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Questions and Answers
What is the risk of incident stroke in patients with untreated severe obstructive sleep apnea (OSA)?
What is the impact of CPAP treatment on stroke risk in patients with OSA?
What is the prevalence of severe SDB in stroke patients?
What is the impact of obstructive sleep apnea syndrome on stroke recurrence and mortality?
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What is the impact of CPAP treatment on neurological recovery in stroke survivors with OSA?
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What is the prevalence of insomnia in stroke patients?
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What is the impact of restless limb syndrome on stroke outcome?
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What is the impact of chronic use of benzodiazepines and related drugs (BDZRs) for insomnia?
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What is the impact of periodic limb movements in sleep on stroke risk?
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What is the impact of treatment of post-stroke OSA with CPAP on stroke management?
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What is the impact of insomnia on stroke risk?
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What is the impact of restless leg syndrome on stroke risk?
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What is the risk of incident stroke in patients with untreated severe obstructive sleep apnea (OSA)?
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What is the impact of CPAP treatment on stroke risk in patients with OSA?
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What is the prevalence of severe SDB in stroke patients?
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What is the impact of obstructive sleep apnea syndrome on stroke recurrence and mortality?
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What is the impact of CPAP treatment on neurological recovery in stroke survivors with OSA?
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What is the prevalence of insomnia in stroke patients?
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What is the impact of restless limb syndrome on stroke outcome?
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What is the impact of chronic use of benzodiazepines and related drugs (BDZRs) for insomnia?
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What is the impact of periodic limb movements in sleep on stroke risk?
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What is the impact of treatment of post-stroke OSA with CPAP on stroke management?
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What is the impact of insomnia on stroke risk?
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What is the impact of restless leg syndrome on stroke risk?
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What is the risk of incident stroke in young to middle-aged patients with untreated severe obstructive sleep apnea (OSA)?
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What is the evidence on OSA-associated risk for stroke in patients with coronary artery disease or atrial fibrillation?
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What is the impact of CPAP treatment on the risk of stroke in patients with OSA?
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What is the impact of insomnia on the risk for stroke?
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What is the impact of chronic use of benzodiazepines and related drugs (BDZRs) for insomnia?
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Is there an increased risk of stroke in patients with restless leg syndrome (RLS)?
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What is the prevalence of severe SDB in stroke patients?
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Is obstructive sleep apnea syndrome a risk factor for recurrence of stroke or TIA?
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Is CPAP treatment feasible in stroke survivors with OSA?
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What is the prevalence of insomnia in stroke patients?
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Is restless limb syndrome in stroke patients associated with a less favorable outcome?
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Is the impact of treatment of restless leg syndrome and periodic limb movements in sleep on mortality and outcome after stroke known?
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Study Notes
Sleep Disorders and Stroke: Risk Factors, Frequency, and Treatment
- Untreated severe obstructive sleep apnea (OSA) doubles the risk of incident stroke, especially in young to middle-aged patients, with no difference between men and women.
- Evidence on OSA-associated risk for stroke in patients with coronary artery disease or atrial fibrillation is still insufficient, but available data suggest an increased risk in these populations, except for elderly patients.
- CPAP treatment is associated with a reduced risk of stroke in patients with OSA, but results are variable. Patients adherent to CPAP therapy (>4 h per day) may benefit.
- Insomnia slightly increases the risk for cardiovascular events, but the risk for stroke is uncertain. Prospective studies evaluating the association of insomnia with stroke risk are scarce, and all available studies are based on subjective measures to define insomnia, reducing the accuracy of exposure identification.
- Chronic use of benzodiazepines and related drugs (BDZRs) for insomnia has been linked to increased risk of impaired cognitive function, dementia, and mortality.
- Current evidence does not suggest an increased risk of stroke in patients with restless leg syndrome (RLS). Still, periodic limb movements in sleep may represent an independent risk factor for stroke.
- The prevalence of SDB is high in stroke patients, with about 30% presenting with severe SDB (AHI > 30). Portable cardiorespiratory polygraphy is sufficient to assess the presence/severity of SDB in stroke patients in clinical practice.
- Obstructive sleep apnea syndrome is a risk factor for recurrence of stroke or TIA and may increase all-cause mortality and worsen the neurological outcome in stroke patients.
- CPAP treatment is feasible in stroke survivors with OSA and may improve neurological recovery, sleepiness, and depressive symptoms. Treatment of post-stroke OSA with CPAP should be included in an integrated management of multiple risk factors such as anticoagulation for atrial fibrillation, control of hypertension and dyslipidemia, exercise, and weight reduction.
- The prevalence of insomnia in stroke patients is increased (at least 30%), with a link between post-stroke insomnia, female gender, and depression.
- Restless limb syndrome in stroke patients is associated with subcortical/brainstem stroke and may be associated with a less favorable outcome. Data on the prevalence and impact of periodic limb movements in sleep after stroke are controversial.
- No data are available on the impact of treatment of restless leg syndrome and periodic limb movements in sleep on mortality and outcome after stroke.
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Description
Test your knowledge on the relationship between sleep disorders and stroke. This quiz covers the risk factors, frequency, and treatment options for sleep apnea, insomnia, restless leg syndrome, and periodic limb movements in stroke patients. Learn about the latest research findings and recommendations for managing sleep disorders in stroke survivors. Take this quiz to stay informed about the impact of sleep disorders on stroke risk and outcomes.
