0
Editorial |

Are the Effects of OSA on the Cardiovascular System Reversible?

Geraldo Lorenzi-Filho, MD, PhD; Luciano F. Drager, MD, PhD
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: None declared.

CORRESPONDENCE TO: Geraldo Lorenzi-Filho, MD, PhD, Laboratório do Sono do Instituto do Coração do Hospital das Clinicas da Faculdade de Medicina da USP, Avenida Enéas de Carvalho Aguiar, 44, Oitavo andar, Bloco 1, Sao Paulo 05403-900, Brazil


Copyright 2016, . All Rights Reserved.


Chest. 2016;149(6):1360-1361. doi:10.1016/j.chest.2016.01.005
Text Size: A A A
Published online

Extract

OSA may affect as many as 50% of patients with established cardiovascular diseases referred to tertiary cardiology centers. However, OSA remains largely underrecognized in this group of patients in clinical practice. Why is that? One possible explanation is that many nonsleep specialists are not familiarized with OSA diagnosis and treatment. There may also be a perception that the causal link between OSA and cardiovascular diseases remains to be clearly established. Perhaps this is related to the fact that the field lacks large clinical trials showing benefits of OSA treatment on cardiovascular outcomes. On the other hand, it is also possible that sleep specialists have taken for granted that OSA is harmful to the cardiovascular system long before the link was fully established because of the observation that patients with severe OSA experience dramatic episodes of recurrent suffocation during sleep, causing large intrathoracic pressure swings and progressive hypoxia that must putatively harm the cardiovascular system.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543