Cardiovascular Complications of Obstructive Sleep Apnea Syndrome: Evidence from Children

被引:150
作者
Bhattacharjee, Rakesh
Kheirandish-Gozal, Leila
Pillar, Giora
Gozal, David [1 ]
机构
[1] Univ Louisville, Kosair Childrens Hosp, Res Inst, Div Pediat Sleep Med,Dept Pediat, Louisville, KY 40202 USA
基金
美国国家卫生研究院;
关键词
POSITIVE AIRWAY PRESSURE; C-REACTIVE PROTEIN; QUALITY-OF-LIFE; CHRONIC-INTERMITTENT HYPOXIA; SYMPATHETIC-NERVE ACTIVITY; AMBULATORY BLOOD-PRESSURE; PULSE TRANSIT-TIME; PERIPHERAL ARTERIAL TONOMETRY; VASCULAR ENDOTHELIAL FUNCTION; LEUKOTRIENE MODIFIER THERAPY;
D O I
10.1016/j.pcad.2008.03.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obstructive Sleep Apnea Syndrome (OSAS) is a common condition in children, and is characterized by intermittent partial or complete occlusion of the upper airway during sleep, leading to profound disturbances in homeostatic gas exchange, frequent arousals and disturbed sleep architecture. Pediatric OSAS is associated with a multitude of end-organ morbidities, most of which have been uncovered in the last decade. Of particular interest are the cardiovascular complications that may develop in children with OSAS, since they are posited to have not only an immediately significant impact on cardiovascular health during childhood, but may also affect cardiovascular outcomes later during adult life. In this review, we will present the specific cardiovascular complications that have thus far been described in children with OSAS, with reference to pertinent mechanisms, and potential implications. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:416 / 433
页数:18
相关论文
共 242 条
[1]   Evidence for left ventricular dysfunction in patients with obstructive sleep apnoea syndrome [J].
Alchanatis, M ;
Tourkohoriti, G ;
Kosmas, EN ;
Panoutsopoulos, G ;
Kakouros, S ;
Papadima, K ;
Gaga, M ;
Jordanoglou, JB .
EUROPEAN RESPIRATORY JOURNAL, 2002, 20 (05) :1239-1245
[2]   Nasal corticosteroids for children with snoring [J].
Alexopoulos, EI ;
Kaditis, AG ;
Kalampouka, E ;
Kostadima, E ;
Angelopoulos, NV ;
Mikraki, V ;
Skenteris, N ;
Gourgoulianis, K .
PEDIATRIC PULMONOLOGY, 2004, 38 (02) :161-167
[3]  
ALEXOPOULOS EI, 2007, AJRCCM, V175, pA277
[4]   SNORING, SLEEP DISTURBANCE, AND BEHAVIOR IN 4-5 YEAR OLDS [J].
ALI, NJ ;
PITSON, DJ ;
STRADLING, JR .
ARCHIVES OF DISEASE IN CHILDHOOD, 1993, 68 (03) :360-366
[5]   Heart rate variability in children with obstructive sleep apnea [J].
Aljadeff, G ;
Gozal, D ;
Schechtman, VL ;
Burrell, B ;
Harper, RM ;
Ward, SLD .
SLEEP, 1997, 20 (02) :151-157
[6]  
AMIN R, 2008, AM J RESP CRIT CARE
[7]   Activity-adjusted 24-hour ambulatory blood pressure and cardiac remodeling in children with sleep disordered breathing [J].
Amin, Raouf ;
Somers, Virend K. ;
McConnell, Keith ;
Willging, Paul ;
Myer, Charles ;
Sherman, Marc ;
McPhail, Gary ;
Morgenthal, Ashley ;
Fenchel, Matthew ;
Bean, Judy ;
Kimball, Thomas ;
Daniels, Stephen .
HYPERTENSION, 2008, 51 (01) :84-91
[8]   Twenty-four-hour ambulatory blood pressure in children with sleep-disordered breathing [J].
Amin, RS ;
Carroll, JL ;
Jeffries, JL ;
Grone, C ;
Bean, JA ;
Chini, B ;
Bokulic, R ;
Daniels, SR .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2004, 169 (08) :950-956
[9]   Left ventricular hypertrophy and abnormal ventricular geometry in children and adolescents with obstructive sleep apnea [J].
Amin, RS ;
Kimball, TR ;
Bean, JA ;
Jeffries, JL ;
Willging, JP ;
Cotton, RT ;
Witt, SA ;
Glascock, BJ ;
Daniels, SR .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 165 (10) :1395-1399
[10]   Left ventricular function in children with sleep-disordered breathing [J].
Amin, RS ;
Kimball, TR ;
Kalra, M ;
Jeffries, JL ;
Carroll, JL ;
Bean, JA ;
Witt, SA ;
Glascock, BJ ;
Daniels, SR .
AMERICAN JOURNAL OF CARDIOLOGY, 2005, 95 (06) :801-804