Respiratory disorders during sleep in patients with acute ischemic stroke

Introduction: Sleep breathing disorders (SBD) especially obstructive hypopnea apnea syndrome (OSA) in patients with stroke are common and can complicate their evolution. The objective was analyzing the different sleep breathing disorders in patients with stroke. Methods: Descriptive, cross-sectional...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Folgueira, Agustin Leandro, Valiensi, Stella Maris, De Francesco, Laura, Berrozpe, Elda Cecilia, Quiroga Narvaez, Julieta, Martínez, Oscar Adolfo, Bonardo, Pablo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
stroke
polysomnography
sleep apnea syndromes
accidente cerebrovascular
polisomnografía
síndromes de la apnea del sueño
acidente vascular cerebral
polissonografia
síndromes da apneia do sono
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/28102
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-28102
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic stroke
polysomnography
sleep apnea syndromes
accidente cerebrovascular
polisomnografía
síndromes de la apnea del sueño
acidente vascular cerebral
polissonografia
síndromes da apneia do sono
spellingShingle stroke
polysomnography
sleep apnea syndromes
accidente cerebrovascular
polisomnografía
síndromes de la apnea del sueño
acidente vascular cerebral
polissonografia
síndromes da apneia do sono
Folgueira, Agustin Leandro
Valiensi, Stella Maris
De Francesco, Laura
Berrozpe, Elda Cecilia
Quiroga Narvaez, Julieta
Martínez, Oscar Adolfo
Bonardo, Pablo
Respiratory disorders during sleep in patients with acute ischemic stroke
topic_facet stroke
polysomnography
sleep apnea syndromes
accidente cerebrovascular
polisomnografía
síndromes de la apnea del sueño
acidente vascular cerebral
polissonografia
síndromes da apneia do sono
author Folgueira, Agustin Leandro
Valiensi, Stella Maris
De Francesco, Laura
Berrozpe, Elda Cecilia
Quiroga Narvaez, Julieta
Martínez, Oscar Adolfo
Bonardo, Pablo
author_facet Folgueira, Agustin Leandro
Valiensi, Stella Maris
De Francesco, Laura
Berrozpe, Elda Cecilia
Quiroga Narvaez, Julieta
Martínez, Oscar Adolfo
Bonardo, Pablo
author_sort Folgueira, Agustin Leandro
title Respiratory disorders during sleep in patients with acute ischemic stroke
title_short Respiratory disorders during sleep in patients with acute ischemic stroke
title_full Respiratory disorders during sleep in patients with acute ischemic stroke
title_fullStr Respiratory disorders during sleep in patients with acute ischemic stroke
title_full_unstemmed Respiratory disorders during sleep in patients with acute ischemic stroke
title_sort respiratory disorders during sleep in patients with acute ischemic stroke
description Introduction: Sleep breathing disorders (SBD) especially obstructive hypopnea apnea syndrome (OSA) in patients with stroke are common and can complicate their evolution. The objective was analyzing the different sleep breathing disorders in patients with stroke. Methods: Descriptive, cross-sectional and retrospective study of acute ischemic stroke patients, using nightly polysomnography with oximetry (PSG). Results: It was a descriptive, cross-sectional, retrospective study during 19 months; 53 patients with stroke were included, with a men age of 67 ±12 years and 62% were men. SBD was evaluated by nocturnal polysomnography with oximetry within 10 days of installing the stroke. The Apnea hypopnea index (AHI) was 24.5±20, of mild grade in 21%, moderate in 31%, severe grade in 34%. The average oxygen saturation time less than 90% was 38 ±51 minutes. The minimum oxygen saturation was marked in infratentorial lesions. Conclusion: We found a high percentage of OSA, which was associated with older patients and a higher body mass index. There was a marked decrease in the minimum oxygen saturation and greater tendency to present central apneas in infratentorial lesion.  Early diagnosis and treatment could minimize neuronal damage and improve prognosis.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/28102
work_keys_str_mv AT folgueiraagustinleandro respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT valiensistellamaris respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT defrancescolaura respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT berrozpeeldacecilia respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT quiroganarvaezjulieta respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT martinezoscaradolfo respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT bonardopablo respiratorydisordersduringsleepinpatientswithacuteischemicstroke
AT folgueiraagustinleandro trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT valiensistellamaris trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT defrancescolaura trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT berrozpeeldacecilia trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT quiroganarvaezjulieta trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT martinezoscaradolfo trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT bonardopablo trastornosrespiratoriosduranteelsuenoenpacientesconaccidentecerebrovascularisquemico
AT folgueiraagustinleandro disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
AT valiensistellamaris disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
AT defrancescolaura disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
AT berrozpeeldacecilia disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
AT quiroganarvaezjulieta disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
AT martinezoscaradolfo disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
AT bonardopablo disturbiosrespiratoriosduranteosonoempacientescomavcisquemico
first_indexed 2024-09-03T21:01:51Z
last_indexed 2024-09-03T21:01:51Z
_version_ 1809210211511042048
spelling I10-R327-article-281022024-08-27T18:27:59Z Respiratory disorders during sleep in patients with acute ischemic stroke Trastornos respiratorios durante el sueño en pacientes con accidente cerebrovascular isquémico Distúrbios respiratórios durante o sono em pacientes com avc isquêmico Folgueira, Agustin Leandro Valiensi, Stella Maris De Francesco, Laura Berrozpe, Elda Cecilia Quiroga Narvaez, Julieta Martínez, Oscar Adolfo Bonardo, Pablo stroke polysomnography sleep apnea syndromes accidente cerebrovascular polisomnografía síndromes de la apnea del sueño acidente vascular cerebral polissonografia síndromes da apneia do sono Introduction: Sleep breathing disorders (SBD) especially obstructive hypopnea apnea syndrome (OSA) in patients with stroke are common and can complicate their evolution. The objective was analyzing the different sleep breathing disorders in patients with stroke. Methods: Descriptive, cross-sectional and retrospective study of acute ischemic stroke patients, using nightly polysomnography with oximetry (PSG). Results: It was a descriptive, cross-sectional, retrospective study during 19 months; 53 patients with stroke were included, with a men age of 67 ±12 years and 62% were men. SBD was evaluated by nocturnal polysomnography with oximetry within 10 days of installing the stroke. The Apnea hypopnea index (AHI) was 24.5±20, of mild grade in 21%, moderate in 31%, severe grade in 34%. The average oxygen saturation time less than 90% was 38 ±51 minutes. The minimum oxygen saturation was marked in infratentorial lesions. Conclusion: We found a high percentage of OSA, which was associated with older patients and a higher body mass index. There was a marked decrease in the minimum oxygen saturation and greater tendency to present central apneas in infratentorial lesion.  Early diagnosis and treatment could minimize neuronal damage and improve prognosis. Introducción: Los trastornos respiratorios durante el sueño (TRDS), sobre todo el síndrome de apneas hipopneas obstructivas (SAHOS) en pacientes con accidente cerebrovascular o ACV, son frecuentes y pueden complicar su evolución. El objetivo fue analizar diversos TRDS en pacientes con ACV. Métodos: Estudio descriptivo, de corte transversal y retrospectivo de 19 meses, en  pacientes con ACV, mediante polisomnografía nocturna con oximetría (PSG). Resultados: Se incluyó a 53 pacientes, con edad media de 67 ± 12 años, y 62% pertenecían al sexo masculino. Se evaluó los TRDS mediante polisomnografía nocturna con oximetría dentro de los 10 días de instalado el ACV. Se detectó un índice de apneas hipopneas durante el sueño (IAH) de grado leve en 21%, grado moderado en 31% y severo en 34%. La media de tiempo de saturación de oxígeno < a 90% fue de 38 ±51 minutos. La saturación mínima de oxígeno fue marcada en lesiones infratentoriales. Conclusión: Nosotros hemos encontrado en nuestro estudio, un alto porcentaje de SAHOS, que se asoció a pacientes de mayor edad y mayor índice de masa corporal. Se constató descenso marcado de la saturación mínima y mayor tendencia a presentar apneas centrales en lesiones infratentoriales. El diagnóstico y tratamiento precoz podría minimizar el daño neuronal y mejorar el pronóstico. Introdução: Os distúrbios respiratórios durante o sono (TRDS), principalmente a síndrome da apneia hipopneia obstrutiva (SAHOS) em pacientes com acidente vascular cerebral ou AVC, são frequentes e podem complicar sua evolução. O objetivo foi analisar vários TRDS em pacientes com AVC. Métodos: Estudo descritivo, transversal e retrospectivo de 19 meses de pacientes com AVC utilizando polissonografia noturna com oximetria (PSG). Resultados: Foram incluídos 53 pacientes, com idade média de 67 ± 12 anos e 62% eram do sexo masculino. O TRDS foi avaliado por polissonografia noturna com oximetria nos 10 dias seguintes ao AVC. Um grau leve de apneia do sono por hipopneia (IAH) foi detectado em 21%, grau moderado em 31% e grave em 34%. O tempo médio de saturação de oxigênio <90% foi de 38 ± 51 minutos. A saturação mínima de oxigênio foi marcada nas lesões infratentoriais. Conclusão: Em nosso estudo, encontramos uma alta porcentagem de SAHOS, associada a pacientes mais velhos e um maior índice de massa corporal. Houve diminuição acentuada da saturação mínima e maior tendência a apresentar apneias centrais nas lesões infratentorial. O diagnóstico e tratamento precoces podem minimizar os danos neuronais e melhorar o prognóstico. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-08-24 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/28102 10.31053/1853.0605.v78.n3.28102 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 3 (2021); 264-269 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 3 (2021); 264-269 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 3 (2021); 264-269 1853-0605 0014-6722 10.31053/1853.0605.v78.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/28102/34941 https://revistas.unc.edu.ar/index.php/med/article/view/28102/34942 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

Ejemplares similares