阻塞性睡眠呼吸暂停和心血管疾病:美国心脏协会的科学声明
Circulation
|June 21, 2021
概括
阻塞性睡眠呼吸暂停 (OSA) 在成年人中很常见,尤其是心脏病患者. 建议进行查和治疗,包括CPAP或口腔器械,以获得更好的结果.
科学领域:
- 心脏病学
- 睡眠医学
- 肺病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 涉及呼吸道阻塞,导致低氧化和睡眠障碍.
- 中年成人患病率很高 (34%的男性,17%的女性),心血管疾病患者患病率明显高.
- 尽管OSA的影响很大,但在心血管实践中经常被诊断不足和治疗不足.
研究的目的:
- 突出了OSA与心血管疾病的重要重叠.
- 在危险心脏病患者群体中推OSA查方案.
- 强调OSA诊断和治疗对改善心血管结果的重要性.
主要方法:
- 目前关于OSA和心血管疾病的文献和临床指南的审查.
- 确定需要进行OSA查的患者子组.
- 讨论OSA的治疗方式.
主要成果:
- 在高血压,心力衰竭和中风患者中,OSA 影响率为 40- 80%.
- 查的具体建议包括耐药高血压,肺高血压,心房动和心力衰竭 (NYHA II- IV 类) 的患者.
- 患有心律失常,心痛或ICD冲击的患者可能具有并发性OSA.
结论:
- 在已确诊的心血管疾病患者中,系统的OSA查至关重要.
- 治疗方案包括改变生活方式,持续正气道压力 (CPAP) 和口腔器械.
- 有效的OSA治疗可以减轻心血管风险并改善患者的预后.
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