在阻塞性睡眠呼吸暂停中心房动的机制
James Saleeb-Mousa1,2, Demitris Nathanael1, Andrew M Coney1,2
1School of Biomedical Sciences, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Cells
|June 28, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 显著增加了心房动 (AF) 的风险. 了解OSA的理解
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 电子生理学 电子生理学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种已知的心房动 (AF) 的风险因素.
- OSA对AF诱导,维持,严重程度和治疗反应产生不利影响.
- 对OSA的持续正气道压力 (CPAP) 限制了患者的遵守.
研究的目的:
- 审查将OSA与AF联系在一起的机制.
- 探索OSA如何促进心房失常发生.
- 在OSA患者中确定新型AF治疗的潜在标.
主要方法:
- 审查关于OSA和AF机制的当前文献.
- 分析慢性间歇性缺氧 (CIH) 和心房重塑的作用.
- 检查心房的自主,电气和结构变化.
主要成果:
- CIH诱导离子通道的适应性变化,并促进炎症,纤维化和导电减缓.
- 在呼吸暂停期间的负胸压波动会导致心房拉伸和电气失调.
- 这些因素在OSA患者中为AF创造了基质.
结论:
- 由OSA诱导的心律失常是多因素的,涉及CIH,自主活动和心房重塑.
- 了解这些机制对于开发更好的AF治疗方法对OSA患者至关重要.
- 新型疗法可以通过针对特定的OSA相关途径来补充CPAP.
相关概念视频
Sleep Apnea
195
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...
195
Sleep-Wake Cycles
1.4K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.9K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.9K
Disturbances in Heart Rhythm
1.0K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
1.0K
Mechanism of Cardiac Arrhythmias
966
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
966
Pulmonary Hypertension: Classification and Pathogenesis
234
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
234


