Review
Published: 2018-09-15

Obstructive sleep apnea and cardiovascular risks in the elderly population

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy
Department of Medicine and Health Sciences “V. Tiberio”, University of Molise, Campobasso, Italy
Obstructive Sleep Apnea Sleep Disorder Breathing Cardiovascular Risk CPAP

Abstract

Sleep disorder breathing (SDB) is a group of diseases common in the elderly population which are strongly
associated with development of cardiovascular comorbidities including stroke, heart failure, hypertension and
atrial fibrillation. Age-related anatomical and functional changes in upper airways are partially responsible for
increasing prevalence of SBD in the elderly. Full-night polysomnogram remains the gold standard in diagnostic
workup; symptoms assessment using validated scoring system such as Epworth Sleepiness Scale may
underestimate the severity of disease in the elderly population. Therapeutic approach for SDB depends on
symptoms and disease severity in addition to the presence of cardiovascular or metabolic disorders. CPAP
and NIV treatment in the elderly with associated OSA and cardiovascular disease improves quality of life and
may reduce incidence of future cardiovascular events.

Affiliations

M. Mollica

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

A. Nicolai

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

R. Maffucci

M.R. Gioia

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

G. Paoli

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

E. Grella

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

C. Calabrese

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

S. levoretano

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

I. Forzano

Department of Translational Medicine, University of Campania “L. Vanvitelli”, Naples, Italy

F. Perrotta

Department of Medicine and Health Sciences “V. Tiberio”, University of Molise, Campobasso, Italy

Copyright

© Società Italiana di Gerontologia e Geriatria (SIGG) , 2018

How to Cite

[1]
Mollica, M., Nicolai, A., Maffucci, R., Gioia, M., Paoli, G., Grella, E., Calabrese, C., levoretano, S., Forzano, I. and Perrotta, F. 2018. Obstructive sleep apnea and cardiovascular risks in the elderly population. JOURNAL OF GERONTOLOGY AND GERIATRICS. 66, 3 (Sep. 2018), 149-155.
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