- Johnson KG, et al. J Clin Sleep Med. 2010
- Martínez-García MA, et al. Am J Respir Crit Care Med. 2009
- 3: Wessendorf TE, et al. J Neurol. 2000
- 4: Drager LF, et al. Chest. 2011
- 5: Jelic S, et al. Trends Cardiovasc Med. 2008
The majority of patients who have experienced a stroke and transient ischemic attack (TIA) also have sleep-disordered breathing (SDB),1 which is sometimes undiagnosed. As stroke patients with SDB also have worse functional outcomes2, you should consider screening for SDB3 when investigating the stroke.
Stroke has the potential to cause SDB, by either affecting:
People with SDB may be predisposed to stroke through a number of symptoms they experience.
Patients with both SDB and stroke usually show poor compliance with post-stroke rehabilitation programs. This is mainly due to the combination of:
Recognising SDB in stroke survivors is often challenging because the symptoms associated with SDB are often attributed to stroke. A complete sleep history from family members can help you determine whether SDB was present prior to the stroke or developed after the stroke.