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Postgraduate Education Corner: CONTEMPORARY REVIEWS IN SLEEP MEDICINE |

Obstructive Sleep Apnea and Stroke

Mark Eric Dyken, MD; Kyoung Bin Im, MD
Author and Funding Information

Affiliations: From the Sleep Disorders Center, the Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA.

Correspondence to: Mark Eric Dyken, MD, Associate Professor of Neurology, Director, Sleep Disorders Center and Clinical Neurophysiology and Sleep Medicine Fellowship Programs, University of Iowa Hospitals and Clinics, Department of Neurology, 200 Hawkins Dr, Iowa City, IA 52242; e-mail: mark-dyken@uiowa.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(6):1668-1677. doi:10.1378/chest.08-1512
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Obstructive sleep apnea (OSA) and stroke are frequent, multifactorial entities that share risk factors, and for which case-control and cross-sectional studies have shown a strong association. Stroke of respiratory centers can lead to apnea. Snoring preceding stroke, documentation of apneas immediately prior to transient ischemic attacks, the results of autonomic studies, and the circadian pattern of stroke, suggest that untreated OSA can contribute to stroke. Although cohort studies indicate that OSA is a stroke risk factor, controversy surrounds the cost-effectiveness of the screening for and treatment of OSA once stroke has occurred.

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