Hypervolemia and Sleep Apnea in Kidney Disease
Summary In end-stage renal disease (ESRD) and heart failure, conditions characterized by fluid overload, both obstructive sleep apnea (OSA) and central sleep apnea (CSA) are highly prevalent. This observation suggests that fluid overload may be a unifying mechanism in the pathogenesis of both OSA an...
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| Published in: | Seminars in nephrology Vol. 35; no. 4; pp. 373 - 382 |
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| Abstract | Summary In end-stage renal disease (ESRD) and heart failure, conditions characterized by fluid overload, both obstructive sleep apnea (OSA) and central sleep apnea (CSA) are highly prevalent. This observation suggests that fluid overload may be a unifying mechanism in the pathogenesis of both OSA and CSA in these conditions. An overnight rostral fluid shift from the legs to the neck and lungs has been shown to contribute to the pathogenesis of OSA and CSA, respectively, in various different patient populations. This article reviews the evidence that supports a role for fluid overload and overnight fluid shift in the pathogenesis of sleep apnea in ESRD. The diagnosis, epidemiology, and clinical features of sleep apnea in patients with ESRD also are considered. |
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| AbstractList | In end-stage renal disease (ESRD) and heart failure, conditions characterized by fluid overload, both obstructive sleep apnea (OSA) and central sleep apnea (CSA) are highly prevalent. This observation suggests that fluid overload may be a unifying mechanism in the pathogenesis of both OSA and CSA in these conditions. An overnight rostral fluid shift from the legs to the neck and lungs has been shown to contribute to the pathogenesis of OSA and CSA, respectively, in various different patient populations. This article reviews the evidence that supports a role for fluid overload and overnight fluid shift in the pathogenesis of sleep apnea in ESRD. The diagnosis, epidemiology, and clinical features of sleep apnea in patients with ESRD also are considered. Summary In end-stage renal disease (ESRD) and heart failure, conditions characterized by fluid overload, both obstructive sleep apnea (OSA) and central sleep apnea (CSA) are highly prevalent. This observation suggests that fluid overload may be a unifying mechanism in the pathogenesis of both OSA and CSA in these conditions. An overnight rostral fluid shift from the legs to the neck and lungs has been shown to contribute to the pathogenesis of OSA and CSA, respectively, in various different patient populations. This article reviews the evidence that supports a role for fluid overload and overnight fluid shift in the pathogenesis of sleep apnea in ESRD. The diagnosis, epidemiology, and clinical features of sleep apnea in patients with ESRD also are considered. |
| Author | Lyons, Owen D., MB, BCh Chan, Christopher T., MD Bradley, T. Douglas, MD |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26355255$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s11325_018_1720_9 crossref_primary_10_1111_jsr_12863 crossref_primary_10_1152_ajprenal_00437_2020 crossref_primary_10_1177_10815589231162541 crossref_primary_10_1183_13993003_01789_2016 crossref_primary_10_1007_s11325_019_01977_2 crossref_primary_10_1016_j_chest_2019_09_004 crossref_primary_10_1016_j_jvsv_2019_07_007 crossref_primary_10_1038_nrneph_2017_149 crossref_primary_10_1007_s00408_018_0127_5 crossref_primary_10_1111_sdi_12548 crossref_primary_10_3389_fmed_2017_00256 |
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| Keywords | obstructive sleep apnea fluid shift End-stage renal disease fluid overload central sleep apnea |
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| Snippet | Summary In end-stage renal disease (ESRD) and heart failure, conditions characterized by fluid overload, both obstructive sleep apnea (OSA) and central sleep... In end-stage renal disease (ESRD) and heart failure, conditions characterized by fluid overload, both obstructive sleep apnea (OSA) and central sleep apnea... |
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| SubjectTerms | Acid-Base Imbalance central sleep apnea End-stage renal disease fluid overload fluid shift Humans Kidney Failure, Chronic - complications Kidney Failure, Chronic - physiopathology Nephrology obstructive sleep apnea Posture Risk Factors Sleep Apnea Syndromes - etiology Sleep Apnea Syndromes - physiopathology Water-Electrolyte Imbalance - etiology Water-Electrolyte Imbalance - physiopathology |
| Title | Hypervolemia and Sleep Apnea in Kidney Disease |
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