Нарушения дыхания во время сна у пациентов с инсультом
Нарушения дыхания во время сна у пациентов с инсультом
Тазартукова А.Д., Стаховская Л.В. Нарушения дыхания во время сна у пациентов с инсультом. Consilium Medicum. 2017; 19 (9): 8–11. DOI: 10.26442/2075-1753_19.9.8-11
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Tazartukova A.D., Stakhovskaya L.V. Sleep disordered breathing in stroke patients. Consilium Medicum. 2017; 19 (9): 8–11. DOI: 10.26442/2075-1753_19.9.8-11
Нарушения дыхания во время сна у пациентов с инсультом
Тазартукова А.Д., Стаховская Л.В. Нарушения дыхания во время сна у пациентов с инсультом. Consilium Medicum. 2017; 19 (9): 8–11. DOI: 10.26442/2075-1753_19.9.8-11
________________________________________________
Tazartukova A.D., Stakhovskaya L.V. Sleep disordered breathing in stroke patients. Consilium Medicum. 2017; 19 (9): 8–11. DOI: 10.26442/2075-1753_19.9.8-11
Целью данного обзора является изучение существующей литературы касательно эпидемиологии, патофизиологии и лечения нарушений дыхания во время сна у пациентов с инсультом. Будучи недиагностированными и нелечеными, они могут оказывать отрицательное влияние на реабилитационный потенциал и исходы заболевания и повышать риск развития повторных инсультов. Выявление и коррекция этих нарушений являются важным элементом вторичной профилактики и улучшения исходов инсульта.
Ключевые слова: инсульт, цереброваскулярная болезнь, нарушения сна, нарушения дыхания во время сна.
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The purpose of this review is to study existing literature on the epidemiology, pathophysiology and treatment of sleep disordered breathing following stroke. Unrecognized and untreated sleep disordered breathing may influence rehabilitation efforts and functional outcomes following stroke and increase risk for stroke recurrence. Improving screening and treatment for sleep disordered breathing is paramount in the secondary prevention of stroke and in improving stroke outcomes.
1. Котов С.В., Стаховская Л.В., Исакова Е.В. и др. Инсульт. Руководство для врачей. Под ред. Л.В.Стаховской, С.В.Котова. М.: МИА, 2014. / Kotov S.V., Stakhovskaia L.V., Isakova E.V. i dr. Insul't. Rukovodstvo dlia vrachei. Pod red. L.V.Stakhovskoi, S.V.Kotova. M.: MIA, 2014. [in Russian]
2. Bassetti C, Aldrich M. Sleep apnea in acute cerebrovascular diseases. Final report on 128 patients. Sleep 1999; 22: 217–23.
3. Good DC, Henkle JQ, Gelber D et al. Sleep-disordered breathing and poor functional outcome after stroke. Stroke 1996; 27: 252–9.
4. Dyken ME, Somers VK, Yamada T et al. Investigating the relationship between stroke and obstructive sleep apnea. Stroke 1996; 27: 401–7.
5. Wessendorf TE, Teschler H, Wang YM et al. Sleep-disordered breathing among patients with first-ever stroke. J Neurol 2000; 247: 41–7.
6. Parra O, Arboix A, Bechich S et al. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. Am J Resp Crit Care Med 2000; 161: 375–80.
7. Iranzo A, Santamaria J, Berenguer J et al. Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction. Neurology 2002; 58: 911–6.
8. Turkington PM, Bamford CR, Wanklyn P, Elliott MW. Prevalence and predictors of upper airway obstruction in the first 24 hours after acute stroke. Stroke 2002; 53: 2037–42.
9. Disler P, Hansford A, Skelton J et al. Diagnosis and treatment of obstructive sleep apnea in a stroke rehabilitation unit: a feasibility study. Am J Phys Med Rehabil 2002; 81: 622–5.
10. Hui DS, Choy DK, Wong LK et al. Prevalence of sleep-disordered breathing and continuous positive airway pressure compliance: results in Chinese patients with first-ever ischemic stroke. Chest 2002; 122: 52–860.
11. Harbison J, Ford GA, James OF, Gibson GJ. Sleep-disordered breathing following acute stroke. Q J Med 2002; 5: 741–7.
12. Szucs A, Vitrai J, Janszky J et al. Pathological sleep apnoe a frequency remains permanent in ischemic stroke and it is transient in haemorrhagic stroke. Eur Neurol 2002; 47: 15–9.
13. Dziewas R, Ritter M, Usta N et al. Atherosclerosis and obstructive sleep apnea in patients with ischemic stroke. Neurology 2007; 51: 188–95.
14. Nopmaneejumruslers C, Kaneko T, Hajek V et al. Cheyne-Stokes respiration in stroke. Am J Resp Crit Care Med 2005; 171: 1048–52.
15. Cadhilac DA, Thorpe RD, Pearcce DC et al. Sleep disordered breathing in chronic stroke survivors. A study of the long-term follow-up of the SCOPES cohort using home-based polysomnography. J Clin Neurosci 2005; 12: 632–7.
16. Bassetti CL, Milanova M, Gugger M. Sleep-disordered breathing and acute ischemic stroke: diagnosis, risk factors, treatment, evolution, and long-term clinical outcome. Stroke 2006; 37: 967–72.
17. Rola R, Wierzbicka A, Wichniak A et al. Sleep related breathing disorders in patients with ischemic stroke and transient ischemic attacks: respiratory and clinical correlations. J Physiol Pharmacol 2007; 8 (Suppl. 5): 575–82.
18. Broadley SA. Early investigation and treatment of obstructive sleep apnoea after acute stroke. J Clin Neurosci 2007; 14: 328–33.
19. Yan-Fang S, Yu-Ping W. Sleep-disordered breathing: impact on functional outcome of ischemic stroke patients. Sleep Med 2009; 10 (7): 717–9.
20. Brown DL, McDermott M, Mowla A et al. Brainstem infarction and sleep-disordered breathing in the BASIC sleep apnea study. Sleep Med 2014; 15: 887–91.
21. McArdle N, Riha RL, Vennelle M et al. Sleep-disordered breathing as a risk factor for cerebrovascular disease. Stroke 2003; 34: 2916–21.
22. Byung-Euk J, Hung Youl S, Sung-Wook Y et al. Prevalence of sleep-disordered breathing in acute ischemic stroke as determined using a portable sleep apnea monitoring device in Korean subjects. Sleep Breath 2011; 15: 77–82.
23. Bravata DM, Concato J, Fried T et al. Auto-titrating continuous positive airway pressure for patients with acute transient ischemic attack: a randomized feasibility trial. Stroke 2010; 41: 1464–70.
24. Johnson KG, Johnson DC. Frequency of sleep apnea in stroke and TIA patients: a meta-analysis. J Clin Sleep Med 2010; 6: 131–7.
25. Askenasy JJM, Goldhammer I. Sleep apnea as a feature of bulbar stroke. Stroke 1988; 19: 637–9.
26. Chaudhary BA, Elguindi A, Kinf DW. Obstructive sleep apnea after lateral medullary syndrome. South Med J 1982; 75: 65–7.
27. Morrell MJ, Heywood P, Moosawi SH et al. Unilateral focal lesions in the rostral medulla in uencechemosensitivity and breathing measured during wakefulness, sleep, and exercise. J Neurol Neurosurg Psychiatry 1999; 67: 637–45.
28. Brown DL, Lisabeth LD, Zupancic MJ et al. High prevalence of supine sleep in ischemic stroke patient. Stroke 2008; 39: 2511–4.
29. Brown HW, Plum F. The neurologic basis of Cheyne-Stokes respiration. Am J Med 1961; 30: 849–69.
30. Siccoli M, Valko PO, Hermann DM, Bassetti CL. Central periodic breathing in 74 patients with acute ischemic stroke – neurogenic vs cardiogenic factors. J Neurol 2008; 255 (11): 1687–92.
31. Bassetti C, Aldrich MS, Quint D. Sleep-disordered breathing in patients with acute supra- and infratentorial stroke. Stroke 1997; 28: 1765–72.
32. Rowat AM, Wardlaw JM, Dennis MS. Abnormal breathing patterns in stroke: relationship with location of acute stroke lesion and prior cerebrovascular disease. J Neurol Neurosurg Psychiatry 2007; 78: 277–9.
33. Lee MC, Klassen AC, Heaney LM, Resch JA. Respiratory rate and pattern disturbances in acute brainstem infarction. Stroke 1976; 7: 382–5.
34. Nachtmann A, Siebler M, Rose G et al. Cheyne-Stokes respiration in ischemic stroke. Neurology 1995; 45: 820–1.
35. Hermann DM, Siccoli M, Kirov P et al. Central periodic breathing during sleep in acute ischemic stroke. Stroke 2007; 38 (3): 1082–4.
36. Selic C, Siccoli M, Hermann DM, Bassetti CL. Blood pressure evolution after acute ischemic stroke in patients with and without sleep apnea. Stroke 2005; 36: 2614–8.
37. Siccoli MM, Valko P, Tettenborn B et al. Acute ischemic stroke and sleep apnea: evolution of radiological parameters within 3 days after stroke onset. Sleep 2006; 29: A188.
38. Parra O, Arboix A, Montserrat JM et al. Sleep-related breathing disorders: impact on mortality of cerebrovascular disease. Eur Respir J 2004; 24: 267–72.
39. Sahlin C, Sandberg O, Gustafson Y et al. Obstructive sleep apnea is a risk factor for death in patients with stroke. Arch Intern Med 2008; 168.
40. Kaneko Y, Hajek V, Zivanovic V et al. Relationship of sleep apnea to functional capacity and length of hospitalization following stroke. Sleep 2003; 26: 293–7.
41. Aaronson JA, van Bennekom CA, Hofman WF et al. Obstructive sleep apnea is related to impaired cognitive and functional status after stroke. Sleep 2015; 38 (9): 1431–7.
42. Kernan WN, Ovbiagele B, Black HR et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2014; 45: 2160–236.
43. Brown DL, Chervin RD, Hickenbottom SL et al. Screening for obstructive sleep apnea in stroke. A cost-effectiveness analysis. Stroke 2005; 36: 1291–4.
44. Rowat AM, Wardlaw JM, Dennis M, Warlow C. Patient positioning in influence oxygen saturation in the acute phase of stroke. Cerebrovasc Dis 2001; 12: 66–72.
45. Svatikova A, Chervin RD, Wing JJ et al. Positional therapy in ischemic stroke patients with obstructive sleep apnea. Sleep Med 2011; 12: 262–6.
46. Camilo MR, Fernandes RM, Sander HH et al. Supine sleep and positional sleep apnea after acute ischemic stroke and intracerebral hemorrhage. Clinics 2012; 67 (12): 1357–60.
47. Sandberg O, Franklin KA, Bucht G et al. Nasal continuous positive airway pressure in stroke patients with sleep apnoea: a randomized treatment study. Eur Respir J 2001; 18: 630–4.
48. Hsu CY, Vennelle M, Li HY et al. Sleep-disordered breathing after stroke: a randomised controlled trial of continuous positive airway pressure. J Neurol Neurosurg Psychiatry 2006; 77: 1143–9.
49. Ryan CM, Bayley M, Green R et al. Influence of continuous positive airway pressure on outcomes of rehabilitation in stroke patients with obstructive sleep apnea. Stroke 2011; 42: 1062–7.
50. Bravata DM, Concato J, Fried T et al. Continuous positive airway pressure: evaluation of a novel therapy for patients with acute ischemic stroke. Sleep 2011; 34: 1271–7.
51. Parra O, Sánchez-Armengol A, Capote F et al. Efficacy of continuous positive airway pressure treatment on 5-year survival in patients with ischemic stroke and obstructive sleep apnea: a randomized controlled trial. J Sleep Res 2015; 24: 47–53.
52. Minnerup J, Ritter MA, Wersching H et al. Continuous positive airway pressure ventilation for acute ischemic stroke: a randomized feasibility study. Stroke 2012; 43: 1137–9.
53. Brown DL, Chervin RD, Kalbfleisch JD et al. Sleep apnea treatment after stroke (SATS) trial: is it feasible? J Stroke Cerebrovasc Dis 2013; 22: 1216–24.
54. Brill AK, Rö̈sti R, Hefti JP et al. Adaptive servo-ventilation as treatment of persistent central sleep apnea in post-acute ischemic stroke patients. Sleep Med 2014; 15: 1309–13.
55. Cowie MR, Woehrle H, Wegscheider K et al. Adaptive servo-ventilation for central sleep apnea in systolic heart failure. N Engl J Med 2015; 373: 1095–105.
56. McGinley BM, Patil SP, Kirkness JP et al. A nasal cannula can be used to treat obstructive sleep apnea. Am J Respir Crit Care Med 2007; 176: 194–200.
57. Haba-Rubio J, Andries D, Rey V et al. Effect of transnasal insufflation on sleep disordered breathing in acute stroke: a preliminary study. Sleep Breath 2012; 16: 759–64.
________________________________________________
1. Kotov S.V., Stakhovskaia L.V., Isakova E.V. i dr. Insul't. Rukovodstvo dlia vrachei. Pod red. L.V.Stakhovskoi, S.V.Kotova. M.: MIA, 2014. [in Russian]
2. Bassetti C, Aldrich M. Sleep apnea in acute cerebrovascular diseases. Final report on 128 patients. Sleep 1999; 22: 217–23.
3. Good DC, Henkle JQ, Gelber D et al. Sleep-disordered breathing and poor functional outcome after stroke. Stroke 1996; 27: 252–9.
4. Dyken ME, Somers VK, Yamada T et al. Investigating the relationship between stroke and obstructive sleep apnea. Stroke 1996; 27: 401–7.
5. Wessendorf TE, Teschler H, Wang YM et al. Sleep-disordered breathing among patients with first-ever stroke. J Neurol 2000; 247: 41–7.
6. Parra O, Arboix A, Bechich S et al. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. Am J Resp Crit Care Med 2000; 161: 375–80.
7. Iranzo A, Santamaria J, Berenguer J et al. Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction. Neurology 2002; 58: 911–6.
8. Turkington PM, Bamford CR, Wanklyn P, Elliott MW. Prevalence and predictors of upper airway obstruction in the first 24 hours after acute stroke. Stroke 2002; 53: 2037–42.
9. Disler P, Hansford A, Skelton J et al. Diagnosis and treatment of obstructive sleep apnea in a stroke rehabilitation unit: a feasibility study. Am J Phys Med Rehabil 2002; 81: 622–5.
10. Hui DS, Choy DK, Wong LK et al. Prevalence of sleep-disordered breathing and continuous positive airway pressure compliance: results in Chinese patients with first-ever ischemic stroke. Chest 2002; 122: 52–860.
11. Harbison J, Ford GA, James OF, Gibson GJ. Sleep-disordered breathing following acute stroke. Q J Med 2002; 5: 741–7.
12. Szucs A, Vitrai J, Janszky J et al. Pathological sleep apnoe a frequency remains permanent in ischemic stroke and it is transient in haemorrhagic stroke. Eur Neurol 2002; 47: 15–9.
13. Dziewas R, Ritter M, Usta N et al. Atherosclerosis and obstructive sleep apnea in patients with ischemic stroke. Neurology 2007; 51: 188–95.
14. Nopmaneejumruslers C, Kaneko T, Hajek V et al. Cheyne-Stokes respiration in stroke. Am J Resp Crit Care Med 2005; 171: 1048–52.
15. Cadhilac DA, Thorpe RD, Pearcce DC et al. Sleep disordered breathing in chronic stroke survivors. A study of the long-term follow-up of the SCOPES cohort using home-based polysomnography. J Clin Neurosci 2005; 12: 632–7.
16. Bassetti CL, Milanova M, Gugger M. Sleep-disordered breathing and acute ischemic stroke: diagnosis, risk factors, treatment, evolution, and long-term clinical outcome. Stroke 2006; 37: 967–72.
17. Rola R, Wierzbicka A, Wichniak A et al. Sleep related breathing disorders in patients with ischemic stroke and transient ischemic attacks: respiratory and clinical correlations. J Physiol Pharmacol 2007; 8 (Suppl. 5): 575–82.
18. Broadley SA. Early investigation and treatment of obstructive sleep apnoea after acute stroke. J Clin Neurosci 2007; 14: 328–33.
19. Yan-Fang S, Yu-Ping W. Sleep-disordered breathing: impact on functional outcome of ischemic stroke patients. Sleep Med 2009; 10 (7): 717–9.
20. Brown DL, McDermott M, Mowla A et al. Brainstem infarction and sleep-disordered breathing in the BASIC sleep apnea study. Sleep Med 2014; 15: 887–91.
21. McArdle N, Riha RL, Vennelle M et al. Sleep-disordered breathing as a risk factor for cerebrovascular disease. Stroke 2003; 34: 2916–21.
22. Byung-Euk J, Hung Youl S, Sung-Wook Y et al. Prevalence of sleep-disordered breathing in acute ischemic stroke as determined using a portable sleep apnea monitoring device in Korean subjects. Sleep Breath 2011; 15: 77–82.
23. Bravata DM, Concato J, Fried T et al. Auto-titrating continuous positive airway pressure for patients with acute transient ischemic attack: a randomized feasibility trial. Stroke 2010; 41: 1464–70.
24. Johnson KG, Johnson DC. Frequency of sleep apnea in stroke and TIA patients: a meta-analysis. J Clin Sleep Med 2010; 6: 131–7.
25. Askenasy JJM, Goldhammer I. Sleep apnea as a feature of bulbar stroke. Stroke 1988; 19: 637–9.
26. Chaudhary BA, Elguindi A, Kinf DW. Obstructive sleep apnea after lateral medullary syndrome. South Med J 1982; 75: 65–7.
27. Morrell MJ, Heywood P, Moosawi SH et al. Unilateral focal lesions in the rostral medulla in uencechemosensitivity and breathing measured during wakefulness, sleep, and exercise. J Neurol Neurosurg Psychiatry 1999; 67: 637–45.
28. Brown DL, Lisabeth LD, Zupancic MJ et al. High prevalence of supine sleep in ischemic stroke patient. Stroke 2008; 39: 2511–4.
29. Brown HW, Plum F. The neurologic basis of Cheyne-Stokes respiration. Am J Med 1961; 30: 849–69.
30. Siccoli M, Valko PO, Hermann DM, Bassetti CL. Central periodic breathing in 74 patients with acute ischemic stroke – neurogenic vs cardiogenic factors. J Neurol 2008; 255 (11): 1687–92.
31. Bassetti C, Aldrich MS, Quint D. Sleep-disordered breathing in patients with acute supra- and infratentorial stroke. Stroke 1997; 28: 1765–72.
32. Rowat AM, Wardlaw JM, Dennis MS. Abnormal breathing patterns in stroke: relationship with location of acute stroke lesion and prior cerebrovascular disease. J Neurol Neurosurg Psychiatry 2007; 78: 277–9.
33. Lee MC, Klassen AC, Heaney LM, Resch JA. Respiratory rate and pattern disturbances in acute brainstem infarction. Stroke 1976; 7: 382–5.
34. Nachtmann A, Siebler M, Rose G et al. Cheyne-Stokes respiration in ischemic stroke. Neurology 1995; 45: 820–1.
35. Hermann DM, Siccoli M, Kirov P et al. Central periodic breathing during sleep in acute ischemic stroke. Stroke 2007; 38 (3): 1082–4.
36. Selic C, Siccoli M, Hermann DM, Bassetti CL. Blood pressure evolution after acute ischemic stroke in patients with and without sleep apnea. Stroke 2005; 36: 2614–8.
37. Siccoli MM, Valko P, Tettenborn B et al. Acute ischemic stroke and sleep apnea: evolution of radiological parameters within 3 days after stroke onset. Sleep 2006; 29: A188.
38. Parra O, Arboix A, Montserrat JM et al. Sleep-related breathing disorders: impact on mortality of cerebrovascular disease. Eur Respir J 2004; 24: 267–72.
39. Sahlin C, Sandberg O, Gustafson Y et al. Obstructive sleep apnea is a risk factor for death in patients with stroke. Arch Intern Med 2008; 168.
40. Kaneko Y, Hajek V, Zivanovic V et al. Relationship of sleep apnea to functional capacity and length of hospitalization following stroke. Sleep 2003; 26: 293–7.
41. Aaronson JA, van Bennekom CA, Hofman WF et al. Obstructive sleep apnea is related to impaired cognitive and functional status after stroke. Sleep 2015; 38 (9): 1431–7.
42. Kernan WN, Ovbiagele B, Black HR et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2014; 45: 2160–236.
43. Brown DL, Chervin RD, Hickenbottom SL et al. Screening for obstructive sleep apnea in stroke. A cost-effectiveness analysis. Stroke 2005; 36: 1291–4.
44. Rowat AM, Wardlaw JM, Dennis M, Warlow C. Patient positioning in influence oxygen saturation in the acute phase of stroke. Cerebrovasc Dis 2001; 12: 66–72.
45. Svatikova A, Chervin RD, Wing JJ et al. Positional therapy in ischemic stroke patients with obstructive sleep apnea. Sleep Med 2011; 12: 262–6.
46. Camilo MR, Fernandes RM, Sander HH et al. Supine sleep and positional sleep apnea after acute ischemic stroke and intracerebral hemorrhage. Clinics 2012; 67 (12): 1357–60.
47. Sandberg O, Franklin KA, Bucht G et al. Nasal continuous positive airway pressure in stroke patients with sleep apnoea: a randomized treatment study. Eur Respir J 2001; 18: 630–4.
48. Hsu CY, Vennelle M, Li HY et al. Sleep-disordered breathing after stroke: a randomised controlled trial of continuous positive airway pressure. J Neurol Neurosurg Psychiatry 2006; 77: 1143–9.
49. Ryan CM, Bayley M, Green R et al. Influence of continuous positive airway pressure on outcomes of rehabilitation in stroke patients with obstructive sleep apnea. Stroke 2011; 42: 1062–7.
50. Bravata DM, Concato J, Fried T et al. Continuous positive airway pressure: evaluation of a novel therapy for patients with acute ischemic stroke. Sleep 2011; 34: 1271–7.
51. Parra O, Sánchez-Armengol A, Capote F et al. Efficacy of continuous positive airway pressure treatment on 5-year survival in patients with ischemic stroke and obstructive sleep apnea: a randomized controlled trial. J Sleep Res 2015; 24: 47–53.
52. Minnerup J, Ritter MA, Wersching H et al. Continuous positive airway pressure ventilation for acute ischemic stroke: a randomized feasibility study. Stroke 2012; 43: 1137–9.
53. Brown DL, Chervin RD, Kalbfleisch JD et al. Sleep apnea treatment after stroke (SATS) trial: is it feasible? J Stroke Cerebrovasc Dis 2013; 22: 1216–24.
54. Brill AK, Rö̈sti R, Hefti JP et al. Adaptive servo-ventilation as treatment of persistent central sleep apnea in post-acute ischemic stroke patients. Sleep Med 2014; 15: 1309–13.
55. Cowie MR, Woehrle H, Wegscheider K et al. Adaptive servo-ventilation for central sleep apnea in systolic heart failure. N Engl J Med 2015; 373: 1095–105.
56. McGinley BM, Patil SP, Kirkness JP et al. A nasal cannula can be used to treat obstructive sleep apnea. Am J Respir Crit Care Med 2007; 176: 194–200.
57. Haba-Rubio J, Andries D, Rey V et al. Effect of transnasal insufflation on sleep disordered breathing in acute stroke: a preliminary study. Sleep Breath 2012; 16: 759–64.
Авторы
А.Д.Тазартукова*, Л.В.Стаховская
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1 *atazartukova@gmail.com
________________________________________________
A.D.Tazartukova*, L.V.Stakhovskaya
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1 *atazartukova@gmail.com