Clinical articleThe prevalence of calcified carotid artery atheromas in patients with obstructive sleep apnea syndrome☆
References (35)
- et al.
Sleep apnea syndrome and cerebral hemodynamics
Chest
(1996) - et al.
Prevalence of detectable carotid artery calcifications on panoramic radiographs of recent stroke victims
Oral Surg Oral Med Oral Pathol
(1994) - et al.
Panoramic radiography. An aid in detecting patients at risk of cerebrovascular accident
J Am Dent Assoc
(1994) - et al.
Lateral cephalometric radiographs. An aid in detecting patients at risk of stroke
J Am Dent Assoc
(1996) - et al.
Measurement of sleep-related breathing disturbances in epidemiologic studies: assessment of the validity and reproducibility of a portable monitoring device
Chest
(1991) Hypoxia and atherosclerosis: Reevaluation of an old hypothesis
Atherosclerosis
(1987)- et al.
The relationship between the severity of sleep apnea syndrome and 24-hour blood pressure values in patients with obstructive sleep apnea
Chest
(1993) - et al.
Augmented resting sympathetic activity in awake patients with obstructive sleep apnea
Chest
(1993) - et al.
Spontaneous platelet activation and aggregation during obstructive sleep apnea and its response to therapy with nasal continuous positive airway pressure
Chest
(1995) Sleep apnea: Is your patient at risk?
Sleep induced breathing instability. University of Wisconsin-Madison Sleep and respiration Research Group
Sleep
OSA and cardiovascular morbidity. Will CPAP prove to be effective?
Chest
Snoring as a risk factor for ischaemic heart disease and stroke in men
BMJ
Snoring as a risk factor for sleep-related brain infarction
Stroke
Sleep-related breathing disorders. 4. Consequences of sleep disordered breathing
Thorax
Snoring increases the risk of stroke and adversely affects prognosis
QJM
Snoring, sleep apnea syndrome and stroke
Neurology
Cited by (36)
Systematic review on noninvasive assessment of subclinical cardiovascular disease in obstructive sleep apnea: New kid on the block!
2014, Sleep Medicine ReviewsCitation Excerpt :Table 5 presents the results of studies evaluating the association between obstructive sleep apnea, atheroma and plaque burden. The oldest of the studies, Friedlander et al. [59] demonstrated that subjects with OSA have a higher prevalence of calcified carotid artery atheromas as compared to healthy, age-matched controls. In another study, Friedlander et al. [60] again reported increased prevalence of carotid atheromas in patients with OSA as compared to age-matched controls.
Diagnosis and management of calcified carotid artery atheroma: Dental perspectives
2012, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyCitation Excerpt :The prevalence of CCAA on panoramic images of asymptomatic middle-aged (>50 years) to elderly adults ranges from 2% to 4.5% and has been reported to vary slightly based on age, sex, and ethnicity.7 The prevalence of CCAA is substantially higher (22%-37%) in populations with systemic medical risk factors including dilated cardiomyopathy,21 type 2 diabetes,22,23 obstructive sleep apnea syndrome,24,25 renal disease26 and metabolic syndrome,27 patients receiving radiation therapy to the neck,28-30 and postmenopausal women.31 In addition, correlations between dental conditions such as dental pulp stones32 and periodontitis in pretreatment cancer patients33 have been reported.
Comparison of cone-beam computed tomography incidental findings between patients with moderate/severe obstructive sleep apnea and mild obstructive sleep apnea/healthy patients
2012, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyCitation Excerpt :The raw data from the scans was processed to obtain a series of images with slice thickness standardized at 0.33 mm, and the resolution of the image was 0.25 mm. The absorbed dose from a full-volume scan is 36.9 to 50.3 μSv,13,14 which is lower than most CBCTs. The imaging software Vworks 5.0 (Cybermed, Seoul, Korea) was used to analyze the data.
Obstructive sleep apnea: An emerging risk factor for atherosclerosis
2011, ChestCitation Excerpt :Future studies are needed to clarify the contribution of snoring in the pathogenesis of carotid atherosclerosis. Performing a search in PubMed (search terms were “apnea,” “obstructive sleep apnea,” “sleep apnea syndromes,” “atherosclerosis,” “arteriosclerosis,” “intima-media thickness,” “plaque,” “catheterization,” “ultrasound,” “intravascular ultrasound,” and “coronary artery calcium”) for articles that evaluated atherosclerosis in patients with OSA (excluding studies that evaluated only endothelial function, arterial stiffness, and coronary flow), we found 36 studies from 1998 (the year of the first report of atherosclerosis in patients with OSA) to December 2010.51–86 The consistency of the data can be verified by the fact that 33 of the 36 studies found a positive association between markers of atherosclerosis (most in the carotid bed) and OSA.
Author's response
2009, Journal of the American Dental AssociationCalcified carotid artery atheroma and stroke: A systematic review
2007, Journal of the American Dental AssociationCitation Excerpt :Moreover, carotid IMT and ACs are independent risk predictors for the occurrence of stroke,63 whereas CCAA lacks the evidence to be an independent risk factor. For the past 25 years, dental health care providers relied on the generally weak and unsubstantiated evidence from the literature8–10,16–60 that described a casual association between CCAAs and their radiographic detection as risk markers for CVAs. In the dental literature, articles about CCAA and panoramic radiographs generally are case reports, case series and cross-sectional studies that report the prevalence of CCAA in various study populations.
- ☆
This a US government work. There are no restrictions on its use.