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Specialty: Sleep Medicine
Condition: Ischemic Stroke

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Total 90 results found since Jan 2013.

Lack of Worsening of Sleep-Disordered Breathing After Recurrent Stroke in the BASIC Project
Conclusions:In this within-subject, longitudinal study, neither severity nor prevalence of SDB worsened after recurrent stroke.Citation:Brown DL, Li C, Sánchez BN, Dunietz GL, Chervin RD, Case E, Garcia NM, Lisabeth LD. Lack of worsening of sleep-disordered breathing after recurrent stroke in the BASIC project.J Clin Sleep Med. 2018;14(5):835–839.
Source: Journal of Clinical Sleep Medicine : JCSM - May 15, 2018 Category: Sleep Medicine Source Type: research

Acute stroke and TIA patients have specific polygraphic features of obstructive sleep apnea.
CONCLUSION: Stroke patients had different characteristics of respiratory events, i.e., their polygraphic phenotype of OSA differs compared to matched reference patients. The observed differences in polygraphic features might indicate that stroke and TIA patients suffer from OSA phenotype recently associated with increased cardiovascular mortality. Therefore, optimal diagnostics and treatment require routine OSA screening in patients with acute cerebrovascular disease, even without previous suspicion of OSA. PMID: 31938989 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - January 13, 2020 Category: Sleep Medicine Authors: Leino A, Westeren-Punnonen S, Töyräs J, Myllymaa S, Leppänen T, Ylä-Herttuala S, Muraja-Murro A, Kantanen AM, Autere J, Jäkälä P, Mervaala E, Myllymaa K Tags: Sleep Breath Source Type: research

Cognitive impairment and sleep disturbances after minor ischemic stroke.
CONCLUSIONS: The prevalence of PSCI is high after minor ischemic stroke. In particular, attention and working memory and executive function are most commonly impaired. Although the risk factors for PSCI are numerous, shorter total sleep time and degree of hypoxia at night warrant further attention. PMID: 30145676 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - August 25, 2018 Category: Sleep Medicine Authors: Li J, You SJ, Xu YN, Yuan W, Shen Y, Huang JY, Xiong KP, Liu CF Tags: Sleep Breath Source Type: research

Obstructive sleep apnea during the chronic stroke recovery period: Comparison between primary haemorrhagic and ischaemic events
J Sleep Res. 2021 Aug 21:e13460. doi: 10.1111/jsr.13460. Online ahead of print.ABSTRACTThe present study retrospectively determined the incidence of obstructive sleep apnea (OSA) after a primary haemorrhagic event compared to an ischaemic stroke during the post-acute recovery period ( x ¯ >3 months). Consideration of medications taken during the sleep evaluation provided additional information on the association between OSA and pathophysiological conditions that may increase the risk of a repeated cardiovascular event. The medical records from 103 patients that underwent a type I fully attended overnight polysomnograph...
Source: Journal of Sleep Research - August 21, 2021 Category: Sleep Medicine Authors: Grace S Griesbach Stefanie N Howell Brent E Masel Source Type: research

Associations between Cardioembolic Stroke and Obstructive Sleep Apnea
Conclusions:There appears to be a strong association between obstructive sleep apnea (OSA) and cardioembolic (CE) stroke. In patients with OSA presenting with cryptogenic stroke, high clinical suspicion for CE is warranted. This may lead to consideration of diagnostic studies to identify CE risk factors such as paroxysmal atrial fibrillation (AF). CE strokes are more common in patients with OSA even after adjusting for AF. This finding may reflect a high rate of occult paroxysmal AF in this population; alternatively, OSA may lead to CE strokes through mechanisms independent of AF.Citation:Lipford MC, Flemming KD, Calvin AD...
Source: Sleep - October 31, 2015 Category: Sleep Medicine Source Type: research

Effect of CPAP Treatment of Sleep Apnea on Clinical Prognosis After Ischemic Stroke: An Observational Study
Conclusions:This observational study shows that CPAP treatment in stroke patients with moderate to severe SDB is associated with lower rates of stroke recurrence and death.Citation:Haba-Rubio J, Vujica J, Franc Y, Michel P, Heinzer R. Effect of CPAP treatment of sleep apnea on clinical prognosis after ischemic stroke: an observational study.J Clin Sleep Med. 2019;15(6):839–847.
Source: Journal of Clinical Sleep Medicine : JCSM - June 15, 2019 Category: Sleep Medicine Source Type: research

Cardiac autonomic dynamics during sleep are lost in patients with TIA and stroke.
Abstract Ischaemic stroke is accompanied by important alterations of cardiac autonomic control, which have an impact on stroke outcome. In sleep, cardiac autonomic control oscillates with a predominant sympathetic modulation during REM sleep. We aimed to assess cardiac autonomic control in different sleep stages in patients with ischaemic stroke. Forty-five patients enrolled in the prospective, multicentre SAS-CARE study but without significant sleep-disordered breathing (apnea-hypopnea index < 15/hr) and without atrial fibrillation were included in this analysis. The mean age was 56 years, 68% were male, 76...
Source: Journal of Sleep Research - June 12, 2019 Category: Sleep Medicine Authors: Tobaldini E, Proserpio P, Oppo V, Figorilli M, Fiorelli EM, Manconi M, Agostoni EC, Nobili L, Montano N, Horvath T, Bassetti CL Tags: J Sleep Res Source Type: research

Nonapnea sleep disorders are associated with subsequent ischemic stroke risk: a nationwide, population-based, retrospective cohort study
Conclusions: Our nationwide, population-based, retrospective cohort study provides evidence that patients with NSD were at increased risk for developing ischemic stroke compared to patients without diagnosed sleep disorder, with men and the elderly being at greatest risk.
Source: Sleep Medicine - November 11, 2013 Category: Sleep Medicine Authors: Wei-Shih Huang, Chon-Haw Tsai, Cheng-Li Lin, Fung-Chang Sung, Yen-Jung Chang, Chia-Hung Kao Tags: Original Articles Source Type: research

Nocturnal Desaturation is Associated With Atrial Fibrillation in Patients With Ischemic Stroke and Obstructive Sleep Apnea
Conclusions:Nocturnal hypoxia due to OSA is an independent predictor of AF in patients with subacute ischemic stroke. The use of overnight pulse oximeter to assess nocturnal hypoxia and predict paroxysmal AF in patients with cryptogenic stroke needs further evaluation.Commentary:A commentary on this article appears in this issue on page 667.Citation:Chen CY, Ho CH, Chen CL, Yu CC. Nocturnal desaturation is associated with atrial fibrillation in patients with ischemic stroke and obstructive sleep apnea.J Clin Sleep Med. 2017;13(5):729–735.
Source: Journal of Clinical Sleep Medicine : JCSM - May 13, 2017 Category: Sleep Medicine Source Type: research

Nocturnal Desaturation is Associated With Neurological Deterioration Following Ischemic Stroke: A Retrospective Observational Study
Conclusions:NOD in the SU was associated with END, especially during nighttime, after ischemic stroke. This suggests that treatment of sleep-disordered breathing could be a modifiable factor to possibly reduce the risk of neurological worsening among acute stroke patients.Citation:Kim TJ, Ko SB, Jeong HG, Kim CK, Kim Y, Nam K, Mo H, An SJ, Choi HA, Yoon BW. Nocturnal desaturation is associated with neurological deterioration following ischemic stroke: a retrospective observational study.J Clin Sleep Med. 2017;13(11):1273–1279.
Source: Journal of Clinical Sleep Medicine : JCSM - November 14, 2017 Category: Sleep Medicine Source Type: research

Sleep-disordered breathing and cerebral small vessel disease-acute and 6  months after ischemic stroke
In conclusion, 6 months after stroke, AHI decreased, but 44% still had AHI ≥ 15. Persistent SDB in both the acute state and at follow-up was associated with a higher SVD score, but not to the TOAST subgroups. SDB evaluation should be offered to stroke patients, and the effect of SDB on cerebral small vessel disease needs to be further investigated using the well-defined SVD score.TRIAL REGISTRATION: clinicaltrials.gov NCT02111408, April 11, 2014.PMID:34476728 | DOI:10.1007/s11325-021-02482-1
Source: Sleep and Breathing - September 3, 2021 Category: Sleep Medicine Authors: Sofie Amalie Simonsen Adam Vittrup Andersen Anders Sode West Frauke Wolfram Poul Jennum Helle K Iversen Source Type: research

Adherence to positive airway pressure therapy initiated in the early subacute phase of ischemic stroke: a PRESS study follow-up
CONCLUSIONS: Less than half of the stroke subjects remained adherent to PAP therapy at 6 months post-PAP initiation. Special attention to support adaptation and adherence to PAP treatment is needed in this group of patients.PMID:36198999 | DOI:10.1007/s11325-022-02722-y
Source: Sleep and Breathing - October 5, 2022 Category: Sleep Medicine Authors: Pavel Šiarnik Mat úš Jurík Katar ína Valovičová Katar ína Klobučníková Branislav Koll ár Michal Poddan ý Marek Rov ňák Peter Tur čáni Marek S ýkora Source Type: research

Functional recovery after ischemic stroke: Impact of different sleep health parameters
J Sleep Res. 2023 Jun 20:e13964. doi: 10.1111/jsr.13964. Online ahead of print.ABSTRACTSleep disturbances after ischaemic stroke include alterations of sleep architecture, obstructive sleep apnea, restless legs syndrome, daytime sleepiness and insomnia. Our aim was to explore their impacts on functional outcomes at month 3 after stroke, and to assess the benefit of continuous positive airway pressure in patients with severe obstructive sleep apnea. Ninety patients with supra-tentorial ischaemic stroke underwent clinical screening for sleep disorders and polysomnography at day 15 ± 4 after stroke in a multisite study. Pati...
Source: Journal of Sleep Research - June 20, 2023 Category: Sleep Medicine Authors: Claire Denis Isabelle Jaussent Lily Guiraud Caroline Mestejanot Caroline Arquizan Isabelle Mourand Sofi ène Chenini Beatriz Abril Anne Wacongne Renaud Tamisier S ébastien Baillieul Jean-Louis Pepin Lucie Barateau Yves Dauvilliers Source Type: research