在高血压中阻塞性睡眠呼吸暂停.
Shyam C Chaudhary1, Pankaj Gupta1, K K Sawlani1
1Department of Internal Medicine, King George's Medical University, Lucknow, IND.
Cureus
|May 30, 2023
概括
超过一半的高血压患者患有阻塞性睡眠呼吸暂停 (OSA),这种情况往往未被诊断出来. 早期诊断和治疗这种危险的对可以改善健康结果和生活质量.
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:
- 基本高血压和阻塞性睡眠呼吸暂停 (OSA) 经常同时存在,在每种情况中影响大约50%的患者.
- 未经治疗的OSA可能导致抗性高血压,突出显示了它们之间的关联的临床意义.
- 由于认识较低,高比例 (80-90%) 的OSA病例仍未被诊断出来.
研究的目的:
- 调查基本高血压患者中阻塞性睡眠呼吸暂停 (OSA) 的患病率.
- 为了确定与OSA相关的临床和生化特征,在这个患者群体.
主要方法:
- 一项涉及179名18岁以上高血压患者的横截面研究.
- 使用STOP-BANG问卷对OSA进行查,通过多睡眠学 (AHI ≥5) 确认,得分≥3.3.
- 患有STOP-BANG得分≤2或AHI<5的得分≥3的患者被归类为非OSA.
主要成果:
- 超过一半 (53.1%) 的高血压患者被诊断患有OSA.
- 随着身体质量指数 (BMI) 的提高,OSA的患病率和严重程度增加.
- 与非OSA患者相比,OSA患者的甘油三和LDL水平显著更高,HDL水平更低.
结论:
- 阻塞性睡眠呼吸暂停在患有基本高血压的患者中非常普遍,这表明共同发生.
- 提高医生意识对于高血压患者的早期OSA诊断和管理至关重要.
- 对OSA的及时干预可以改善心血管结果,降低意外风险,提高患者的生活质量.
相关概念视频
Sleep Apnea
199
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
199
Hypertension I: Introduction
27
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
27
Hypertension III: Clinical Manifestations and Diagnostic Studies
35
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
35
Hypertension II: Pathophysiology
23
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
23
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Measurement of Blood Pressure
1.0K
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
1.0K


