睡眠呼吸障碍中的左心室形态和缩功能:睡眠心脏健康研究
Hassan A Chami1, Richard B Devereux, John S Gottdiener
1Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA. hchami@bu.edu
Circulation
|May 7, 2008
概括
睡眠呼吸障碍 (SDB) 与中年和老年人左心室 (LV) 质量增加和缩功能受损有关. 这项研究强调SDB是影响心脏结构和功能的重要因素.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠呼吸障碍 (SDB) 与左心室 (LV) 缩和功能障碍之间的关系仍在争论中.
- 这项研究调查了SDB作为不良心脏改造和功能受损的潜在风险因素.
研究的目的:
- 评估SDB严重程度与LV形态和缩功能之间的关联.
- 为了检查这些关系在社区的中年和老年人的样本.
主要方法:
- 从睡眠心脏健康研究中对2058名参与者的横截面观测研究.
- 量化SDB使用多睡眠学衍生的呼吸暂停-呼吸暂停指数 (AHI) 和低氧指数.
- 通过心声回声学评估LV形态和缩功能.
主要成果:
- 较高的AHI和低血量指数与增加的LV质量指数显著相关,即使经过多个混因素的调整.
- 与轻度SDB (AHI<5) 相比,患有严重SDB (AHI>=30) 的参与者患上LV缩的几率增加了1.78倍.
- 增加的SDB严重程度与更大的LV透析尺寸和减少LV射出分数相关.
结论:
- 睡眠呼吸障碍与左心室质量增加的心声学证据有关.
- 在基于社区的队列中,SDB也与左心室缩功能减少有关.
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