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CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
by
Mukherjee, Sutapa
, Chen, Guofang
, Du, Baoliang
, Tripathi, Manjari
, Barbe, Ferran
, Liu, Zhihong
, McArdle, Nigel
, Redline, Susan
, Zhong, Nanshan
, Zhang, Xilong
, Billot, Laurent
, Grunstein, Ron R
, Wang, Jiguang
, McEvoy, R. Doug
, Heeley, Emma
, Antic, Nick A
, Mediano, Olga
, Neal, Bruce
, Ou, Qiong
, Chen, Rui
, Luo, Yuanming
, Li, Qiang
, Lorenzi-Filho, Geraldo
, Arima, Hisatomi
, Drager, Luciano F
, Anderson, Craig S
, White, David P
in
Aged
/ Airway management
/ Angina
/ Apnea
/ Cardiovascular disease
/ Cardiovascular diseases
/ Cardiovascular Diseases - mortality
/ Cardiovascular Diseases - prevention & control
/ Cerebral infarction
/ Cerebrovascular Disorders - complications
/ Clinical trials
/ Continuous Positive Airway Pressure
/ Coronary Artery Disease - complications
/ Daytime
/ Female
/ Heart diseases
/ Hospitalization
/ Humans
/ Intention to Treat Analysis
/ Ischemia
/ Male
/ Medical research
/ Middle Aged
/ Mood
/ Myocardial infarction
/ Quality of life
/ Respiratory therapy
/ Respiratory tract
/ Sleep
/ Sleep and wakefulness
/ Sleep apnea
/ Sleep Apnea, Obstructive - etiology
/ Sleep Apnea, Obstructive - therapy
/ Sleep disorders
/ Stroke
/ Transient ischemic attack
/ Treatment Outcome
2016
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CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
by
Mukherjee, Sutapa
, Chen, Guofang
, Du, Baoliang
, Tripathi, Manjari
, Barbe, Ferran
, Liu, Zhihong
, McArdle, Nigel
, Redline, Susan
, Zhong, Nanshan
, Zhang, Xilong
, Billot, Laurent
, Grunstein, Ron R
, Wang, Jiguang
, McEvoy, R. Doug
, Heeley, Emma
, Antic, Nick A
, Mediano, Olga
, Neal, Bruce
, Ou, Qiong
, Chen, Rui
, Luo, Yuanming
, Li, Qiang
, Lorenzi-Filho, Geraldo
, Arima, Hisatomi
, Drager, Luciano F
, Anderson, Craig S
, White, David P
in
Aged
/ Airway management
/ Angina
/ Apnea
/ Cardiovascular disease
/ Cardiovascular diseases
/ Cardiovascular Diseases - mortality
/ Cardiovascular Diseases - prevention & control
/ Cerebral infarction
/ Cerebrovascular Disorders - complications
/ Clinical trials
/ Continuous Positive Airway Pressure
/ Coronary Artery Disease - complications
/ Daytime
/ Female
/ Heart diseases
/ Hospitalization
/ Humans
/ Intention to Treat Analysis
/ Ischemia
/ Male
/ Medical research
/ Middle Aged
/ Mood
/ Myocardial infarction
/ Quality of life
/ Respiratory therapy
/ Respiratory tract
/ Sleep
/ Sleep and wakefulness
/ Sleep apnea
/ Sleep Apnea, Obstructive - etiology
/ Sleep Apnea, Obstructive - therapy
/ Sleep disorders
/ Stroke
/ Transient ischemic attack
/ Treatment Outcome
2016
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CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
by
Mukherjee, Sutapa
, Chen, Guofang
, Du, Baoliang
, Tripathi, Manjari
, Barbe, Ferran
, Liu, Zhihong
, McArdle, Nigel
, Redline, Susan
, Zhong, Nanshan
, Zhang, Xilong
, Billot, Laurent
, Grunstein, Ron R
, Wang, Jiguang
, McEvoy, R. Doug
, Heeley, Emma
, Antic, Nick A
, Mediano, Olga
, Neal, Bruce
, Ou, Qiong
, Chen, Rui
, Luo, Yuanming
, Li, Qiang
, Lorenzi-Filho, Geraldo
, Arima, Hisatomi
, Drager, Luciano F
, Anderson, Craig S
, White, David P
in
Aged
/ Airway management
/ Angina
/ Apnea
/ Cardiovascular disease
/ Cardiovascular diseases
/ Cardiovascular Diseases - mortality
/ Cardiovascular Diseases - prevention & control
/ Cerebral infarction
/ Cerebrovascular Disorders - complications
/ Clinical trials
/ Continuous Positive Airway Pressure
/ Coronary Artery Disease - complications
/ Daytime
/ Female
/ Heart diseases
/ Hospitalization
/ Humans
/ Intention to Treat Analysis
/ Ischemia
/ Male
/ Medical research
/ Middle Aged
/ Mood
/ Myocardial infarction
/ Quality of life
/ Respiratory therapy
/ Respiratory tract
/ Sleep
/ Sleep and wakefulness
/ Sleep apnea
/ Sleep Apnea, Obstructive - etiology
/ Sleep Apnea, Obstructive - therapy
/ Sleep disorders
/ Stroke
/ Transient ischemic attack
/ Treatment Outcome
2016
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CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
Journal Article
CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
2016
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Overview
In a randomized trial, over 2700 patients with obstructive sleep apnea and cardiovascular disease were assigned to CPAP plus usual care or to usual care alone. At a mean of 3.7 years, the rate of adverse cardiovascular events did not differ significantly between the groups.
Obstructive sleep apnea causes episodic hypoxemia and nocturnal sympathetic nervous system activation
1
and elevates blood pressure
2
and markers of oxidative stress, inflammation, and hypercoagulation.
3
,
4
Large negative intrathoracic pressure swings also impose mechanical stress on the heart and great vessels.
5
–
7
Population-based and sleep-clinic–based cohort studies have shown an association between obstructive sleep apnea and cardiovascular events,
8
–
16
particularly stroke.
17
Randomized, controlled trials have shown that treatment with continuous positive airway pressure (CPAP) lowers systolic blood pressure by 2 to 3 mm Hg in patients with normotensive obstructive sleep apnea
18
and by 6 to 7 mm Hg in patients with . . .
Publisher
Massachusetts Medical Society
Subject
/ Angina
/ Apnea
/ Cardiovascular Diseases - mortality
/ Cardiovascular Diseases - prevention & control
/ Cerebrovascular Disorders - complications
/ Continuous Positive Airway Pressure
/ Coronary Artery Disease - complications
/ Daytime
/ Female
/ Humans
/ Ischemia
/ Male
/ Mood
/ Sleep
/ Sleep Apnea, Obstructive - etiology
/ Sleep Apnea, Obstructive - therapy
/ Stroke
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