在患有先天性心脏病的成年人中,睡眠呼吸障碍和肺功能异常
D Momcilovic1, B Reznakova1, F Bosse1
1Department of Internal Medicine II - Cardiology, Pneumology, Angiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Sleep & breathing = Schlaf & Atmung
|August 8, 2023
概括
成年先天性心脏病患者经常有睡眠呼吸障碍 (SDB). 这项研究发现,成人先天性心脏病 (ACHD) 患者对SDB有轻微的倾向,无论他们的具体心脏状况如何.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
背景情况:
- 治疗方面的进步使得大多数患有先天性心脏病 (CHD) 的患者能够活到成年.
- 这种不断增长的成人先天性心脏病 (ACHD) 患者队伍需要注意并发性疾病.
- 睡眠呼吸障碍 (SDB) 和肺功能异常是ACHD的潜在并发症.
研究的目的:
- 评估成人先天性心脏病 (ACHD) 患者睡眠呼吸障碍 (SDB) 的患病率.
- 评估成人先天性心脏病 (ACHD) 患者的肺功能异常.
主要方法:
- 100名成年先天性心脏病 (ACHD) 患者接受了3级睡眠测试 (伪造) 和肺功能测试.
- 结果根据底层的血液动力学ACHD病变组进行了分层.
主要成果:
- 39%的ACHD患者患有睡眠呼吸暂停 (15%阻塞性,23%中心性).
- 19%的患者表现出阻塞性肺病.
- 3%的人同时患有慢性阻塞性肺病和阻塞性睡眠呼吸暂停,与夜间不和有关.
结论:
- 患有成人先天性心脏病 (ACHD) 的患者表现出轻微倾向于发展睡眠呼吸障碍 (SDB).
- 在ACHD患者中,SDB的患病率似乎不受特定的潜在先天性心脏病变的影响.
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