睡眠呼吸暂停和心房动:临床特征和查诊断选择
Azamat Maratovich Baymukanov1, Yuliya Dmitrievna Weissman1, Irina Andreevna Bulavina1
1Moscow City Clinical Hospital after V.M. Buyanov, Moscow 115516, Russia.
Journal of personalized medicine
|June 27, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 在心房动 (AF) 患者中非常普遍,增加心血管问题的风险. 像STOP-BANG尺度和柏林问卷这样的查工具可以有效地在这个人群中识别OSA.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 内部医学 内部医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 与高血压,冠状动脉疾病,心力衰竭 (HF) 和心房动 (AF) 的风险增加有关.
- 心房动 (AF) 是一种常见的心律失常,具有显著的心血管影响.
研究的目的:
- 在被诊断为AF的患者中调查OSA的患病率.
- 在AF患者中确定OSA和心血管并发症之间的关联.
- 评估OSA查工具在这个群体中的有效性.
主要方法:
- 179名患有肌痛性肌痛的患者 (34-81岁) 接受了呼吸睡眠监测,心声学和24小时霍尔特心电图.
- 患者根据AF类型进行分类:偏激性 (n=99),持久性 (n=64) 和永久性 (n=16).
- 使用IBM SPSS统计 26.0.0.进行统计分析.
主要成果:
- 在73.2%的AF患者中检测到OSA (n=131).
- 在OSA患者中,BMI,腰和子周长都较高.
- HF (OR 2.9) 和2型糖尿病 (OR 3.6) 在患有AF和OSA的患者中更为普遍.
- 在STOP-BANG尺度 (AUC=0.706) 和柏林问卷 (AUC=0.699) 显示显著的预测能力OSA.
结论:
- 在AF患者中存在OSA的高患病率,与心血管并发症增加有关.
- 查问卷,包括STOP-BANG尺度和柏林问卷,是识别AF患者OSA的宝贵工具.
- 在AF患者中早期发现和管理OSA可能会减轻心血管风险.
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