Abstract
Bronchiectasis unrelated to cystic fibrosis is a chronic lung disease that is increasingly recognised worldwide. While other common chronic lung conditions such as chronic obstructive lung disease have been associated with cardiovascular disease, there is a paucity of data on the relationship between bronchiectasis and cardiovascular risks such as stroke and sleep disturbance. Furthermore, it is unclear whether other neuropsychological aspects are affected, such as cognition, cerebral infection, anxiety and depression. In this review, we aim to highlight neurological and sleep issues in relation to bronchiectasis and their importance to patient care.
Highlights
Bronchiectasis is a chronic lung disease characterised by repeated episodes of infection and chronic inflammation that can lead to significant morbidity and mortality [1,2]
While there has been increasing research looking at effects of more common respiratory conditions such as chronic obstructive pulmonary disease (COPD) and its relationship with heart attacks, strokes, cognitive function and sleep disturbances, few data are available on the relationship between bronchiectasis and certain neurological diseases and cardiovascular risk factors such as hypertension, diabetes mellitus and atrial fibrillation
This study reported an incidence rate of 9.18 per 1000 person-years of ischemic stroke in patients with bronchiectasis compared to an incidence rate of 4.66 person-years in patients without bronchiectasis [24]
Summary
Bronchiectasis is a chronic lung disease characterised by repeated episodes of infection and chronic inflammation that can lead to significant morbidity and mortality [1,2]. While there has been increasing research looking at effects of more common respiratory conditions such as chronic obstructive pulmonary disease (COPD) and its relationship with heart attacks, strokes, cognitive function and sleep disturbances, few data are available on the relationship between bronchiectasis and certain neurological diseases and cardiovascular risk factors such as hypertension, diabetes mellitus and atrial fibrillation. Few have looked at how a patient’s sleep and quality of life are affected in bronchiectasis who could be suffering from increased sputum production and regular nocturnal coughing, potentially leading to more arousals and impairment in daytime function. We aim to highlight existing literature on the relationship between bronchiectasis and neurological conditions, such as stroke, cognitive function and cerebral infection, as well as discussing effects on sleep disturbances in patients with bronchiectasis
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