Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?

Background: Data from epidemiological studies and randomized clinical trials strongly suggest that obstructive sleep apnea (OSA) is associated with elevated risk of cardiovascular events. Although OSA and cardiovascular diseases share many risk factors, studies have demonstrated that OSA is an indep...

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Main Author: Mohamed Amin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-10-01
Series:Egyptian Journal of Chest Disease and Tuberculosis
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0422763815301096
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author Mohamed Amin
author_facet Mohamed Amin
author_sort Mohamed Amin
collection DOAJ
description Background: Data from epidemiological studies and randomized clinical trials strongly suggest that obstructive sleep apnea (OSA) is associated with elevated risk of cardiovascular events. Although OSA and cardiovascular diseases share many risk factors, studies have demonstrated that OSA is an independent risk factor of arterial hypertension and atherosclerosis. Objective: To determine the impact of treatment with continuous positive airway pressure (CPAP) on carotid artery intima-media thickness (CIMT) in patients with OSA. Methods: 40 newly diagnosed OSA patients were assigned into two groups. Conservative treatment group (CT, n = 20) which refused CPAP treatment, and CPAP group (CPAP, n = 20) which received CPAP treatment. CIMT was determined at baseline and after 6 months. Results: Mean follow-up time was 6.1 ± 2.1 months. At baseline, all measurements were similar in both groups and did not change significantly in CT group after 6 months. In contrast, a significant change occurred in CIMT in CPAP group (8 (20) vs. −115 (10) μm, p = 0.03) from baseline. Conclusion: CPAP significantly reduced CIMT in OSA patients.
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spelling doaj.art-50272277233844f6889c7bae8aab07c32022-12-21T20:44:05ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382016-10-0165476576910.1016/j.ejcdt.2016.03.002Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?Mohamed AminBackground: Data from epidemiological studies and randomized clinical trials strongly suggest that obstructive sleep apnea (OSA) is associated with elevated risk of cardiovascular events. Although OSA and cardiovascular diseases share many risk factors, studies have demonstrated that OSA is an independent risk factor of arterial hypertension and atherosclerosis. Objective: To determine the impact of treatment with continuous positive airway pressure (CPAP) on carotid artery intima-media thickness (CIMT) in patients with OSA. Methods: 40 newly diagnosed OSA patients were assigned into two groups. Conservative treatment group (CT, n = 20) which refused CPAP treatment, and CPAP group (CPAP, n = 20) which received CPAP treatment. CIMT was determined at baseline and after 6 months. Results: Mean follow-up time was 6.1 ± 2.1 months. At baseline, all measurements were similar in both groups and did not change significantly in CT group after 6 months. In contrast, a significant change occurred in CIMT in CPAP group (8 (20) vs. −115 (10) μm, p = 0.03) from baseline. Conclusion: CPAP significantly reduced CIMT in OSA patients.http://www.sciencedirect.com/science/article/pii/S0422763815301096Continuous positive airway pressureObstructive sleep apneaCPAPOSAAtherosclerosisCarotid
spellingShingle Mohamed Amin
Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?
Egyptian Journal of Chest Disease and Tuberculosis
Continuous positive airway pressure
Obstructive sleep apnea
CPAP
OSA
Atherosclerosis
Carotid
title Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?
title_full Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?
title_fullStr Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?
title_full_unstemmed Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?
title_short Can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea?
title_sort can continuous positive air way pressure reverse carotid artery atherosclerosis in obstructive sleep apnea
topic Continuous positive airway pressure
Obstructive sleep apnea
CPAP
OSA
Atherosclerosis
Carotid
url http://www.sciencedirect.com/science/article/pii/S0422763815301096
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