<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-199X</journal-id>
<journal-title><![CDATA[Revista odontológica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Odont. Mex]]></abbrev-journal-title>
<issn>1870-199X</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-199X2021000400313</article-id>
<article-id pub-id-type="doi">10.22201/fo.1870199xp.2021.25.4.84032</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto del uso de dispositivos de avance mandibular en alteraciones cardiovasculares relacionadas con apnea obstructiva del sueño]]></article-title>
<article-title xml:lang="en"><![CDATA[The impact of using a mandibular advancement device in cardiovascular disorders related to obstructive sleep apnea]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Mejía]]></surname>
<given-names><![CDATA[Juan Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Boquete-Castro]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ciudad de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica San Antonio  ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>4</numero>
<fpage>313</fpage>
<lpage>318</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-199X2021000400313&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-199X2021000400313&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-199X2021000400313&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: las patologías cardiovasculares tienen elevada prevalencia. Asimismo, la prevalencia de trastornos respiratorios de sueño en pacientes con fallo cardiaco crónico es muy elevada.  Objetivos: analizar el impacto del uso de dispositivos de avance mandibular (DAM) en pacientes con historia de fallo cardiaco previo.  Material y métodos: se realizó una búsqueda bibliográfica electrónica con los términos MeSH «occlusal splints», «sleep apnea, obstructive» y «heart failure».  Resultados: la severidad del trastorno respiratorio de sueño varía de acuerdo con la severidad de la patología cardiaca existente.  Discusión: los efectos nocivos inducidos por la apnea obstructiva del sueño (AOS) en el sistema cardiovascular pueden implicar dos componentes: hipoxia intermitente crónica durante la apnea o hipopnea y grandes esfuerzos inspiratorios. Esto sobrecarga el miocardio alterando su estructura y función. El tratamiento con DAM reduce la gravedad de la AOS y aumenta la saturación de oxígeno en pacientes con fallo cardiaco congestivo. Además, al mantener las vías respiratorias superiores libres, el DAM reduce la presión intratorácica.  Conclusiones: la prevención de complicaciones cardiacas en pacientes con AOS está relacionada con la prevención de eventos respiratorios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: cardiovascular diseases have a high prevalence. Likewise, the prevalence of sleep breathing disorders in chronic heart failure patients is very high.  Objective: to analyze the impact of using a mandibular advancement device (MAD) in patients with a history of previous heart failure.  Material and methods: an extensive online search was performed on the MeSH descriptors «occlusal splints», «sleep apnea, obstructive» and «heart failure».  Results: the severity of the sleep breathing disorder varies according to the severity of the cardiovascular disease.  Discussion: the harmful effects of the obstructive sleep apnea (OSA) on the cardiovascular system include intermittent chronic hypoxia and great inspiratory efforts that overload the myocardium, thus affecting its structure and function. The MAD treatment can reduce the severity of the OSA and reduces intrathoracic pressure as it keeps the upper airway open.  Conclusions: prevention of complications in cardiovascular patients with OSA is crucial and it is related to the prevention and treatment of respiratory disorders.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apnea obstructiva del sueño]]></kwd>
<kwd lng="es"><![CDATA[dispositivo de avance mandibular]]></kwd>
<kwd lng="es"><![CDATA[fallo cardiaco]]></kwd>
<kwd lng="en"><![CDATA[obstructive sleep apnea]]></kwd>
<kwd lng="en"><![CDATA[mandibular advancement device]]></kwd>
<kwd lng="en"><![CDATA[heart failure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bitter]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Westerheide]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Hossain]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Prinz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Horstkotte]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Oldenburg]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Symptoms of sleep apnoea in chronic heart failure-results from a prospective cohort study in 1500 patients]]></article-title>
<source><![CDATA[Sleep Breath]]></source>
<year>2012</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>781-91</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oldenburg]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Lamp]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Freivogel]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Bitter]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Langer]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Horstkotte]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Low night-to-night variability of sleep disordered breathing in patients with stable congestive heart failure]]></article-title>
<source><![CDATA[Clin Res Cardiol]]></source>
<year>2008</year>
<volume>97</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>836-42</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Archontogeorgis K]]></surname>
<given-names><![CDATA[Voulgaris A]]></given-names>
</name>
<name>
<surname><![CDATA[Nena E]]></surname>
<given-names><![CDATA[Strempela M]]></given-names>
</name>
<name>
<surname><![CDATA[Karailidou P]]></surname>
<given-names><![CDATA[Tzouvelekis]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiovascular risk assessment in a cohort of newly diagnosed patients with obstructive sleep apnea syndrome]]></article-title>
<source><![CDATA[Cardiol Res Pract]]></source>
<year>2018</year>
<volume>2018</volume>
<page-range>6572785</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eskafi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ekberg]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cline]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Israelsson]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Nilner]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of a mandibular advancement device in patients with congestive heart failure and sleep apnea]]></article-title>
<source><![CDATA[Gerodontology]]></source>
<year>2004</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>100-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Marinho]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Patacho]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Santa-Clara]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Carrondo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Winck]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence and characteristics of sleep apnoea in patients with stable heart failure: results from a heart failure clinic]]></article-title>
<source><![CDATA[BMC Pulm Med]]></source>
<year>2010</year>
<volume>10</volume>
<page-range>9</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dal-Fabbro]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Garbuio]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[D'Almeida]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Cintra]]></surname>
<given-names><![CDATA[FD]]></given-names>
</name>
<name>
<surname><![CDATA[Tufik]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bittencourt]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mandibular advancement device and CPAP upon cardiovascular parameters in OSA]]></article-title>
<source><![CDATA[Sleep Breath]]></source>
<year>2014</year>
<volume>18</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>749-59</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eskafi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cline]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Nilner]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Israelsson]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of sleep apnea in congestive heart failure with a dental device: the effect on brain natriuretic peptide and quality of life]]></article-title>
<source><![CDATA[Sleep Breath]]></source>
<year>2006</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>90-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Qiao]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mandibular advancement devices prevent the adverse cardiac effects of obstructive sleep apnea hypopnea syndrome (OSAHS)]]></article-title>
<source><![CDATA[Sci Rep]]></source>
<year>2020</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3394</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
