[阻塞性睡眠呼吸暂停在心脏病学临床实践中. 流行病学,诊断和治疗. 观察性,横截面,回顾性研究]
Jorge Nara-Sauceda1, Mario Moreno-Pacheco2, Jesica Patiño-García1
1Área de Investigación Clínica Cardiológica, Cardio Integral Unidad Médica, Centro Hospitalario MAC, Celaya, Gto., México.
Archivos de cardiologia de Mexico
|February 2, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 在心血管疾病患者中很常见. 家庭呼吸道测谎仪是一种可行的OSA诊断工具,可以更好地管理心血管风险.
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:
- 阻塞性睡眠呼吸暂停 (OSA) 越来越被认为是心血管疾病的重要贡献者.
- 患有心血管风险因素的患者经常出现未被诊断的OSA.
研究的目的:
- 确定疑似OSA和心血管风险的患者的临床流行病学特征.
- 评估OSA家庭呼吸道测谎仪的诊断可行性.
- 评估患有OSA和心血管疾病的患者的治疗结果.
主要方法:
- 观察性,截面性,描述性研究.
- 来自心脏病门诊服务的医疗记录分析 (2015年1月 - 2019年12月).
- 收集数据的描述性统计分析.
主要成果:
- 89%的疑似OSA患者被诊断出患有这种病症,60%的患者患有中度至重度的OSA,特别是50岁以上的男性.
- 高血压是主要的心血管风险因素 (89%) 和最常见的心脏病 (52%).
- 治疗改善包括药理干预 (82%),心脏康复 (30%) 和非侵入性机械通风 (41%).
结论:
- 在患有心血管疾病的人群中,OSA的患病率和严重程度较高.
- 家庭呼吸道测谎仪是疑似OSA的精确和可行的诊断方法.
- 增加心脏病专家的参与对于诊断和管理OSA至关重要,因为它对心血管的影响.
相关概念视频
01:21Sleep Apnea
156
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...
156
01:22Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
01:17Other Pulmonary Disorders
840
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
840
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:11Observational Studies
8.6K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.6K
01:20COPD: Pathogenesis and Clinical Features
274
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
274