Sleep and Stroke: New Updates on Epidemiology, Pathophysiology, Assessment, and Treatment.

ABSTRACT:

Purpose of review

This review aims to discuss the most recent data on sleep disorders and stroke, highlighting relevant findings for the practicing neurologist or health providers who encounter patients with sleep disorders and stroke.

Recent findings

Sleep apnea and abnormal sleep duration have the strongest association with stroke risk. Possible mechanisms include non-dipping of blood pressure during sleep, hypoxemia or reoxygenation leading to sympathetic activation, hypertension, atrial fibrillation and impaired cerebral hemodynamics. Treatment studies suggest that continuous positive airway pressure (CPAP) for sleep apnea could improve primary prevention of stroke, but data is equivocal for secondary prevention. However, CPAP could improve functional outcomes after stro

SUBMITTER: Lau HL 

PROVIDER: S-EPMC6916645 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature