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) |