Statins May Prevent Atherosclerotic Disease in OSA Patients without Co-Morbidities?

Title:Statins May Prevent Atherosclerotic Disease in OSA Patients without Co-Morbidities?

Volume: 15 Issue: 1

Author(s): Domenico Maurizio Toraldo, Michele De Benedetto, Luana Conte and Francesco De Nuccio

Affiliation:

Keywords: Statin, atherosclerosis, obstructive sleep apnoea syndrome, metabolic syndrome, chronic intermittent hypoxia.

Abstract: Obstructive sleep apnoea (OSA) is characterized by repetitive interruptions of breathing, causing Chronic Intermittent Hypoxia (CIH) that can be involved in the development and progression of cardiovascular diseases. There is evidence showing a close relationship between OSA and atherosclerosis, even in patients who do not show co-morbidities such as hypertension, diabetes, high levels of lowdensity lipoprotein cholesterol (LDL-C), cigarette smoking and obesity, which can activate the endothelium. This endothelium activation due to CIH and specific to OSA seems to be dependent on a different pathway. The current first line therapy for OSA is the application of the continuous positive airway pressure (CPAP), but it alone is not enough to reduce cardiometabolic risk in patients with OSA. In contrast, statins, via their pleiotropic property, might be able to change inflammation and early atherosclerosis, lipid profile and cardiovascular outcomes in OSA. The role of statins in OSA patients with or without any co-morbidities could potentially prevent coronary vascular risk and stroke and in the future, represent an additional treatment option along with CPAP therapy. Strengthening the prevention strategies against atherosclerosis in OSA should be one of the focal aims for healthcare programs of the future.

Cite this article as:

Toraldo Maurizio Domenico, Benedetto De Michele, Conte Luana and Nuccio De Francesco, Statins May Prevent Atherosclerotic Disease in OSA Patients without Co-Morbidities?, Current Vascular Pharmacology 2017; 15 (1) . https://dx.doi.org/10.2174/1570161114666161007164112