阻塞性睡眠呼吸暂停对心血管影响的预测因素和标记物
Krish Dodani1, Lucía Pinilla2,3, Manuel Sánchez-de-la-Torre2,4
1Group of Precision Medicine in Chronic Diseases, University Hospital Arnau de Vilanova and Santa María, University of Lleida; Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida.
Current opinion in pulmonary medicine
|August 27, 2024
概括
生物标志物在阻塞性睡眠呼吸暂停 (OSA) 患者中对心血管风险分层有希望. 新兴的生理和分子标志物可以改善风险评估和治疗分配,以获得更好的心血管健康结果.
科学领域:
- 睡眠医学 睡眠医学
- 心血管健康 心血管健康
- 生物标志物发现发现
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍存在的睡眠呼吸障碍状况,与心血管风险相关,尽管研究结果仍有争议.
- 在OSA中患者的异质性可能解释心血管结局研究中的差异.
- 改善心血管风险分层是有效的OSA患者管理所需的.
研究的目的:
- 审查生物标志物在OSA患者心血管风险分层中的潜力.
- 探索用于OSA风险评估的新兴生理和分子标志物.
- 讨论心血管健康的OSA患者分层的挑战和进展.
主要方法:
- 关于OSA治疗和心血管结果的最近随机对照试验的综述.
- 分析新兴的基于生理学的指标,用于OSA风险识别.
- 在OSA研究中对基于血液的分子标记物的检查.
主要成果:
- 持续正气道压力 (CPAP) 治疗对OSA心血管结果的疗效仍未通过RCT得到证实.
- 基于生理学的指标显示了识别高风险OSA患者和预测CPAP反应的潜力.
- 基于血液的分子标记因其在OSA和心血管疾病中的作用而越来越受认可.
结论:
- 对OSA患者进行准确的心血管风险分层是具有挑战性的.
- 包括生物标志物在内的新工具正在开发中,以改善OSA管理和心血管结果.
- 需要进一步的研究来验证和实施这些新的工具用于临床实践.
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