失眠和过度白天嗜睡对老年人心脏功能的影响
Hakan Fotbolcu1, Pinar Soysal2
1Department of Cardiology, Bezmialem Vakif University, Istanbul, Turkey.
概括
失眠会损害老年人的心脏功能,而不依赖于过度的白天嗜睡 (EDS). 同时发生的失眠和EDS也可能改变心率和QTc间隔,表明潜在的电生理学变化.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 睡眠医学 睡眠医学
背景情况:
- 研究了失眠和过度白天嗜睡 (EDS) 对老年人的心脏功能的影响.
- 专注于心肌功能,心率和纠正的QT (QTc) 间隔.
研究的目的:
- 评估老年人失眠,EDS和心脏健康之间的关系.
- 为了确定睡眠障碍是否会影响心和腹功能,以及电生理学参数.
主要方法:
- 包括32名失眠患者和30名对照患者,年龄为73.2±7.9岁.
- 使用失眠严重程度指数和爱普沃思睡眠度量表进行诊断.
- 通过心声学评估心脏功能,并测量心率和QTc间隔.
主要成果:
- 失眠患者表现出双心室缩和放缩功能受损.
- 在失眠患者中,降低E'值用于腹功能,并降低侧面S,septal-S和tricuspid-S用于腹功能.
- 与失眠同时存在的EDS导致心率和QTc值比对照组更高.
结论:
- 失眠与心脏缩 - 放心功能受损有关,不论EDS.
- 失眠和EDS的组合可能会诱导电生理变化,包括老年人心率升高和延长QTc.
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