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2008, Número 4

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Gac Med Mex 2008; 144 (4)


Riesgo cardiovascular en adultos con síndrome de apnea obstructiva del sueño. A 25 años de los primeros estudios de asociación

Torre-Bouscoulet L, Meza-Vargas MS, Castorena-Maldonado A, Pérez-Padilla R

Idioma: Español
Referencias bibliográficas: 161
Paginas: 323-332
Archivo PDF: 81.48 Kb.


RESUMEN

Las enfermedades cardiovasculares y los trastornos respiratorios durante el sueño representan un grave problema de salud pública en México y el mundo. En los últimos 25 años se han realizado estudios que demuestran que el síndrome de apnea obstructiva del sueño (SAOS) es un factor de riesgo independiente para hipertensión arterial sistémica, cardiopatía isquémica y enfermedad vascular cerebral. Se ha descrito también otras asociaciones con hipertensión arterial pulmonar, arritmias, muerte súbita durante el sueño e insuficiencia cardiaca. El tratamiento con presión positiva continua en la vía aérea en pacientes con SAOS ha mostrado tener un efecto positivo sobre la prevención primaria y secundaria de las principales enfermedades cardiovasculares. En este manuscrito revisamos la evidencia epidemiológica que relaciona el SAOS con incremento en el riesgo cardiovascular y proponemos algunas estrategias para hacer frente al creciente problema del SAOS en su asociación con enfermedades cardiovasculares.


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