Cardiovascular Complications of Obstructive Sleep Apnea in the Intensive Care Unit and Beyond

• Published in: Medicina (Kaunas, Lithuania) Lithuania), 2022-10, Vol.58 (10), p.1390
• Main Authors: Wahab, Abdul, Chowdhury, Arnab, Jain, Nitesh Kumar, Surani, Salim, Mushtaq, Hisham, Khedr, Anwar, Mir, Mikael, Jama, Abbas Bashir, Rauf, Ibtisam, Jain, Shikha, Korsapati, Aishwarya Reddy, Chandramouli, Mantravadi Srinivasa, Boike, Sydney, Attallah, Noura, Hassan, Esraa, Chand, Mool, Bawaadam, Hasnain Saifee, Khan, Syed Anjum
• Format: Article
• Language: English
• Subjects: Blood pressure; Cardiac arrhythmia; Cardiovascular disease; Cardiovascular diseases; Cardiovascular Diseases - complications; Clinical trials; Comorbidity; Complications and side effects; Continuous Positive Airway Pressure; Coronary vessels; Critically ill; Edema; Ejection fraction; Heart failure; Heart rate; Humans; Hypertension; Hypoxia; Illnesses; Intensive Care Units; Intensive Care Units (ICU); Length of stay; Mortality; obesity; obstructive sleep apnea (OSA); Patient outcomes; Patients; Prognosis; Review; Risk factors; Sleep apnea; sleep apnea syndrome (SAS); Sleep apnea syndromes; Sleep Apnea, Obstructive - complications; Sleep Apnea, Obstructive - therapy; Vein & artery diseases; Ventilators
• ISSN: 1648-9144; 1010-660X; 1648-9144
• DOI: 10.3390/medicina58101390

Obstructive sleep apnea (OSA) is a common disease with a high degree of association with and possible etiological factor for several cardiovascular diseases. Patients who are admitted to the Intensive Care Unit (ICU) are incredibly sick, have multiple co-morbidities, and are at substantial risk for mortality. A study of cardiovascular manifestations and disease processes in patients with OSA admitted to the ICU is very intriguing, and its impact is likely significant. Although much is known about these cardiovascular complications associated with OSA, there is still a paucity of high-quality evidence trying to establish causality between the two. Studies exploring the potential impact of therapeutic interventions, such as positive airway pressure therapy (PAP), on cardiovascular complications in ICU patients are also needed and should be encouraged. This study reviewed the literature currently available on this topic and potential future research directions of this clinically significant relationship between OSA and cardiovascular disease processes in the ICU and beyond.