阻塞性睡眠呼吸暂停和心血管疾病:我们站在哪里?
Yüksel Peker1, Bahri Akdeniz2, Servet Altay3
1Department of Pulmonary Medicine, Koç University Faculty of Medicine, İstanbul, Turkey; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA; Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
阻塞性睡眠呼吸暂停 (OSA) 与心血管疾病 (CVD) 有关,但正气道压力治疗的益处尚不清楚. 新的标志物可能比呼吸暂停-呼吸暂停指数更好地预测结果.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 肺部病理学 肺部病理学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在心血管疾病 (CVD) 患者中很普遍,有证据表明存在独立的关联.
- 虽然观察性研究将OSA与心血管疾病风险和正气道压力 (PAP) 与改善的结果联系起来,但最近的试验显示出混合的结果.
结论:
- 卫生专业人员需要最新的证据来确定最有可能从治疗中受益的OSA患者.
- 优化OSA治疗和并存的心血管疾病管理对于改善患者的治疗结果至关重要.
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