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24 - Sleep and cardiovascular diseases in the elderly

from Part 3 - Sleepdisorders in the elderly

Published online by Cambridge University Press:  04 August 2010

By
Rohit Budhiraja  and
Stuart F. Quan
Edited by
S. R. Pandi-Perumal ,
Jaime M. Monti  and
Andrew A. Monjan
S. R. Pandi-Perumal
Affiliation:
Somnogen Inc, New York
Jaime M. Monti
Affiliation:
Universidad de la República, Uruguay
Andrew A. Monjan
Affiliation:
National Institute on Aging, Bethesda, Maryland
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Summary

Obstructive sleep apnea (OSA), a frequent form of sleep disordered breathing (SDB), is associated with commonly occurring cardiovascular disorders, including hypertension, coronary artery disease, congestive heart failure. Central sleep apnea (CSA) is frequently associated with congestive heart failure (CHF). Cheyne Stokes respiration (CSR), a form of periodic breathing, commonly accompanies CSA patients with heart failure and portends increased mortality. This chapter explores these and other associations between sleep disorders and cardiovascular disease. SDB is highly prevalent in the elderly and the odds of having significant SDB are estimated at 1.79 per 10-year increase in age. The relation between insomnia and cardiovascular disorders has been less well examined than that between SDB and cardiovascular disorders, especially in the elderly. Large prospective studies will be needed to understand the association between insomnia complaints and coronary artery disease (CAD), and determine the direction of causality, if any.

Keywords

advanced sleep phase syndromeagingchronotherapyirregular sleep-wake rhythmmelatoninfree-running disorderdelayed sleep phase syndromecircadian rhythm
Type
Chapter
Information
Principles and Practice of Geriatric Sleep Medicine , pp. 260 - 270
Publisher: Cambridge University Press
Print publication year: 2009

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