Sleep disorders as both risk factors for, and a consequence of, stroke: A narrative review.

IF 6.3 2区 医学 Q1 CLINICAL NEUROLOGY
International Journal of Stroke Pub Date : 2024-06-01 Epub Date: 2023-11-20 DOI:10.1177/17474930231212349
Lukas Mayer-Suess, Abubaker Ibrahim, Kurt Moelgg, Matteo Cesari, Michael Knoflach, Birgit Högl, Ambra Stefani, Stefan Kiechl, Anna Heidbreder
{"title":"Sleep disorders as both risk factors for, and a consequence of, stroke: A narrative review.","authors":"Lukas Mayer-Suess, Abubaker Ibrahim, Kurt Moelgg, Matteo Cesari, Michael Knoflach, Birgit Högl, Ambra Stefani, Stefan Kiechl, Anna Heidbreder","doi":"10.1177/17474930231212349","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and purpose: </strong>Sleep disorders are increasingly implicated as risk factors for stroke, as well as a determinant of stroke outcome. They can also occur secondary to the stroke itself. In this review, we describe the variety of different sleep disorders associated with stroke and analyze their effect on stroke risk and outcome.</p><p><strong>Methods: </strong>A search term-based literature review (\"sleep,\" \"insomnia,\" \"narcolepsy,\" \"restless legs syndrome,\" \"periodic limb movements during sleep,\" \"excessive daytime sleepiness\" AND \"stroke\" OR \"cerebrovascular\" in PubMed; \"stroke\" and \"sleep\" in ClinicalTrials.gov) was performed. English articles from 1990 to March 2023 were considered.</p><p><strong>Results: </strong>Increasing evidence suggests that sleep disorders are risk factors for stroke. In addition, sleep disturbance has been reported in half of all stroke sufferers; specifically, an increase is not only sleep-related breathing disorders but also periodic limb movements during sleep, narcolepsy, rapid eye movement (REM) sleep behavior disorder, insomnia, sleep duration, and circadian rhythm sleep-wake disorders. Poststroke sleep disturbance has been associated with worse outcome.</p><p><strong>Conclusion: </strong>Sleep disorders are risk factors for stroke and associated with worse stroke outcome. They are also a common consequence of stroke. Recent guidelines suggest screening for sleep disorders after stroke. It is possible that treatment of sleep disorders could both reduce stroke risk and improve stroke outcome, although further data from clinical trials are required.</p>","PeriodicalId":14442,"journal":{"name":"International Journal of Stroke","volume":null,"pages":null},"PeriodicalIF":6.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134986/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Stroke","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17474930231212349","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/20 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background and purpose: Sleep disorders are increasingly implicated as risk factors for stroke, as well as a determinant of stroke outcome. They can also occur secondary to the stroke itself. In this review, we describe the variety of different sleep disorders associated with stroke and analyze their effect on stroke risk and outcome.

Methods: A search term-based literature review ("sleep," "insomnia," "narcolepsy," "restless legs syndrome," "periodic limb movements during sleep," "excessive daytime sleepiness" AND "stroke" OR "cerebrovascular" in PubMed; "stroke" and "sleep" in ClinicalTrials.gov) was performed. English articles from 1990 to March 2023 were considered.

Results: Increasing evidence suggests that sleep disorders are risk factors for stroke. In addition, sleep disturbance has been reported in half of all stroke sufferers; specifically, an increase is not only sleep-related breathing disorders but also periodic limb movements during sleep, narcolepsy, rapid eye movement (REM) sleep behavior disorder, insomnia, sleep duration, and circadian rhythm sleep-wake disorders. Poststroke sleep disturbance has been associated with worse outcome.

Conclusion: Sleep disorders are risk factors for stroke and associated with worse stroke outcome. They are also a common consequence of stroke. Recent guidelines suggest screening for sleep disorders after stroke. It is possible that treatment of sleep disorders could both reduce stroke risk and improve stroke outcome, although further data from clinical trials are required.

睡眠障碍既是中风的危险因素,也是中风的后果;叙述性评论。
背景和目的:睡眠障碍越来越多地被认为是中风的危险因素,也是中风结果的决定因素。它们也可能发生在中风本身之后。在这篇综述中,我们描述了与中风相关的各种不同的睡眠障碍,并分析了它们对中风风险和结果的影响。方法:基于检索词的文献综述(PubMed中的“睡眠”、“失眠”、“嗜睡症”、“不宁腿综合征”、“睡眠期间肢体周期性运动”、“日间过度嗜睡”和“中风”或“脑血管”;ClinicalTrials.gov中的”中风“和”睡眠“)。考虑了1990年至2023年3月的英文文章。结果:越来越多的证据表明睡眠障碍是中风的危险因素。此外,据报道,一半的中风患者存在睡眠障碍;特别是不仅与睡眠相关的呼吸障碍增加,而且睡眠期间的周期性肢体运动、嗜睡症、快速眼动睡眠行为障碍、失眠、睡眠持续时间和昼夜节律睡眠-觉醒障碍也增加。中风后的睡眠障碍与更糟糕的结果有关。结论:睡眠障碍是脑卒中的危险因素,并与更糟糕的脑卒中结局有关。它们也是中风的常见后果。最近的指南建议对中风后的睡眠障碍进行筛查。睡眠障碍的治疗可能既能降低中风风险,又能改善中风结果,尽管还需要临床试验的进一步数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
International Journal of Stroke
International Journal of Stroke 医学-外周血管病
CiteScore
13.90
自引率
6.00%
发文量
132
审稿时长
6-12 weeks
期刊介绍: The International Journal of Stroke is a welcome addition to the international stroke journal landscape in that it concentrates on the clinical aspects of stroke with basic science contributions in areas of clinical interest. Reviews of current topics are broadly based to encompass not only recent advances of global interest but also those which may be more important in certain regions and the journal regularly features items of news interest from all parts of the world. To facilitate the international nature of the journal, our Associate Editors from Europe, Asia, North America and South America coordinate segments of the journal.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信