help button home button
AJRCCM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by PARRA, O.
Right arrow Articles by SOPEÑA, J. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by PARRA, O.
Right arrow Articles by SOPEÑA, J. J.

Am. J. Respir. Crit. Care Med., Volume 161, Number 2, February 2000, 375-380

Time Course of Sleep-related Breathing Disorders in First-Ever Stroke or Transient Ischemic Attack

OLGA PARRA, ADRIÁ ARBOIX, SIRAJ BECHICH, LUIS GARCÍA-EROLES, JOSEP M. MONTSERRAT, JOSEP ANTONI LÓPEZ, EUGENI BALLESTER, JOSEP M. GUERRA, and JUAN JOSÉ SOPEÑA

Servei de Pneumologia and Neurology, Hospital del Sagrat Cor, Barcelona, Spain; and Institut Clínic de Pneumologia i Cirurgia Toràcica (ICPCT), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain

To investigate the prevalence and behavior of sleep-related breathing disorders (SRBDs) associated with a first-ever stroke or transient ischemic attack (TIA), we prospectively studied 161 consecutive patients admitted to our stroke unit. Complete neurological assessment was performed to determine parenchymatous and vascular localization of the neurological lesion. Stroke subtype was categorized as TIA, ischemic (IS), or hemorrhagic (HS). A portable respiratory recording (PRR) study was performed within 48-72 h after admission (acute phase), and subsequently after 3 mo (stable phase). During the acute phase, 116 patients (71.4%) had an apnea-hypopnea index (AHI) > 10 events/h and 45 (28%) had an AHI > 30. No relationships were found between sleep-related respiratory events and the topographical parenchymatous location of the neurological lesion or vascular involvement. Cheyne-Stokes breathing (CSB) was observed in 42 cases (26.1%). There were no significant differences in SRBD according to the stroke subtype except for the central apnea index (CAI). During the stable phase a second PRR was performed in 86 patients: 53 of 86 had an AHI > 10 and 17 of 86 had an AHI > 30. The AHI and CAI were significantly lower than those in the acute phase (16.9 ± 13.8 versus 22.4 ± 17.3 and 3.3 ± 7.6 versus 6.2 ± 10.2, respectively) (p < 0.05) while the obstructive apnea index (OAI) remained unchanged. CSB was observed in 6 of 86 patients. The prevalence of SRBD in patients with first-ever stroke or TIA is higher than expected from the available epidemiological data in our country. No correlation was found between neurological location and the presence or type of SRBD. Obstructive events seem to be a condition prior to the neurological disease whereas central events and CSB could be its consequence. Parra O, Arboix A, Bechich S, García-Eroles L, Montserrat JM, López JA, Ballester E, Guerra JM, Sopeña JJ. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack.




This article has been cited by other articles:


Home page
 Physiol. Rev.Home page
J. A. Dempsey, S. C. Veasey, B. J. Morgan, and C. P. O'Donnell
Pathophysiology of Sleep Apnea
Physiol Rev, January 1, 2010; 90(1): 47 - 112.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
D. M. Hermann and C. L. Bassetti
Sleep-related breathing and sleep-wake disturbances in ischemic stroke
Neurology, October 20, 2009; 73(16): 1313 - 1322.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
M. A. Martinez-Garcia, J. J. Soler-Cataluna, L. Ejarque-Martinez, Y. Soriano, P. Roman-Sanchez, F. B. Illa, J. M. M. Canal, and J. Duran-Cantolla
Continuous Positive Airway Pressure Treatment Reduces Mortality in Patients with Ischemic Stroke and Obstructive Sleep Apnea: A 5-Year Follow-up Study
Am. J. Respir. Crit. Care Med., July 1, 2009; 180(1): 36 - 41.
[Abstract] [Full Text] [PDF]

Home page
 ACCP Sleep Med Brd RevHome page
H. K. Yaggi
Sleep and the Cardiovascular System
ACCP Sleep Med Brd Rev, January 1, 2009; 4(0): 123 - 132.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. A. Chung, H. Yuan, and F. Chung
A Systemic Review of Obstructive Sleep Apnea and Its Implications for Anesthesiologists
Anesth. Analg., November 1, 2008; 107(5): 1543 - 1563.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
V. K. Somers, D. P. White, R. Amin, W. T. Abraham, F. Costa, A. Culebras, S. Daniels, J. S. Floras, C. E. Hunt, L. J. Olson, et al.
Sleep Apnea and Cardiovascular Disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement From the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing In Collaboration With the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health)
Circulation, September 2, 2008; 118(10): 1080 - 1111.
[Full Text] [PDF]

Home page
 StrokeHome page
D. L. Brown, L. D. Lisabeth, M. J. Zupancic, M. Concannon, C. Martin, and R. D. Chervin
High Prevalence of Supine Sleep in Ischemic Stroke Patients
Stroke, September 1, 2008; 39(9): 2511 - 2514.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
V. K. Somers, D. P. White, R. Amin, W. T. Abraham, F. Costa, A. Culebras, S. Daniels, J. S. Floras, C. E. Hunt, L. J. Olson, et al.
Sleep Apnea and Cardiovascular Disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement From the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing In Collaboration With the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health)
J. Am. Coll. Cardiol., August 19, 2008; 52(8): 686 - 717.
[Full Text] [PDF]

Home page
 Proc Am Thorac SocHome page
J. M. Golbin, V. K. Somers, and S. M. Caples
Obstructive Sleep Apnea, Cardiovascular Disease, and Pulmonary Hypertension
Proceedings of the ATS, February 15, 2008; 5(2): 200 - 206.
[Abstract] [Full Text] [PDF]

Home page
 Arch Intern MedHome page
C. Sahlin, O. Sandberg, Y. Gustafson, G. Bucht, B. Carlberg, H. Stenlund, and K. A. Franklin
Obstructive Sleep Apnea Is a Risk Factor for Death in Patients With Stroke: A 10-Year Follow-up
Arch Intern Med, February 11, 2008; 168(3): 297 - 301.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
L. Hernandez, M. Torrella, N. Roger, A. Llunell, E. Ballester, L. Quinto, M. Serrano, F. Masa, and J. M. Montserrat
Management of Sleep Apnea: Concordance Between Nonreference and Reference Centers
Chest, December 1, 2007; 132(6): 1853 - 1857.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
T. Dernaika, M. Tawk, S. Nazir, W. Younis, and G. T. Kinasewitz
The Significance and Outcome of Continuous Positive Airway Pressure-Related Central Sleep Apnea During Split-Night Sleep Studies
Chest, July 1, 2007; 132(1): 81 - 87.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
G. E. Foster, P. J. Hanly, M. Ostrowski, and M. J. Poulin
Effects of Continuous Positive Airway Pressure on Cerebral Vascular Response to Hypoxia in Patients with Obstructive Sleep Apnea
Am. J. Respir. Crit. Care Med., April 1, 2007; 175(7): 720 - 725.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
D. M. Hermann, M. Siccoli, P. Kirov, M. Gugger, and C. L. Bassetti
Central Periodic Breathing During Sleep in Acute Ischemic Stroke
Stroke, March 1, 2007; 38(3): 1082 - 1084.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
W. T. McNicholas, M. R. Bonsignore, and the Management Committee of EU COST ACTION B26
Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities
Eur. Respir. J., January 1, 2007; 29(1): 156 - 178.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
C-Y Hsu, M Vennelle, H-Y Li, H M Engleman, M S Dennis, and N J Douglas
Sleep-disordered breathing after stroke: a randomised controlled trial of continuous positive airway pressure
J. Neurol. Neurosurg. Psychiatry, October 1, 2006; 77(10): 1143 - 1149.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Soc. Nephrol.Home page
S. C.W. Tang, B. Lam, P. P. Ku, W. S. Leung, C. M. Chu, Y. W. Ho, M. S.M. Ip, and K. N. Lai
Alleviation of Sleep Apnea in Patients with Chronic Renal Failure by Nocturnal Cycler-Assisted Peritoneal Dialysis Compared with Conventional Continuous Ambulatory Peritoneal Dialysis
J. Am. Soc. Nephrol., September 1, 2006; 17(9): 2607 - 2616.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
R. Munoz, J. Duran-Cantolla, E. Martinez-Vila, J. Gallego, R. Rubio, F. Aizpuru, and G. De La Torre
Severe Sleep Apnea and Risk of Ischemic Stroke in the Elderly
Stroke, September 1, 2006; 37(9): 2317 - 2321.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
C. L. Bassetti, M. Milanova, and M. Gugger
Sleep-Disordered Breathing and Acute Ischemic Stroke: Diagnosis, Risk Factors, Treatment, Evolution, and Long-Term Clinical Outcome
Stroke, April 1, 2006; 37(4): 967 - 972.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. A. Martinez-Garcia, R. Galiano-Blancart, J.-J. Soler-Cataluna, L. Cabero-Salt, and P. Roman-Sanchez
Improvement in nocturnal disordered breathing after first-ever ischemic stroke: role of Dysphagia.
Chest, February 1, 2006; 129(2): 238 - 245.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
M. Arzt, T. Young, L. Finn, J. B. Skatrud, and T. D. Bradley
Association of Sleep-disordered Breathing and the Occurrence of Stroke
Am. J. Respir. Crit. Care Med., December 1, 2005; 172(11): 1447 - 1451.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
C. Selic, M. M. Siccoli, D. M. Hermann, and C. L. Bassetti
Blood Pressure Evolution After Acute Ischemic Stroke in Patients With and Without Sleep Apnea
Stroke, December 1, 2005; 36(12): 2614 - 2618.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
H. K. Yaggi, J. Concato, W. N. Kernan, J. H. Lichtman, L. M. Brass, and V. Mohsenin
Obstructive Sleep Apnea as a Risk Factor for Stroke and Death.
N. Engl. J. Med., November 10, 2005; 353(19): 2034 - 2041.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. A. Martinez-Garcia, R. Galiano-Blancart, P. Roman-Sanchez, J.-J. Soler-Cataluna, L. Cabero-Salt, and E. Salcedo-Maiques
Continuous Positive Airway Pressure Treatment in Sleep Apnea Prevents New Vascular Events After Ischemic Stroke
Chest, October 1, 2005; 128(4): 2123 - 2129.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
S. M. Caples and V. K. Somers
Obstructive Sleep Apnea and Stroke
Ann Intern Med, September 6, 2005; 143(5): 390 - 390.
[Full Text] [PDF]

Home page
 ChestHome page
F. Campos-Rodriguez, N. Pena-Grinan, N. Reyes-Nunez, I. De la Cruz-Moron, J. Perez-Ronchel, F. De la Vega-Gallardo, and A. Fernandez-Palacin
Mortality in Obstructive Sleep Apnea-Hypopnea Patients Treated With Positive Airway Pressure
Chest, August 1, 2005; 128(2): 624 - 633.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
C. Nopmaneejumruslers, Y. Kaneko, V. Hajek, V. Zivanovic, and T. D. Bradley
Cheyne-Stokes Respiration in Stroke: Relationship to Hypocapnia and Occult Cardiac Dysfunction
Am. J. Respir. Crit. Care Med., May 1, 2005; 171(9): 1048 - 1052.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
O. Parra, A. Arboix, J.M. Montserrat, L. Quinto, S. Bechich, and L. Garcia-Eroles
Sleep-related breathing disorders: impact on mortality of cerebrovascular disease
Eur. Respir. J., August 1, 2004; 24(2): 267 - 272.
[Abstract] [Full Text] [PDF]

Home page
 Mayo Clin Proc.Home page
J. M. Parish and V. K. Somers
Obstructive Sleep Apnea and Cardiovascular Disease
Mayo Clin. Proc., August 1, 2004; 79(8): 1036 - 1046.
[Abstract] [PDF]

Home page
 ThoraxHome page
G J Gibson
Sleep disordered breathing and the outcome of stroke
Thorax, May 1, 2004; 59(5): 361 - 363.
[Full Text] [PDF]

Home page
 StrokeHome page
N. McArdle, R. L. Riha, M. Vennelle, E. L. Coleman, M. S. Dennis, C. P. Warlow, and N. J. Douglas
Sleep-Disordered Breathing as a Risk Factor for Cerebrovascular Disease: A Case-Control Study in Patients With Transient Ischemic Attacks
Stroke, December 1, 2003; 34(12): 2916 - 2921.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
C. Roffe, S. Sills, M. Halim, K. Wilde, M. B. Allen, P. W. Jones, and P. Crome
Unexpected Nocturnal Hypoxia in Patients With Acute Stroke
Stroke, November 1, 2003; 34(11): 2641 - 2645.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
T. E. Wessendorf, C. Dahm, H. Teschler, A. Iranzo, J. Santamaria, J. Berenguer, M. Sanchez, and A. Chamorro
Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction
Neurology, March 25, 2003; 60(6): 1053 - 1053.
[Full Text] [PDF]

Home page
 Eur Respir JHome page
S. Marti, G. Sampol, X. Munoz, F. Torres, A. Roca, P. Lloberes, T. Sagales, P. Quesada, and F. Morell
Mortality in severe sleep apnoea/hypopnoea syndrome patients: impact of treatment
Eur. Respir. J., December 1, 2002; 20(6): 1511 - 1518.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
W.T. McNicholas and J. Krieger on behalf of the Ta and Members of the Task Force: W.T. McNicholas , P. Le
Public health and medicolegal implications of sleep apnoea
Eur. Respir. J., December 1, 2002; 20(6): 1594 - 1609.
[Full Text] [PDF]

Home page
 QJMHome page
J. Harbison, G.A. Ford, O.F.W. James, and G.J. Gibson
Sleep-disordered breathing following acute stroke
QJM, November 1, 2002; 95(11): 741 - 747.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
D. S.C. Hui, D. K.L. Choy, L. K.S. Wong, F. W.S. Ko, T. S.T. Li, J. Woo, and R. Kay
Prevalence of Sleep-Disordered Breathing and Continuous Positive Airway Pressure Compliance* : Results in Chinese Patients With First-Ever Ischemic Stroke
Chest, September 1, 2002; 122(3): 852 - 860.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
P.M. Turkington, J. Bamford, P. Wanklyn, and M.W. Elliott
Prevalence and Predictors of Upper Airway Obstruction in the First 24 Hours After Acute Stroke
Stroke, August 1, 2002; 33(8): 2037 - 2042.
[Abstract] [Full Text] [PDF]

Home page
 Biol Res NursHome page
B. W. Carlson and V. J. Neelon
Evaluation of Variables to Characterize Respiratory Periodicity during Sleep in Older Adults
Biol Res Nurs, April 1, 2002; 3(4): 176 - 188.
[Abstract] [PDF]

Home page
 NeurologyHome page
A. Iranzo, J. Santamaria, J. Berenguer, M. Sanchez, and A. Chamorro
Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction
Neurology, March 26, 2002; 58(6): 911 - 916.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S. E. Eveloff
Treatment of Obstructive Sleep Apnea : No Longer Just a Lot of Hot Air
Chest, March 1, 2002; 121(3): 674 - 677.
[Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
R. S. T. LEUNG and T. DOUGLAS BRADLEY
Sleep Apnea and Cardiovascular Disease
Am. J. Respir. Crit. Care Med., December 15, 2001; 164(12): 2147 - 2165.
[Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
M. J. TOBIN
Sleep-disordered Breathing, Control of Breathing, Respiratory Muscles, Pulmonary Function Testing, Nitric Oxide, and Bronchoscopy in AJRCCM 2000
Am. J. Respir. Crit. Care Med., October 15, 2001; 164(8): 1362 - 1375.
[Full Text] [PDF]

Home page
 Eur Respir JHome page
O. Parra
Sleep-disordered breathing and stroke: is there a rationale for treatment?
Eur. Respir. J., October 1, 2001; 18(4): 619 - 622.
[Full Text] [PDF]

Home page
 Eur Respir JHome page
T.E. Wessendorf, Y-;M. Wang, A.F. Thilmann, U. Sorgenfrei, N. Konietzko, and H. Teschler
Treatment of obstructive sleep apnoea with nasal continuous positive airway pressure in stroke
Eur. Respir. J., October 1, 2001; 18(4): 623 - 629.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
O. Sandberg, K.A. Franklin, G. Bucht, S. Eriksson, and Y. Gustafson
Nasal continuous positive airway pressure in stroke patients with sleep apnoea: a randomized treatment study
Eur. Respir. J., October 1, 2001; 18(4): 630 - 634.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
T. E. WESSENDORF, A. F. THILMANN, Y.-M. WANG, A. SCHREIBER, N. KONIETZKO, and H. TESCHLER
Fibrinogen Levels and Obstructive Sleep Apnea in Ischemic Stroke
Am. J. Respir. Crit. Care Med., December 1, 2000; 162(6): 2039 - 2042.
[Abstract] [Full Text]

Home page
 QJMHome page
J.A. Harbison and G.J. Gibson
Snoring, sleep apnoea and stroke: chicken or scrambled egg?
QJM, October 1, 2000; 93(10): 647 - 654.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Proc. Am. Thorac. Soc. Am. J. Respir. Cell Mol. Biol.
Copyright © 2000 American Thoracic Society 		  SOTA, FL