Obstructive sleep apnea hypopnea syndrome
(OSAHS) AND HEART RISK

Obstructive sleep apnea hypopnea syndrome (OSAHS) is characterized by repetitive upper airway obstruction
during sleep and it is commonly seen in the adult population, 4% in the men, 2% in the women [3]. This incidence
increases with age. The most common nocturnal symptom is snoring while the most common daytime symptom is
excessive daytime sleepiness. Men who suffer from this disorder have an increased risk of cardiovascular events.
HAVE YOU HEARD ABOUT
"EARLY BIRD SLEEP
DISORDER"?
It is a sleep disorder which
causes people to nod off
early and wake fully alert
before dawn. Scientist
found that it is related to a
mutant gene called
CKIdelta.
Key to early bird sleep disorder,
BBC NEWS, April 3, 3005
Obstructive sleep apnea hypopnea syndrome (OSAHS) is caused by a
blockage in the pharynx that obstructs airflow during sleep. Individuals
with the syndrome regularly stop breathing during sleep for a few seconds
(apnea) and have slowed breathing (hypopnea)

RESEARCH FINDINGS
The mean intima-media thickness (IMT) of the carotid arteries of patients
with severe Obstructive sleep apnea hypopnea syndrome (OSAHS) was
found to be significantly higher than those of patients with mild OSAS and
control subjects in a clinical study [1]. An increased intima-media
thickness (IMT) in the carotid arteries is a marker of generalized
atherosclerosis, and it has been associated with a high risk of stroke.
Thus, obstructive sleep apnea-hypopnea syndrome (OSAHS) is
correlated with an increased risk of cardiovascular disease and
complications including systemic hypertension, pulmonary hypertension,
congestive heart failure, arrhythmias, stroke and myocardial infarction. All
these complications increase the morbidity and mortality of OSAHS [2].

TREATMENTS
Nasal continuous positive airway pressure (CPAP) and Surgical removal
of upper airway obstruction are considered to be efficient therapies in the
treatment and prevention of the disease [3-5].

REFERENCES
1. Altin R et al, Evaluation of carotid artery wall thickness with
high-resolution sonography in obstructive sleep apnea syndrome., J Clin
Ultrasound. 2005 Feb;33(2):80-6.
2. 2. Wieber SJ., The cardiac consequences of the obstructive sleep
apnea-hypopnea syndrome. Mt Sinai J Med. 2005 Jan;72(1):10-2
3. Dursunoglu N et al, The effects of obstructive sleep apnea hypopnea
syndrome on cardiovascular system. Anadolu Kardiyol Derg. 2005
Mar;5(1):41-5.
4. Cai XL et al, Treatment of pediatric obstructive sleep apnea hypopnea
syndrome, Zhonghua Er Bi Yan Hou Ke Za Zhi. 2004
Aug;39(8):496-500.
5. Xiao YL et al, Short-term and long-term influences of nasal continuous
positive airway pressure to sleep architecture of obstructive sleep apnea
hypopnea syndrome. Zhonghua Nei Ke Za Zhi. 2004 Sep;43(9):651-3.

                                                   
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