Repercussões cardiovasculares em crianças com distúrbios respiratórios obstrutivos do sono: Revisão de literatura

Autores

  • Érico Vinicius Campos Moreira da Silva
  • Patrícia Amado
  • André Pinheiro de Magalhães Bertoz
  • Maria Cristina Rosifini Alves Rezende
  • Silke Anna Theresa Weber

Resumo

Objetivo: Revisar as repercussões cardiovasculares dos distúrbios respiratórios obstrutivos do sono na infância. Fonte de dados: Foram selecionados artigos originais e relatos de casos com importância clínica e histórica até a presente data através das fontes Medline e Ovid. Síntese dos dados: Os distúrbios respiratórios obstrutivos podem levar a sérias repercussões cardiovasculares como a hipertensão arterial sistêmica e pulmonar, edema agudo de pulmão, alterações da anatomia e função cardíacas. Conclusões: O conhecimento das repercussões cardiovasculares permite aos profissionais responsáveis pelo atendimento da população pediátrica um melhor manejo do pacientes com importantes consequências no tratamento e acompanhamento desses pacientes.

Descritores: Síndromes da Apneia do Sono; Criança; Sistema Cardiovascular.

Downloads

Não há dados estatísticos.

Referências

Gislason T, Benediktsdottr B. Snoring, apneic episode and nocturnal hypoxemia among children six month to six years old. Chest. 1995; 107:963-6.

Brunetti L, Rana S, Lospalutti ML, Pietrafesa A, Francavilla R, Fanelli M. Prevalence of obstructive sleep apnea in a cohort of 1207 children of Southern Italy. Chest. 2001; 120:1930-5.

Anuntaseree W, Rookapan K, Kuasirikul S, Thingsukai P. Snoring and obstructive sleep apnea in Thai school-age children: prevalence and predisposing factors. Pediatr Pulmonol. 2001; 32:322-7.

Marcus CL. Pathophysiology of childhood obstructive sleep apnea: current concepts. Respir Physiol. 2000; 119:143-54.

Erler T, Paditz E. Obstructive Sleep Apnea Syndrome in children. Treat Respir Med 2004; 3:107-22.

Bower C, Buckmiller M. What´s new in pediatric obstructive sleep apnea. Curr Opin Otolaryngol Head Neck Surg. 2001; 9:352-8.

Rosen CL. Obstructive sleep apnea syndrome (OSAS) in children: diagnostic challenges. Sleep. 1996; 19:274-7.

Anstead M. Pediatric sleep disorders: new developments and envolving understanding. Curr Opin Pulm Med. 2000; 6:501-6.

American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood

obstructive sleep apnea syndrome. Pediatrics 2002; 109:704-12.

Balbani APS, Weber SAT, Montovani JC. Atualização em Síndrome da Apnéia Obstrutiva do Sono na infância. Rev Bras Otolaringol. 2005; 71:74-80.

Motonaga SM, Berti LC, Anselmo-Lima WT. Respiração bucal: causas e alterações no sistema estomatognático. Rev Bras Otorrinolaringol. 2000; 66:373-8.

Di Francesco RC, Presserotii G, Paulocci B, Miniti A. Respiração oral na criança: repercussões diferentes de acordo com o diagnóstico. Rev Bras Otolaringol. 2004; 70:665-70.

Verrier RL, Harper RM, Hobson JA. Cardiovascular physiology: central and autonomic regulation. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 3rd ed. Philadelphia: W. B. Saunders; 2000. p.179-91.

Phillips B. Sleep-disordered Breathing and cardiovascular disease. Sleep Med Rev. 2005; 9:131-40.

Lavie P, Herer P, Hoffstein V. Obstructive sleep apnoea syndrome as a risk factor for hypertension: population study. Br Med J. 2000; 320:479-82.

Nieto FJ, Young T, Lind BK, Shrahar E, Samet JM, Redline S, et al. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. JAMA. 2000; 283:1829-36.

Chaouat A, Weitzenblum E, Krieger J, Oswald M, Kessler R. Pulmonary hemodynamics in the obstructive sleep apnea syndrome. Results in 220 consecutive patients. Chest. 1996; 109:380-6.

Niijima M, Kimura H, Edo H, Shinozaki T, Kang J, Masuyama S, et al. Manifestation of pulmonary hypertension during REM sleep in obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 1999; 159:1766-72.

Bady E, Achkar A, Pascal S, Orvoen-Frija E, Laban JP. Pulmonary arterial hypertension in patients with sleep apnea syndrome. Thorax. 2000; 55:934-9.

Koskenvuo M, Kaprio J, Telakivi T, Partinen M,

Heikkila K, Sarna S. Snoring as a risk factor for ischaemic heart disease and stroke in men. Br Med J. 1987; 294:16-9.

Parra O, Arboix A, Bechich S, Garcia-Eroles L, Monteserrat JM, Lopez JA, et al. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. Am J Respir Crit Care Med. 2000; 161:375-80.

Ip M, Lam B, Ng MM, Lam WK, Tsang KW, Lam KS. Obstructive sleep apnea is independently associated with insulin resistance. Am J Respir Crit Care Med. 2002; 165:670-6.

Coughlin SR, Mawdsley L, Mugarza JA, Calverley PM, Widing JP. Obstructive sleep apnea is independently associated with an increased prevalence of metabolic syndrome. Eur Heart J. 2004; 25:735-41.

Menashe VD, Farrehi C, Miller M. Hypoventilation and cor pulmonale due to chronic upper airway obstruction. J Pediatr. 1965; 67:198-203.

Goodman RS, Goodman M, Gootman N, Cohen H. Cardiac and pulmonary failure secondary to adenotonsillar hypertrophy. Laryngoscope 1976; 86:1367-74.

Sofer S, Weinhouse E, Tal A, Wanderman KL, Margulis G, Leiberman A, et al. Cor pulmonale due to adenoid or tonsillar hypertrophy or both in children. Noninvasive diagnosis and follow-up. Chest 1988; 93:119-22.

Brown OE, Manning SC, Ridenour B. Cor pulmonale secondary to tonsillar and adenoidal hypertrophy: management considerations. Int J Pediatr Otorhinolaryngol. 1988; 16:131-9.

Noonan JA. Reversible cor pulmonale due to hypertrophied tonsils and adenoids: studies in two cases. Circulation 1965; 32:164.

Luke MJ, Mehrizi A, Folger Jr GM, Rowe RD. Chronic nasopharyngeal obstruction as cause of cardiomegaly, cor pulmonale, and pulmonar edema. Pediatrics 1966; 37:762-8.

Djalilian M, Kern EB, Brown HA, Facer GW, Stickler GB, Weidman WH, et al. Hypoventilation secondary to chronic upper airway obstruction in childhood. Mayo Clin Proc. 1975; 50:11-4.

Alcântara LJL, Mira JGS, Mocellin M, Catani GSA. Manifestações cardiovasculares da hipertrofia adenoamigdaliana. Relato de caso. Rev Bras Otorrinolaringol. 2000; 66:77-81.

Chowdary YC, Patel JP. Recurrent pulmonary edema: an uncommon presenting feature of childhood obstructive sleep apnea hypoventilation syndrome in an otherwise healthy child. Clin Pediatr .2001; 40:287-90.

Marcus CL, Greene MG, Carroll JL. Blood pressure in children with obstructive sleep apnea. Am J Respir Crit Care Med. 1998; 157:1098-103.

Kohyama J, Ohinata JS, Hasegawa T. Blood pressure in sleep-disordered breathing. Arch Dis Child. 2003; 88:139-42.

Hedner J, Bengtsson-Boström K, Peker Y, Grote L, Råstam L, Lindblad U. Hypertension prevalence in obstructive sleep apnoea and sex: a population-based case-control study. Eur Respir J. 2006; 27: 564-70.

Gozal D, Kheirandish-Gozal L. Cardiovascular morbidity in obstructive sleep apnea: oxidative stress, inflammation, and much more. Am J Respir Crit Care Med. 2008; 177: 363-4.

Tal A, Leiberman A, Margulis G, Sofer S. Ventricular dysfunction in children with obstructive sleep apnea: radionuclide assessment. Pediatr Pulmonol. 1988; 4:139-43.

Amin RS, Kimball TR, Bean JA, Jeffries JL, Willging JP, Cotton RT, et al. Left ventricular hypertrophy and abnormal ventricular geometry in children and adolescents with obstructive sleep apnea. Am J Respir Crit Care Med. 2002; 165:1395-9.

Kalra M, Kimball T, Daniels SR, LeMasters G, Willging PJ, Rutter M, et al. Structural cardiac changes as a predictor of respiratory complications after adenotonsillectomy for obstructive breathing during sleep in children. Sleep Med. 2005; 3:241-5.

Weber, SAT. Avaliação cardíaca em crianças com distúrbios respiratórios obstrutivos, antes e após adenotonsilectomia (dissertação). Botucatu: Faculdade de Medicina de Botucatu - Universidade Estadual Paulista; 2006.

Bertoz APM, Verri ACG, Verri FR, Weber SAT, Mendonça MR, Bertoz FA, Santos ECA, Alves-Rezende MCR. Síndrome da Apnéia Obstrutiva do Sono: Diagnóstico e Tratamento. Arch Health Invest. 2012; 1(1):3-10

Sahin FK, Koken G, Cosar E, Saylan F, Fidan F, Yilmazer M, et al. Obstructive Sleep Apnea in Pregnancy and Fetal Outcome. Obstetr Gynecol Surv. 2008; 63:292-3.

Gozal, D, Kheirandish-Gozal, L, Serpero, LD, Capdevila, OS, Dayyat, E. Obstructive sleep apnea and endothelial function in school-aged nonobese children: effect of adenotonsillectomy. Circulation 2007; 116:2307-14.

Athanasios G, Alexopoulos, EI, Hatzi, F, Kostadima, E, Kiaffas, M, Zakynthinos, E, Gourgoulianis, K. Overnight change in brain natriuretic peptide levels in children with sleep-disordered breathing. Chest 2006; 130:1377-84.

Kobayashi M, Miyazawa N, Takeno M, Murakami S, Kirino Y, Okouchi A, et al. Circulating carbon monoxide level is elevated after sleep in patients with obstructive sleep apnea. Chest. 2008 134:904-10.

Downloads

Publicado

2014-05-05

Como Citar

Silva, Érico V. C. M. da, Amado, P., Bertoz, A. P. de M., Alves Rezende, M. C. R., & Weber, S. A. T. (2014). Repercussões cardiovasculares em crianças com distúrbios respiratórios obstrutivos do sono: Revisão de literatura. ARCHIVES OF HEALTH INVESTIGATION, 3(2). Recuperado de https://archhealthinvestigation.emnuvens.com.br/ArcHI/article/view/665

Edição

Seção

Artigos