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. 2021 May 12;22(10):5139. doi: 10.3390/ijms22105139

Table 1.

Endothelial function after treatment in specific subgroups.

OSA Subpopulation Demonstrated Molecular Pathomechanism Effect of OSA Treatment
Atherosclerosis endothelial dysfunction No effect on endothelium, did not reduced PWV [44]
(2019, clinical trial, 101 patients)
Myocardial Infarction Increased peroxynitrite formation [53], nitration of cardiac contractile proteins (MLC1 and MLC2) and their subsequent degradation (by MMP-2) protective role of TIMP-4 in ischemic preconditioning [54,55,56] The ISAACC—among non-sleepy patients with acute coronary syndrome, treatment with CPAP did not significantly reduce the prevalence of acute coronary syndromes [58].
(2020, randomized controlled trial, 1264 subjects)
On the contrary, RICCADSA trial confirmed that CPAP treatment may reduce this risk, if the device is used at least 4 h/day [59]
(2016, randomized controlled trial, 244 subjects)
Heart Failure Increased peroxynitrite formation [53] No effect on endothelium, lowering the left ventricle end-diastolic volume [61]
(2020, randomized controlled trial, 141 patients)
Diabetes impairment of the NO bioavailability, ROS improved HOMA index, no effect on adipokine level [67]
(2015, meta-analysis)
Hypertension activation of RAAS SBP—2.32 mm Hg [74]
(2015, meta-analysis, 794 patients)
Pulmonary Hypertension Increased inflammatory cytokines [81] decrease in pulmonary artery pressure [83]
(2010, metanalysis, 222patients)
Atrial Fibrillation down-regulation connexin-43 [86] (HR 0.41) the probability of AF recurrences [91]
(2012, prospective study, 153 patients)
Children decreased eNOS expression [96] FMD improvement after tonsillectomy [95]
(2015, clinical trial, 144 patients)