Gonzalez-Aquines A, Martinez-Roque D, Baltazar Trevino-Herrera A, Chavez-Luevanos B E, Guerrero-Campos F, Gongora-Rivera F
Hospital Universitario de la Universidad Autonoma de Nuevo Leon (UANL), Monterrey, Mexico.
Rev Neurol. 2019 Sep 16;69(6):255-260. doi: 10.33588/rn.6906.2019061.
To describe the main physiopathological mechanisms of obstructive sleep apnea syndrome (OSAS) associated with the development of stroke.
Sleep breathing disorders have a high prevalence in the healthy population, among them, the OSAS is the most recognized. This syndrome has been associated with vascular diseases such as stroke, hypertension, atrial fibrillation, among others. Stroke has a high global prevalence and is considered a catastrophic disease. The physiopathological mechanisms are of great importance to understand the relationship that exists between OSAS and stroke. Both diseases are associated with molecular, cellular, and autonomic nervous system changes, with systemic cardiovascular repercussions and in particular with the vascular health of the brain.
The relationship between OSAS and ischaemic stroke is evident. The advance in the identification of molecular markers and low-cost studies for the identification of OSAS will allow implementing strategies to reduce their consequences in cardiovascular diseases, mainly in ischaemic stroke.
描述与中风发生相关的阻塞性睡眠呼吸暂停综合征(OSAS)的主要生理病理机制。
睡眠呼吸障碍在健康人群中具有较高的患病率,其中,阻塞性睡眠呼吸暂停综合征最为常见。该综合征与中风、高血压、心房颤动等血管疾病相关。中风在全球范围内具有较高的患病率,被认为是一种灾难性疾病。生理病理机制对于理解阻塞性睡眠呼吸暂停综合征与中风之间的关系至关重要。这两种疾病都与分子、细胞和自主神经系统的变化有关,会产生全身性心血管影响,尤其是对脑血管健康的影响。
阻塞性睡眠呼吸暂停综合征与缺血性中风之间的关系是明显的。在分子标志物识别方面的进展以及用于识别阻塞性睡眠呼吸暂停综合征的低成本研究,将有助于实施策略以减少其在心血管疾病,主要是缺血性中风中的后果。