Affiliation:
1. All-Russian Centre for Emergency and Radiation Medicine n.a. A.M. Nikiforov
Abstract
Purpose of study. Identification of significant laboratory markers for the development of atherosclerosis (AS) of the carotid arteries (CA) in patients with obstructive sleep apnea syndrome (OSAS).Materials and methods. 152 male patients were examined, 84 of whom, according to polysomnography (PSG), were diagnosed with OSAS. Diagnosis of AS CA was performed by triplex scanning. The complex of laboratory studies included the assessment of lipid metabolism, the concentration of highly sensitive C-reactive protein (hsCRP), interleukin‑1β (IL‑1β), interleukin‑6 (IL‑6) and interleukin‑10 (IL‑10) in blood serum.Results. In patients with OSAS, a statistically significant increase in the complex of proatherogenic factors was found: hsCRP, pro-inflammatory cytokines, ratio of apoproteins and atherogenic coefficient compared with patients without OSAS despite the absence of differences in the severity of atherosclerotic lesions of the carotid arteries in these groupsConclusion. The development of OSAS is associated with severe lipid metabolism disorders and activation of nonspecific inflammation, which determines an increased risk of atherosclerosis in this group of patients.
Subject
Materials Chemistry,Economics and Econometrics,Media Technology,Forestry
Reference32 articles.
1. Yaggi H.K., Concato J., Kernan W.N. et al. Obstructive sleep apnea as a risk factor for stroke and death. N. Engl. J. Med. 2005; 10(353):2034–2041.https://doi. org/10.1056/NEJMoa043104.
2. Young T., Finn L., Peppard P.E. et al. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep. 2008; 31(8): 1071–1078.
3. Altin R., Ozdemir H., Mahmutyazicioglu K. et al. Evaluation of carotid artery wall thickness with high-resolution sonography in obstructive sleep apnea syndrome. J. Clin. Ultrasound. 2005; 33(2): 80–86. https://doi.org/ 10.1002 / jcu.20093.
4. Chen B., Zhang W., Chen Y. et al. Association of obstructive sleep apnea hypopnea syndrome with carotid atherosclerosis and the efficacy of continuous positive airway pressure treatment. Zhonghua Yi Xue Za Zhi. 2015; 95(34): 2791–2795.
5. Meng S., Fang L., Wang C.Q. et al. Impact of obstructive sleep apnoea on clinical characteristics and outcomes in patients with acute coronary syndrome following percutaneous coronary intervention. J. Int. Med. Res. 2009; (37): 1343–1353 https://doi. org/ 10.1177 / 1473–2300–0903–70–05–09.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献