Disordered Breathing in Acute Ischemic Stroke - Semantic Scholar
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Disordered Breathing in Acute Ischemic Stroke - Semantic Scholar
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ORIGINAL RESEARCH
Sleep-Disordered Breathing in Acute Ischemic Stroke: A Mechanistic Link to Peripheral Endothelial Dysfunction Nadja Scherbakov, MD; Anja Sandek, MD; Nicole Ebner, PhD; Miroslava Valentova, MD; Alexander Heinrich Nave, MD; Ewa A. Jankowska, MD, PhD; J€ org C. Schefold, MD; Stephan von Haehling, MD, PhD; Stefan D. Anker, MD, PhD; Ingo Fietze, MD; Jochen B. Fiebach, MD; Karl Georg Haeusler, MD; Wolfram Doehner, MD, PhD
Background-—Sleep-disordered breathing (SDB) after acute ischemic stroke is frequent and may be linked to stroke-induced autonomic imbalance. In the present study, the interaction between SDB and peripheral endothelial dysfunction (ED) was investigated in patients with acute ischemic stroke and at 1-year follow-up. Methods and Results-—SDB was assessed by transthoracic impedance records in 101 patients with acute ischemic stroke (mean age, 69 years; 61% men; median National Institutes of Health Stroke Scale, 4) while being on the stroke unit. SDB was defined by apnea-hypopnea index ≥5 episodes per hour. Peripheral endothelial function was assessed using peripheral arterial tonometry (EndoPAT-2000). ED was defined by reactive hyperemia index ≤1.8. Forty-one stroke patients underwent 1-year follow-up (39024 days) after stroke. SDB was observed in 57% patients with acute ischemic stroke. Compared with patients without SDB, ED was more prevalent in patients with SDB (32% versus 64%; P
