{"id":762,"date":"2026-09-15T10:00:00","date_gmt":"2026-09-15T10:00:00","guid":{"rendered":"https:\/\/medatlashealth.com\/?p=762"},"modified":"2026-10-28T12:03:19","modified_gmt":"2026-10-28T12:03:19","slug":"sleep-apnea-heart-health","status":"publish","type":"post","link":"https:\/\/medatlashealth.com\/sr\/sleep-apnea-heart-health\/","title":{"rendered":"Mo\u017ee li apneja u snu da o\u0161teti va\u0161e srce?"},"content":{"rendered":"<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Veza izme\u0111u apneje u snu i zdravlja srca va\u017enija je nego \u0161to mnogi ljudi misle. Apneja u snu se \u010desto povezuje sa glasnim hrkanjem, lo\u0161im kvalitetom sna i umorom tokom dana, ali njene posledice mogu biti mnogo \u0161ire.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kod opstruktivne apneje u snu (OSA), gornji disajni putevi se tokom spavanja vi\u0161e puta su\u017eavaju ili potpuno zatvaraju. Disanje mo\u017ee privremeno prestati ili biti zna\u010dajno smanjeno, nivo kiseonika u krvi mo\u017ee pasti, a mozak nakratko aktivira organizam kako bi ponovo uspostavio normalan protok vazduha. Kod osoba sa umerenom ili te\u0161kom OSA, ovaj ciklus mo\u017ee se ponavljati mnogo puta tokom no\u0107i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Svaka takva epizoda privremeno optere\u0107uje kardiovaskularni sistem. Vremenom, ponavljani padovi nivoa kiseonika, poja\u010dana aktivnost simpati\u010dkog nervnog sistema, promene krvnog pritiska i velike promene pritiska unutar grudnog ko\u0161a mogu doprineti pove\u0107anom optere\u0107enju srca i krvnih sudova.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Opstruktivna apneja u snu povezuje se sa povi\u0161enim krvnim pritiskom, atrijalnom fibrilacijom i drugim aritmijama, koronarnom bole\u0161\u0107u srca, sr\u010danom insuficijencijom, mo\u017edanim udarom i pove\u0107anim kardiovaskularnim rizikom.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dakle, mo\u017ee li apneja u snu da o\u0161teti va\u0161e srce?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ova povezanost je slo\u017eena, ali nele\u010dena opstruktivna apneja u snu mo\u017ee stvoriti uslove koji iznova optere\u0107uju srce i krvne sudove \u2014 naro\u010dito kada su prisutni i drugi faktori kardiovaskularnog rizika.<\/p>\n<\/div>\n\n\n<style>.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-content-wrap{padding-top:10px;padding-right:24px;padding-bottom:20px;padding-left:24px;background-color:#f4f9ff;border-top:1px solid #e5eef8;border-right:1px solid #e5eef8;border-bottom:1px solid #e5eef8;border-left:1px solid #e5eef8;border-top-left-radius:22px;border-top-right-radius:22px;border-bottom-right-radius:22px;border-bottom-left-radius:22px;}.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-contents-title-wrap{padding-top:10px;padding-right:10px;padding-left:10px;}.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-contents-title-wrap{color:#0b2a6f;}.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-contents-title{color:#0b2a6f;font-size:27px;letter-spacing:0.9px;font-family:var( --global-heading-font-family, inherit 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.kb-table-of-contents-icon-trigger:before, .kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-toggle-icon-style-arrowcircle .kb-table-of-contents-icon-trigger:after, .kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-toggle-icon-style-arrowcircle .kb-table-of-contents-icon-trigger:before, .kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-toggle-icon-style-xclosecircle .kb-table-of-contents-icon-trigger:after, .kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-toggle-icon-style-xclosecircle .kb-table-of-contents-icon-trigger:before{background-color:#f4f9ff;}@media all and (max-width: 1024px){.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-content-wrap{border-top:1px solid #e5eef8;border-right:1px solid #e5eef8;border-bottom:1px solid #e5eef8;border-left:1px solid #e5eef8;}}@media all and (max-width: 767px){.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-content-wrap{border-top:1px solid #e5eef8;border-right:1px solid #e5eef8;border-bottom:1px solid #e5eef8;border-left:1px solid #e5eef8;}.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-contents-title-wrap{padding-right:15px;padding-bottom:10px;padding-left:15px;}.kb-table-of-content-nav.kb-table-of-content-id762_16d561-c0 .kb-table-of-contents-title{font-size:22px;}}<\/style>\n\n\n<div class=\"wp-block-group has-border-color has-background\" style=\"border-color:#e5eef8;border-width:1px;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;background-color:#f4f9ff;padding-top:18px;padding-right:18px;padding-bottom:18px;padding-left:18px\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-40a08a60 wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\" style=\"font-size:20px\">Klju\u010dne poruke<\/h2>\n\n\n\n<ul style=\"color:#17335c;margin-top:0;margin-bottom:0;padding-top:8px;padding-right:8px;padding-bottom:8px;padding-left:8px;font-size:16px\" class=\"wp-block-list has-text-color has-link-color wp-elements-1\">\n<li style=\"font-size:14px\">Apneja u snu mo\u017ee dovesti do ponavljanih padova nivoa kiseonika tokom spavanja.<\/li>\n\n\n\n<li style=\"font-size:14px\">Ove epizode mogu pove\u0107ati krvni pritisak i dodatno opteretiti kardiovaskularni sistem.<\/li>\n\n\n\n<li style=\"font-size:14px\">Nele\u010dena opstruktivna apneja u snu (OSA) povezuje se sa aritmijama, sr\u010danom insuficijencijom, mo\u017edanim udarom i pove\u0107anim kardiovaskularnim rizikom.<\/li>\n\n\n\n<li style=\"font-size:14px\">Efikasno le\u010denje mo\u017ee smanjiti optere\u0107enje kardiovaskularnog sistema, naro\u010dito kod osoba sa umerenom ili te\u0161kom OSA.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-2 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\"><strong>1<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-3\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8;line-height:1.1\">Apneja u snu i zdravlje srca: Kakva je povezanost?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Da bismo bolje razumeli vezu izme\u0111u apneje u snu i zdravlja srca, korisno je pogledati \u0161ta se de\u0161ava tokom jedne epizode opstruktivne apneje.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tokom normalnog spavanja, vazduh se slobodno kre\u0107e kroz gornje disajne puteve. Kod opstruktivne apneje u snu, disajni put se su\u017eava ili zatvara, iako disajni mi\u0161i\u0107i i dalje poku\u0161avaju da omogu\u0107e disanje.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tipi\u010dan sled doga\u0111aja mo\u017ee izgledati ovako:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Opstrukcija gornjih disajnih puteva \u2192 smanjen ili potpuno prekinut protok vazduha \u2192 pad nivoa kiseonika u krvi \u2192 poja\u010dan napor pri disanju \u2192 kratkotrajno bu\u0111enje mozga \u2192 ponovno otvaranje disajnog puta \u2192 nastavak disanja<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile has-background\" style=\"border-style:none;border-width:0px;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;background-color:#f8fbff;margin-top:0;margin-right:var(--wp--preset--spacing--30);margin-bottom:0;margin-left:var(--wp--preset--spacing--30);padding-top:16px;padding-right:16px;padding-bottom:16px;padding-left:16px\"><figure class=\"wp-block-media-text__media\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-2-1024x576.png\" alt=\"\" class=\"wp-image-764 size-full\" srcset=\"https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-2-1024x576.png 1024w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-2-300x169.png 300w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-2-768x432.png 768w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-2-1536x864.png 1536w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-2.png 1672w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-text-align-left wp-block-paragraph\" style=\"padding-top:var(--wp--preset--spacing--40);font-size:15px;line-height:1.4\">Kako nivo kiseonika opada, a nivo ugljen-dioksida raste, organizam aktivira stresne reakcije \u010diji je cilj ponovno uspostavljanje odgovaraju\u0107e dopreme kiseonika. Aktivnost simpati\u010dkog nervnog sistema se pove\u0107ava, \u0161to dovodi do promena sr\u010dane frekvencije i krvnog pritiska.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Kod osoba sa izra\u017eenom OSA, ovaj obrazac mo\u017ee se ponavljati tokom \u010ditave no\u0107i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Umesto dugotrajnog perioda odmora kardiovaskularnog sistema tokom spavanja, organizam je vi\u0161e puta izlo\u017een epizodama smanjenog nivoa kiseonika u krvi, kratkotrajnim bu\u0111enjima, aktivaciji simpati\u010dkog nervnog sistema i promenama pritiska.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tokom meseci i godina, ova ponavljana fiziolo\u0161ka optere\u0107enja mogu doprineti razvoju kardiovaskularnih bolesti.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-4 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">2<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-5\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Apneja u snu i povi\u0161en krvni pritisak<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph translation-block\">Jedna od najzna\u010dajnijih kardiovaskularnih povezanosti sa opstruktivnom apnejom u snu odnosi se na hipertenziju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tokom zdravog sna krvni pritisak se normalno sni\u017eava. Ovo se ponekad naziva no\u0107nim \u201epadom\u201c krvnog pritiska. Apneja u snu mo\u017ee poremetiti ovaj prirodni obrazac.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Svaka epizoda apneje ili hipopneje mo\u017ee aktivirati simpati\u010dki nervni sistem i izazvati privremeno pove\u0107anje krvnog pritiska. Ponavljanje ovih epizoda tokom no\u0107i mo\u017ee doprineti trajno pove\u0107anoj aktivnosti simpati\u010dkog nervnog sistema i poreme\u0107enom obrascu krvnog pritiska tokom no\u0107i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vremenom, OSA se povezuje sa nastankom i pogor\u0161anjem hipertenzije.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ova povezanost je posebno va\u017ena kod osoba sa rezistentnom hipertenzijom \u2014 krvnim pritiskom koji ostaje te\u0161ko kontrolisan uprkos odgovaraju\u0107em le\u010denju. Opstruktivna apneja u snu \u010desta je kod ovih osoba, zbog \u010dega se procena na prisustvo OSA mo\u017ee preporu\u010diti kada je hipertenzija rezistentna ili nedovoljno kontrolisana.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Povi\u0161en krvni pritisak je i sam po sebi zna\u010dajan faktor kardiovaskularnog rizika, jer vremenom pove\u0107ava optere\u0107enje arterija i srca.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-6 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">3<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-7\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Mo\u017ee li apneja u snu izazvati poreme\u0107aje sr\u010danog ritma?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Apneja u snu je tako\u0111e sna\u017eno povezana sa sr\u010danim aritmijama, naro\u010dito sa atrijalnom fibrilacijom.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tokom jedne epizode apneje, gotovo istovremeno dolazi do nekoliko promena:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>nivo kiseonika oscilira,<\/li>\n\n\n\n<li>nivo ugljen-dioksida mo\u017ee porasti,<\/li>\n\n\n\n<li>aktivnost simpati\u010dkog i parasimpati\u010dkog nervnog sistema mo\u017ee se brzo menjati,<\/li>\n\n\n\n<li>dolazi do promena pritiska unutar grudnog ko\u0161a,<\/li>\n\n\n\n<li>srce je izlo\u017eeno ponavljanom mehani\u010dkom i elektri\u010dnom optere\u0107enju.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ove promene mogu stvoriti uslove koji kod osetljivih osoba pogoduju nastanku abnormalne elektri\u010dne aktivnosti srca.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-8 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">4<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-9\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Apneja u snu i atrijalna fibrilacija<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Atrijalna fibrilacija (AF) jedna je od najvi\u0161e prou\u010davanih aritmija u vezi sa OSA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">AF nastaje kada elektri\u010dna aktivnost u gornjim sr\u010danim \u0161upljinama \u2014 pretkomorama \u2014 postane neorganizovana, \u0161to dovodi do nepravilnog sr\u010danog ritma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Opstruktivna apneja u snu \u010desta je kod osoba sa AF, a ova dva stanja dele nekoliko faktora rizika, uklju\u010duju\u0107i gojaznost, hipertenziju, starije \u017eivotno doba i metaboli\u010dke bolesti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Apneja u snu mo\u017ee dodatno doprineti fiziolo\u0161kom optere\u0107enju koje podsti\u010de strukturne i elektri\u010dne promene u pretkomorama.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To ne zna\u010di da \u0107e svaka osoba sa apnejom u snu razviti atrijalnu fibrilaciju, niti da je OSA jedini uzrok AF. OSA se smatra va\u017enim faktorom kardiovaskularnog rizika i \u010destim prate\u0107im stanjem.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-10 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">5<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-11\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Apneja u snu, ateroskleroza i koronarna bolest srca<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Jo\u0161 jedan va\u017ean aspekt jeste mogu\u0107a povezanost apneje u snu sa bolestima arterija koje snabdevaju srce krvlju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ponavljane epizode pada nivoa kiseonika i njegovog ponovnog pove\u0107anja mogu podsta\u0107i oksidativni stres i zapaljenske procese. Apneja u snu povezuje se i sa poreme\u0107ajem funkcije endotela, aktivacijom simpati\u010dkog nervnog sistema, hipertenzijom i metaboli\u010dkim poreme\u0107ajima.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zajedno, ovi procesi mogu stvoriti uslove koji pogoduju razvoju bolesti krvnih sudova.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">Ateroskleroza se razvija kada aterogeni lipoproteini i zapaljenski procesi doprinose stvaranju plakova unutar zidova arterija. Kako plakovi rastu ili postaju nestabilni, protok krvi kroz zahva\u0107ene arterije mo\u017ee biti smanjen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kada ateroskleroza zahvati koronarne arterije, nastaje koronarna bolest srca (CAD).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Na povezanost izme\u0111u apneje u snu i zdravlja srca uti\u010du brojni faktori, uklju\u010duju\u0107i te\u017einu OSA i prisustvo drugih faktora kardiovaskularnog rizika.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">Apneju u snu ne treba posmatrati kao jedini uzrok ateroskleroze. Kardiovaskularne bolesti nastaju usled me\u0111usobnog delovanja brojnih faktora, uklju\u010duju\u0107i nivo holesterola, pu\u0161enje, krvni pritisak, dijabetes, genetiku, \u017eivotno doba, fizi\u010dku aktivnost i druge faktore.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-12 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">6<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-13\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Mo\u017ee li apneja u snu pove\u0107ati rizik od sr\u010danog udara?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Opstruktivna apneja u snu povezuje se sa koronarnom bole\u0161\u0107u srca i nepovoljnim kardiovaskularnim ishodima, ali veza izme\u0111u OSA i sr\u010danog udara nije toliko jednostavna da se mo\u017ee re\u0107i da apneja u snu direktno izaziva infarkt miokarda.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sr\u010dani udar naj\u010de\u0161\u0107e nastaje kada do\u0111e do o\u0161te\u0107enja ili pucanja aterosklerotskog plaka u koronarnoj arteriji, nakon \u010dega se formira krvni ugru\u0161ak koji naglo smanjuje ili potpuno prekida dotok krvi do dela sr\u010danog mi\u0161i\u0107a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Apneja u snu mo\u017ee indirektno doprineti pove\u0107anju kardiovaskularnog rizika kroz nekoliko mehanizama, uklju\u010duju\u0107i:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>povremeni pad nivoa kiseonika \u2192 aktivacija simpati\u010dkog nervnog sistema \u2192 povi\u0161en krvni pritisak \u2192 oksidativni stres i zapaljenje \u2192 poreme\u0107aj funkcije krvnih sudova<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ovi efekti deluju zajedno sa tradicionalnim faktorima kardiovaskularnog rizika.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zbog toga kardiovaskularni rizik treba procenjivati u celini, umesto fokusiranja samo na jedno stanje.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-14 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">7<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-15\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Apneja u snu i sr\u010dana insuficijencija<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Veza izme\u0111u poreme\u0107aja disanja tokom spavanja i sr\u010dane insuficijencije posebno je va\u017ena \u2014 i mo\u017ee delovati u oba smera.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Opstruktivna apneja u snu mo\u017ee izlagati srce ponavljanim promenama krvnog pritiska, nivoa kiseonika, aktivnosti simpati\u010dkog nervnog sistema i pritiska unutar grudnog ko\u0161a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Opstruktivna apneja u snu mo\u017ee izlagati srce ponavljanim promenama krvnog pritiska, nivoa kiseonika, aktivnosti simpati\u010dkog nervnog sistema i pritiska unutar grudnog ko\u0161a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vremenom, ova optere\u0107enja mogu biti posebno zna\u010dajna kod osoba koje ve\u0107 imaju oslabljenu funkciju srca.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Me\u0111utim, sr\u010dana insuficijencija povezuje se i sa drugim oblikom poreme\u0107aja disanja tokom spavanja koji se naziva centralna apneja u snu (CSA).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Za razliku od OSA, kod koje se protok vazduha prekida zbog fizi\u010dke opstrukcije gornjih disajnih puteva, centralna apneja u snu nastaje kada se signal za disanje iz centralnog nervnog sistema privremeno smanji ili izostane.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zbog toga poreme\u0107aji disanja tokom spavanja kod osobe sa sr\u010danom insuficijencijom zahtevaju odgovaraju\u0107u medicinsku procenu i ne treba pretpostaviti da je svaka apneja opstruktivna.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-16 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">8<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-17\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">\u0160ta je sa mo\u017edanim udarom?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Kardiovaskularni efekti apneje u snu nisu ograni\u010deni samo na srce.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">OSA se tako\u0111e povezuje sa pove\u0107anim rizikom od mo\u017edanog udara.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tome mo\u017ee doprineti nekoliko mehanizama, uklju\u010duju\u0107i hipertenziju, poreme\u0107aj funkcije krvnih sudova, metaboli\u010dke poreme\u0107aje, zapaljenske procese i povezanost izme\u0111u OSA i atrijalne fibrilacije.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sama atrijalna fibrilacija predstavlja va\u017ean faktor rizika za ishemijski mo\u017edani udar, jer se krv mo\u017ee zadr\u017eavati u odre\u0111enim delovima pretkomora, \u0161to omogu\u0107ava stvaranje krvnog ugru\u0161ka koji zatim mo\u017ee dospeti do mozga.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I ovde je va\u017eno naglasiti da povezanost ne zna\u010di da \u0107e svaka osoba sa OSA do\u017eiveti mo\u017edani udar. Individualni rizik zavisi od brojnih faktora.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-18 wp-container-content-c0740251 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">9<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-19\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Mo\u017ee li apneja u snu izazvati iznenadni sr\u010dani zastoj?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Kod ovog pitanja va\u017eno je napraviti jasnu razliku izme\u0111u povezanosti i direktne uzro\u010dno-posledi\u010dne veze.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">Iznenadni sr\u010dani zastoj nastaje kada srce iznenada vi\u0161e nije u stanju da odr\u017eava efikasnu cirkulaciju krvi, naj\u010de\u0161\u0107e zbog ozbiljnog poreme\u0107aja sr\u010danog ritma, kao \u0161to su ventrikularna fibrilacija ili ventrikularna tahikardija.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Opstruktivna apneja u snu povezuje se sa aritmijama i kardiovaskularnim bolestima, a fiziolo\u0161ko optere\u0107enje tokom no\u0107i mo\u017ee biti posebno zna\u010dajno kod osoba koje ve\u0107 imaju postoje\u0107u bolest srca.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Me\u0111utim, ne bi bilo ta\u010dno re\u0107i da apneja u snu neizbe\u017eno ili direktno izaziva iznenadni sr\u010dani zastoj.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zbog toga osobe sa izra\u017eenom apnejom u snu i poznatom kardiovaskularnom bole\u0161\u0107u treba da imaju odgovaraju\u0107u medicinsku procenu i le\u010denje oba stanja.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-content-justification-left is-nowrap is-layout-flex wp-container-core-group-is-layout-4bf20034 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-20 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">10<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-21\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Da li le\u010denje apneje u snu \u0161titi srce?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Le\u010denje opstruktivne apneje u snu ima jasne koristi, ali njegov uticaj na za\u0161titu kardiovaskularnog sistema treba pa\u017eljivo tuma\u010diti.<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile has-background\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;background-color:#f8fbff;margin-right:0;margin-left:0;padding-top:16px;padding-right:16px;padding-bottom:16px;padding-left:16px\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-4-1024x576.png\" alt=\"\" class=\"wp-image-765 size-full\" srcset=\"https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-4-1024x576.png 1024w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-4-300x169.png 300w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-4-768x432.png 768w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-4-1536x864.png 1536w, https:\/\/medatlashealth.com\/wp-content\/uploads\/2026\/09\/SA-4.png 1672w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-text-align-left wp-block-paragraph translation-block\" style=\"padding-top:12px\">Kontinuirani pozitivni pritisak u disajnim putevima (CPAP) predstavlja standardnu terapiju za mnoge osobe sa umerenom do te\u0161kom OSA. CPAP terapija poma\u017ee da disajni putevi ostanu otvoreni tokom spavanja, \u010dime se smanjuju ponavljani padovi nivoa kiseonika i no\u0107no optere\u0107enje kardiovaskularnog sistema, uz istovremeno odr\u017eavanje stabilnijeg disanja i rada srca.<\/p>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Efikasna CPAP terapija mo\u017ee smanjiti broj epizoda opstrukcije disajnih puteva i ubla\u017eiti simptome kao \u0161to su hrkanje i izra\u017eena dnevna pospanost. Tako\u0111e mo\u017ee dovesti do umerenog pobolj\u0161anja krvnog pritiska, naro\u010dito kod odre\u0111enih pacijenata sa hipertenzijom.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Me\u0111utim, ne treba tvrditi da je dokazano da CPAP spre\u010dava svaki sr\u010dani udar, mo\u017edani udar ili drugi veliki kardiovaskularni doga\u0111aj.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Velika randomizovana klini\u010dka ispitivanja kod osoba sa ve\u0107 postoje\u0107im kardiovaskularnim bolestima nisu dosledno pokazala da CPAP terapija sama po sebi smanjuje u\u010destalost velikih kardiovaskularnih doga\u0111aja.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le\u010denje apneje u snu treba prilagoditi svakom pacijentu i mo\u017ee uklju\u010divati:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CPAP ili druge oblike terapije pozitivnim pritiskom u disajnim putevima,<\/li>\n\n\n\n<li>kontrolu telesne mase kada je to potrebno,<\/li>\n\n\n\n<li>redovnu fizi\u010dku aktivnost,<\/li>\n\n\n\n<li>izbegavanje prekomerne konzumacije alkohola, naro\u010dito pre spavanja,<\/li>\n\n\n\n<li>pozicionu terapiju kod odabranih pacijenata,<\/li>\n\n\n\n<li>oralne aparate u odgovaraju\u0107im slu\u010dajevima,<\/li>\n\n\n\n<li>procenu anatomije gornjih disajnih puteva kada je indikovana,<\/li>\n\n\n\n<li>kontrolu i le\u010denje prate\u0107e hipertenzije, dijabetesa, poreme\u0107aja nivoa holesterola i drugih faktora kardiovaskularnog rizika.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Cilj je le\u010diti apneju u snu, ali istovremeno voditi ra\u010duna o celokupnom kardiovaskularnom zdravlju osobe.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-8f761849 wp-block-group-is-layout-flex\">\n<p class=\"has-text-color has-background has-link-color wp-elements-22 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">11<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-23\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Kada treba da se obratite lekaru?<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Apneja u snu \u010desto ostaje neprepoznata i nedijagnostikovana.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicinska procena mo\u017ee biti potrebna ako vi ili osoba koja spava pored vas primetite:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>glasno i uporno hrkanje,<\/li>\n\n\n\n<li>ponavljane prekide disanja tokom spavanja,<\/li>\n\n\n\n<li>naglo hvatanje vazduha ili gu\u0161enje tokom spavanja,<\/li>\n\n\n\n<li>izra\u017eenu dnevnu pospanost,<\/li>\n\n\n\n<li>jutarnje glavobolje,<\/li>\n\n\n\n<li>pote\u0161ko\u0107e sa koncentracijom,<\/li>\n\n\n\n<li>ose\u0107aj neispavanosti uprkos spavanju.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Procena je posebno va\u017ena kada se ovi simptomi javljaju zajedno sa kardiovaskularnim stanjima kao \u0161to su rezistentna hipertenzija, ponavljana atrijalna fibrilacija, koronarna bolest srca, sr\u010dana insuficijencija ili prethodni mo\u017edani udar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Studija spavanja mo\u017ee pomo\u0107i da se utvrdi da li je apneja u snu prisutna i koliko je izra\u017eena.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">Za detaljno obja\u0161njenje razli\u010ditih vrsta apneje u snu, simptoma, dijagnostike, studije spavanja, AHI indeksa, CPAP terapije i drugih mogu\u0107nosti le\u010denja, pro\u010ditajte na\u0161 vodi\u010d o apneji u snu<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-background\" style=\"border-color:#e5eef8;border-width:1px;border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;background-color:#f4f9ff;padding-top:1px;padding-right:12px;padding-bottom:1px;padding-left:12px\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-b5410a0e wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group medatlas-section-title is-nowrap is-layout-flex wp-container-core-group-is-layout-5e05ede5 wp-block-group-is-layout-flex\" style=\"padding-top:10px;padding-bottom:10px\">\n<p class=\"has-text-color has-background has-link-color wp-elements-24 wp-block-paragraph\" style=\"border-top-left-radius:50%;border-top-right-radius:50%;border-bottom-left-radius:50%;border-bottom-right-radius:50%;color:#0b6ff2;background-color:#eaf4ff;font-size:18px;font-style:normal;font-weight:800\">12<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-text-color has-link-color wp-elements-25\" style=\"border-top-left-radius:167px;border-top-right-radius:167px;border-bottom-left-radius:167px;border-bottom-right-radius:167px;color:#245fb8\">Zaklju\u010dak<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<p class=\"wp-block-paragraph\">Apneja u snu je mnogo vi\u0161e od problema sa disanjem tokom no\u0107i. Njena povezanost sa zdravljem srca prevazilazi same poreme\u0107aje disanja tokom spavanja.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kod opstruktivne apneje u snu, ponavljano zatvaranje disajnih puteva izla\u017ee kardiovaskularni sistem ciklusima pada nivoa kiseonika, prekida sna, aktivacije simpati\u010dkog nervnog sistema, promena krvnog pritiska i promena pritiska unutar grudnog ko\u0161a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Over time, OSA is associated with several important cardiovascular conditions, including <strong>Vremenom se OSA povezuje sa nekoliko zna\u010dajnih kardiovaskularnih stanja, uklju\u010duju\u0107i hipertenziju, atrijalnu fibrilaciju, koronarnu bolest srca, sr\u010danu insuficijenciju i mo\u017edani udar.<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nivo rizika zna\u010dajno se razlikuje od osobe do osobe, a apneju u snu ne treba posmatrati kao jedini uzrok kardiovaskularnih bolesti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Me\u0111utim, kada je OSA prisutna \u2014 naro\u010dito zajedno sa drugim faktorima kardiovaskularnog rizika \u2014 njeno pravovremeno prepoznavanje i odgovaraju\u0107e le\u010denje mogu predstavljati va\u017ean deo o\u010duvanja celokupnog zdravlja.<\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-background\" style=\"border-color:#e5eef8;border-width:1px;border-top-left-radius:18px;border-top-right-radius:18px;border-bottom-left-radius:18px;border-bottom-right-radius:18px;background-color:#f8fbff;margin-top:4px;margin-bottom:4px;padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-container-core-group-is-layout-9911989d wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-color has-link-color wp-elements-26\" style=\"color:#245fb8;padding-top:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--40)\">\u010cesto postavljana pitanja<\/h2>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" style=\"margin-top:4px;margin-right:2px;margin-bottom:4px;margin-left:2px\"><summary>Mo\u017ee li apneja u snu da o\u0161teti srce?<\/summary>\n<p class=\"has-theme-palette-7-background-color has-background wp-block-paragraph\" style=\"border-top-left-radius:100px;border-top-right-radius:100px;border-bottom-left-radius:100px;border-bottom-right-radius:100px\">Apneja u snu mo\u017ee vi\u0161e puta tokom no\u0107i opteretiti kardiovaskularni sistem kroz povremene padove nivoa kiseonika, aktivaciju simpati\u010dkog nervnog sistema, promene krvnog pritiska i oscilacije pritiska unutar grudnog ko\u0161a. OSA se povezuje sa sr\u010danom insuficijencijom i drugim kardiovaskularnim bolestima, iako se individualni rizik razlikuje od osobe do osobe.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" style=\"margin-top:4px;margin-right:4px;margin-bottom:4px;margin-left:4px\"><summary>Mo\u017ee li apneja u snu izazvati povi\u0161en krvni pritisak?<\/summary>\n<p class=\"has-theme-palette-7-background-color has-background wp-block-paragraph\" style=\"border-top-left-radius:100px;border-top-right-radius:100px;border-bottom-left-radius:100px;border-bottom-right-radius:100px\">Opstruktivna apneja u snu sna\u017eno je povezana sa hipertenzijom. Ponavljane epizode apneje mogu aktivirati simpati\u010dki nervni sistem i izazvati u\u010destala pove\u0107anja krvnog pritiska tokom no\u0107i. OSA je posebno \u010desta kod osoba sa rezistentnom hipertenzijom.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" style=\"margin-top:4px;margin-right:4px;margin-bottom:4px;margin-left:4px\"><summary>Mo\u017ee li apneja u snu izazvati nepravilan sr\u010dani ritam?<\/summary>\n<p class=\"has-theme-palette-7-background-color has-background wp-block-paragraph\" style=\"border-top-left-radius:100px;border-top-right-radius:100px;border-bottom-left-radius:100px;border-bottom-right-radius:100px\">OSA se povezuje sa razli\u010ditim sr\u010danim aritmijama, naro\u010dito sa atrijalnom fibrilacijom. Me\u0111utim, apneja u snu je samo jedan od vi\u0161e faktora koji mogu doprineti pove\u0107anom riziku od nastanka aritmija.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" style=\"margin-top:4px;margin-right:4px;margin-bottom:4px;margin-left:4px\"><summary>Mo\u017ee li apneja u snu izazvati sr\u010dani udar?<\/summary>\n<p class=\"has-theme-palette-7-background-color has-background wp-block-paragraph\" style=\"border-top-left-radius:100px;border-top-right-radius:100px;border-bottom-left-radius:100px;border-bottom-right-radius:100px\">Apneja u snu povezuje se sa koronarnom bole\u0161\u0107u srca i pove\u0107anim kardiovaskularnim rizikom, ali nije ta\u010dno posmatrati OSA kao jednostavan direktan uzrok svakog sr\u010danog udara. Sr\u010dani udar je naj\u010de\u0161\u0107e povezan sa aterosklerozom koronarnih arterija i naglim stvaranjem krvnog ugru\u0161ka, pri \u010demu njegovom nastanku doprinosi vi\u0161e faktora rizika.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" style=\"margin-top:4px;margin-right:4px;margin-bottom:4px;margin-left:4px\"><summary>Mo\u017ee li CPAP terapija pobolj\u0161ati zdravlje srca?<\/summary>\n<p class=\"has-theme-palette-7-background-color has-background wp-block-paragraph\" style=\"border-top-left-radius:100px;border-top-right-radius:100px;border-bottom-left-radius:100px;border-bottom-right-radius:100px\">CPAP efikasno smanjuje epizode opstrukcije disajnih puteva, mo\u017ee ubla\u017eiti simptome apneje u snu i kod nekih pacijenata dovesti do umerenog sni\u017eavanja krvnog pritiska. Me\u0111utim, velika randomizovana klini\u010dka ispitivanja nisu dosledno pokazala da CPAP terapija sama po sebi spre\u010dava velike kardiovaskularne doga\u0111aje kod osoba sa ve\u0107 postoje\u0107im kardiovaskularnim bolestima.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" style=\"margin-top:4px;margin-right:4px;margin-bottom:4px;margin-left:4px\"><summary>Should people with heart problems be checked for sleep apnea?<\/summary>\n<p class=\"has-theme-palette-7-background-color has-background wp-block-paragraph\" style=\"border-top-left-radius:100px;border-top-right-radius:100px;border-bottom-left-radius:100px;border-bottom-right-radius:100px\">In selected cardiovascular populations, screening or formal sleep assessment may be appropriate. The American Heart Association specifically highlights groups such as people with resistant or poorly controlled hypertension, recurrent atrial fibrillation, pulmonary hypertension, and certain patients with heart failure when sleep-disordered breathing is suspected.<\/p>\n<\/details>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\">Izvori<\/h3>\n\n\n\n<ol start=\"1\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-bottom:0\" class=\"wp-block-list\">\n<li style=\"font-size:14px\"><strong>American Heart Association (AHA).<\/strong> Sleep apnea and cardiovascular disease: information on the relationship between obstructive sleep apnea, hypertension, arrhythmias, stroke, and heart failure.<\/li>\n\n\n\n<li><strong>American Academy of Sleep Medicine (AASM).<\/strong> Clinical guidance and educational resources on obstructive sleep apnea, diagnosis, treatment, and cardiovascular risk.<\/li>\n\n\n\n<li><strong>National Heart, Lung, and Blood Institute (NHLBI).<\/strong> Sleep apnea overview, symptoms, health effects, diagnosis, and treatment.<\/li>\n\n\n\n<li><strong>Centers for Disease Control and Prevention (CDC).<\/strong> Information on sleep disorders, cardiovascular risk factors, high blood pressure, and stroke prevention.<\/li>\n\n\n\n<li><strong>Mayo Clinic.<\/strong> Obstructive sleep apnea: symptoms, causes, complications, diagnosis, and treatment.<\/li>\n\n\n\n<li><strong>European Society of Cardiology (ESC).<\/strong> Clinical guidance on cardiovascular risk, hypertension, atrial fibrillation, and sleep-disordered breathing.<\/li>\n\n\n\n<li><strong>Javaheri S, Barbe F, Campos-Rodriguez F, et al.<\/strong> Sleep apnea: types, mechanisms, and clinical cardiovascular consequences. <em>Journal of the American College of Cardiology.<\/em><\/li>\n\n\n\n<li><strong>Drager LF, McEvoy RD, Barbe F, Lorenzi-Filho G, Redline S.<\/strong> Sleep apnea and cardiovascular disease: lessons from recent trials and the need for team science. <em>Circulation.<\/em><\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-theme-palette-3-color has-alpha-channel-opacity has-theme-palette-3-background-color has-background is-style-default\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:var(--wp--preset--spacing--20)\"\/>\n\n\n\n<p class=\"has-border-color has-background wp-block-paragraph\" style=\"border-color:#e3e8ef;border-width:1px;border-top-left-radius:18px;border-top-right-radius:18px;border-bottom-left-radius:18px;border-bottom-right-radius:18px;background-color:#f7f9fc;margin-top:44px;margin-bottom:18px\"><strong>Medicinska napomena<\/strong> This article is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you have symptoms of sleep apnea or cardiovascular disease, speak with a qualified healthcare professional.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Apneja u snu mo\u017ee iznova optere\u0107ivati srce usled pada nivoa kiseonika, naglih porasta krvnog pritiska i poja\u010dane aktivnosti simpati\u010dkog nervnog sistema. Saznajte kako ovaj \u010dest poreme\u0107aj spavanja mo\u017ee vremenom uticati na zdravlje srca i krvnih sudova.<\/p>","protected":false},"author":1,"featured_media":763,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[17],"tags":[117,39,116,25,21],"class_list":["post-762","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-emergency-medicine","tag-atrial-fibrillation","tag-cardiovascular-health","tag-hypertension","tag-obstructive-sleep-apnea","tag-sleep-apnea"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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