阻塞性睡眠呼吸暂停和心房的复发
Ravi Kanagala1, Narayana S Murali, Paul A Friedman
1Mayo Clinic, 200 First St SW, Rochester, Minn 55905, USA.
Circulation
|May 14, 2003
概括
未经治疗的阻塞性睡眠呼吸暂停 (OSA) 显著增加心脏转变后心房动 (AF) 复发的风险. 有效的持续正气道压力 (CPAP) 治疗可以降低这种复发风险.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 内部医学 内部医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,会影响睡眠期间的呼吸.
- 心房动 (AF) 是一种常见的心律不整.
- 在心转动后OSA和AF复发之间的关系需要进一步调查.
研究的目的:
- 测试假设,未经治疗的阻塞性睡眠呼吸暂停 (OSA) 患者在心脏转变后心房 (AF) 复发的风险增加.
主要方法:
- 对患者病史,心声图,心电图,BMI,并发症和药物进行前性数据收集.
- 通过睡眠研究识别了43名OSA患者.
- 持续正气道压力 (CPAP) 的使用和39名OSA患者和79名对照患者的AF复发的评估.
主要成果:
- 未接受治疗的OSA患者 (n=27) 在12个月内有82%的AF复发率,明显高于接受治疗的OSA患者 (42%) 和对照 (53%).
- 在未经治疗的OSA患者中,更大的夜间氧气脱与AF复发相关.
- 适当的CPAP治疗与较低的AF复发率有关.
结论:
- 与没有OSA患者相比,未经治疗的OSA患者在心转变后面临着更高的AF复发风险.
- 在OSA患者中有效的CPAP治疗与减少AF复发率有关.
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