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关键词:
- 睡眠呼吸暂停,阻塞性 /
- 动脉粥样硬化 /
- 间歇低氧 /
- 内皮功能
Abstract: Obstructive sleep apnea(OSA) is a common sleep-disordered disease which is characterized by repetitive narrowing or occlusion of the pharynx causing intermittent hypoxia, repetitive arousals, sleep deprivation, and excessive daytime sleepiness. OSA can contribute to atherosclerosis through direct and indirect mechanisms. Animal and clinical studies have shown a close relationship between OSA and atherosclerosis and its risk factors. However, current studies showed inconsistent results. In the future, further research both basic and clinical studies need to be fulfilled. Future studies are needed to investigate underlying mechanisms between OSA and atherosclerosis.-
Key words:
- sleep apnea, obstructive /
- atherosclerosis /
- intermittent hypoxia /
- endothelial function
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[1] Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective[J]. Am J Respir Crit Care Med, 2002, 165(9): 1217-1239. doi: 10.1164/rccm.2109080
[2] Gonzaga C, Bertolami A, Bertolami M, et al. Obstructive sleep apnea, hypertension and cardiovascular diseases[J]. J Hum Hypertens, 2015, 29(12): 705-712. doi: 10.1038/jhh.2015.15
[3] Mokhlesi B, Finn LA, Hagen EW, et al. Obstructive Sleep Apnea during REM Sleep and Hypertension. Results of the Wisconsin Sleep Cohort[J]. Am J Respir Crit Care Med, 2014, 190(10): 1158-1167. doi: 10.1164/rccm.201406-1136OC
[4] Plíhalová A, Westlake K, Polák J. Obstructive sleep apnoea and type 2 diabetes mellitus[J]. Vnitr Lek, 2016, 66(11): 79-84.
[5] Song D, Fang G, Greenberg H, et al. Chronic intermittent hypoxia exposure-induced atherosclerosis: a brief review[J]. Immunol Res, 2015, 63(1-3): 121-130. doi: 10.1007/s12026-015-8703-8
[6] Drager LF, Polotsky VY, Lorenzi-Filho G. Obstructive sleep apnea: an emerging risk factor for atherosclerosis[J]. Chest, 2011, 140(2): 534-542. doi: 10.1378/chest.10-2223
[7] Amin Z, Amin HZ, Amin LZ. Obstructive sleep apnea and atherosclerosis[J]. Acta Med Indones, 2016, 48(1): 63-67. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_PM27241547
[8] Elmasry A, Lindberg E, Hedner J, et al. Obstructive sleep apnoea and urine catecholamines in hypertensive males: a population-based study[J]. Eur Respir J, 2002, 19(3): 511-517. doi: 10.1183/09031936.02.00106402
[9] Ahmad M, Makati D, Akbar S. Review of and Updates on Hypertension in Obstructive Sleep Apnea[J]. Int J Hypertens, 2017, 2017: 1848375. doi: 10.1155/2017/1848375
[10] Sunderram J, Androulakis IP. Molecular Mechanisms of Chronic Intermittent Hypoxia and Hypertension[J]. Crit Rev Biomed Eng, 2012, 40(4): 265-278. doi: 10.1615/CritRevBiomedEng.v40.i4.30
[11] Lombardi C, Parati G, Cortelli P, et al. Daytime sleepiness and neural cardiac modulation in sleep-related breathing disorders[J]. J Sleep Res, 2008, 17(3): 263-270. doi: 10.1111/j.1365-2869.2008.00659.x
[12] 程敏菊, 程敏静, 魏庆民, 等. 阻塞性睡眠呼吸暂停综合征与冠状动脉病变程度及预后的临床研究[J]. 临床耳鼻咽喉头颈外科杂志, 2017, 31(10): 765-769. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201710008.htm
[13] Ryan S, McNicholas WT. Intermittent hypoxia and activation of inflammatory molecular pathways in OSAS[J]. Arch Physiol Biochem, 2008, 114(4): 261-266. doi: 10.1080/13813450802307337
[14] 蒋光峰, 张金慧, 李薇. OSAHS患者血清NO、VEGF、HIF-1α水平的变化及临床意义[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(18): 807-810. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201218015.htm
[15] Yamauchi M, Kimura H. Oxidative stress in obstructive sleep apnea; putative pathways to the cardiovascular complications[J]. Antioxid Redox Signal, 2008, 10(4): 755-768. doi: 10.1089/ars.2007.1946
[16] Lavie L. Oxidative stress in obstructive sleep apnea and intermittent hypoxia--revisited--the bad ugly and good: implications to the heart and brain[J]. Sleep Med Rev, 2015, 20: 27-45. doi: 10.1016/j.smrv.2014.07.003
[17] Tuleta I, Stockigt F, Juergens UR, et al. Intermittent Hypoxia Contributes to the Lung Damage by Increased Oxidative Stress, Inflammation, and Disbalance in Protease/Antiprotease System[J]. Lung, 2016, 194(6): 1015-1020. doi: 10.1007/s00408-016-9946-4
[18] Simiakakis M, Kapsimalis F, Chaligiannis E, et al. Lack of Effect of Sleep Apnea on Oxidative Stress in Obstructive Sleep Apnea Syndrome(OSAS)Patients[J]. PLoS One, 2012, 7(6): e39172. doi: 10.1371/journal.pone.0039172
[19] Lonn E, Bosch J, Yusuf S, et al. HOPE and HOPE-TOO Trial Investigators. Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial[J]. JAMA, 2005, 293(11): 1338-1347. doi: 10.1001/jama.293.11.1338
[20] Vivekananthan DP, Penn MS, Sapp SK, et al. Use of antioxidant vitamins for the prevention of cardiovascular disease: meta-analysis of randomised trials[J]. Lancet, 2003, 361(9374): 2017-2023. doi: 10.1016/S0140-6736(03)13637-9
[21] Niiranen TJ, Kronholm E, Rissanen H, et al. Self-reported obstructive sleep apnea, simple snoring, and various markers of sleep-disordered breathing as predictors of cardiovascular risk[J]. Sleep Breath, 2016, 20(2): 589-596. doi: 10.1007/s11325-015-1253-4
[22] Wang J, Yu W, Gao M, et al. Impact of Obstructive Sleep Apnea Syndrome on Endothelial Function, Arterial Stiffening, and Serum Inflammatory Markers: An Updated Meta-analysis and Metaregression of 18 Studies[J]. J Am Heart Assoc, 2015, 4(11): e002454. doi: 10.1161/JAHA.115.002454
[23] Lee SA, Amis TC, Byth K, et al. Heavy snoring as a cause of carotid artery atherosclerosis[J]. Sleep, 2008, 31(9): 1207-1213. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_PM18788645
[24] Cho JG, Witting PK, Verma M, et al. Tissue vibration induces carotid artery endothelial dysfunction: a mechanism linking snoring and carotid atherosclerosis?[J]. Sleep, 2011, 34(6): 751-757. doi: 10.5665/SLEEP.1042
[25] Marin JM, Agusti A, Villar I, et al. Association between treated and untreated obstructive sleep apnea and risk of hypertension[J]. JAMA, 2012, 307(20): 2169-2176.
[26] Hla KM, Young T, Finn L, et al. Longitudinal association of sleep-disordered breathing and nondipping of nocturnal blood pressure in the Wisconsin Sleep Cohort Study[J]. Sleep, 2008, 31(6): 795-800. doi: 10.1093/sleep/31.6.795
[27] Martínez-García MA, Capote F, Campos-Rodríguez F, et al. Effect of CPAP on blood pressure in patients with obstructive sleep apnea and resistant hypertension: The HIPARCO randomized clinical trial[J]. JAMA, 2013, 310(22): 2407-2415. doi: 10.1001/jama.2013.281250
[28] Lin X, Chen G, Qi J, et al. Effect of continuous positive airway pressure on arterial stiffness in patients with obstructive sleep apnea and hypertension: a meta-analysis[J]. Eur Arch Otorhinolaryngol, 2016, 273(12): 4081-4088. doi: 10.1007/s00405-016-3914-8
[29] Kent BD, McNicholas WT, Ryan S. Insulin resistance, glucose intolerance and diabetes mellitus in obstructive sleep apnoea[J]. J Thorac Dis, 2015, 7(8): 1343-1357. doi: 10.3978/j.issn.2072-1439.2015.08.11
[30] Drager LF, Li J, Reinke C, et al. Intermittent hypoxia exarcebates metabolic effects of diet-induced obesity[J]. Obesity(Silver Spring), 2011, 19(11): 2167-2174. doi: 10.1038/oby.2011.240
[31] 李娟, 秦彦文. 阻塞性睡眠呼吸暂停与血脂异常的研究进展[J]. 心肺血管病杂志, 2018, 37(8): 725-728. doi: 10.3969/j.issn.1007-5062.2018.08.005
[32] Li J, Thorne LN, Punjabi NM, et al. Intermittent hypoxia induces hyperlipidemia in lean mice[J]. Circ Res, 2005, 97(7): 698-706. doi: 10.1161/01.RES.0000183879.60089.a9
[33] Sarioglu N, Demirpolat G, Erel F, et al. Which Is the Ideal Marker for Early Atherosclerosis in Obstructive Sleep Apnea(OSA)-Carotid Intima-Media Thickness or Mean Platelet Volume?[J]. Med Sci Monit, 2017, 23: 1674-1681. doi: 10.12659/MSM.900959
[34] Jiang YQ, Xue JS, Xu J, et al. Efficacy of continuous positive airway pressure treatment in treating obstructive sleep apnea hypopnea syndrome associated with carotid arteriosclerosis[J]. Exp Ther Med, 2017, 14(6): 6176-6182.
[35] Zhan XJ, Li L, WU C, et al. Effect of uvulopalatopharyngoplasty(UPPP)on atherosclerosis and cardiac functioning in obstructive sleep apnea patients[J]. Acta Otolaryngol, 2019, 139(9): 793-797. doi: 10.1080/00016489.2019.1633475
[36] 葛晓辉, 王宁宇, 占小俊, 等. 手术对阻塞性睡眠呼吸暂停低通气综合征患者血脂代谢变化的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 27-30. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU201701007.htm
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