately tolerated by stroke patients. Education and medical provider support are essential in establishing CPAP use in this population. However, in cases where CPAP therapy is not feasible, it is important for clinicians to be familiar with alternative modalities in treating OSA.",
keywords = "Central sleep apnea, Cerebrovascularaccident, Continuous positive airway pressure, CVA, Obstructive sleep apnea, Sleep-disordered breathing, Stroke, Treatment",
author = "Melissa Lipford and Park, {John G.} and Kannan Ramar",
year = "2014",
month = "1",
day = "1",
doi = "10.1007/s11910-013-0431-7",
language = "English (US)",
volume = "14",
journal = "Current Neurology and Neuroscience Reports",
issn = "1528-4042",
publisher = "Current Medicine Group",
number = "2",

}

TY - JOUR

T1 - Sleep-disordered breathing and stroke

T2 - Therapeutic approaches

AU - Lipford, Melissa

AU - Park, John G.

AU - Ramar, Kannan

PY - 2014/1/1

Y1 - 2014/1/1

N2 - The majority of stroke patients have clinically significant obstructive sleep apnea (OSA). Also, recent evidence demonstrates that OSA serves as an independent risk factor for stroke. Treatment of OSA following stroke is associated with neurologic and functional improvements, as well as long-term reduced risk of cardiovascular events. Identification of stroke patients at risk of OSA and subsequent diagnosis and treatment is essential in stroke recovery and reducing recurrent stroke risk. Continuous positive airway pressure (CPAP), the standard modality of treating OSA, is highly effective, but is often inadequately tolerated by stroke patients. Education and medical provider support are essential in establishing CPAP use in this population. However, in cases where CPAP therapy is not feasible, it is important for clinicians to be familiar with alternative modalities in treating OSA.

AB - The majority of stroke patients have clinically significant obstructive sleep apnea (OSA). Also, recent evidence demonstrates that OSA serves as an independent risk factor for stroke. Treatment of OSA following stroke is associated with neurologic and functional improvements, as well as long-term reduced risk of cardiovascular events. Identification of stroke patients at risk of OSA and subsequent diagnosis and treatment is essential in stroke recovery and reducing recurrent stroke risk. Continuous positive airway pressure (CPAP), the standard modality of treating OSA, is highly effective, but is often inadequately tolerated by stroke patients. Education and medical provider support are essential in establishing CPAP use in this population. However, in cases where CPAP therapy is not feasible, it is important for clinicians to be familiar with alternative modalities in treating OSA.

KW - Central sleep apnea

KW - Cerebrovascularaccident

KW - Continuous positive airway pressure

KW - CVA

KW - Obstructive sleep apnea

KW - Sleep-disordered breathing

KW - Stroke

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=84891550136&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84891550136&partnerID=8YFLogxK

U2 - 10.1007/s11910-013-0431-7

DO - 10.1007/s11910-013-0431-7

M3 - Review article

C2 - 24395523

AN - SCOPUS:84891550136

VL - 14

JO - Current Neurology and Neuroscience Reports

JF - Current Neurology and Neuroscience Reports

SN - 1528-4042

IS - 2

ER -