心脏结构和功能变化在OSAHS患者心力衰竭与保存的射出小部分和心房动的心脏衰竭
Huaqing Wei1, Yan Luo1, Cen Wei2
1Department of Cardiology, Wuming Hospital of Guangxi Medical University, Nanning, 530199, Guangxi Province, China.
BMC cardiovascular disorders
|October 15, 2024
概括
阻塞性睡眠呼吸暂停-呼吸暂停综合征 (OSAHS) 与心力衰竭与保留喷射率 (HFpEF) 和心房动 (AF) 显示心脏重塑的增加. 右心脏结构,特别是右心房,在患有HFpEF和AF的OSAHS患者中受到显著影响.
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-呼吸暂停综合征 (OSAHS) 与心血管并发症有关.
- 保持喷射分数 (HFpEF) 的心力衰竭和心房动 (AF) 是常见的并发症.
- 了解患有同时存在OSAHS,HFpEF和AF的患者的心脏变化至关重要.
研究的目的:
- 研究HFpEF和AF的OSAHS患者的心脏结构和功能变化.
- 根据AF发作的存在和严重程度来比较这些变化.
主要方法:
- 对336名患有HFpEF的OSAHS患者进行了回顾性分析.
- 根据AF病史和发作,患者被分为三组.
- 用于评估结构和功能变化的心脏彩色超声波检查.
主要成果:
- 患有AF发作的患者表现出明显增加的左心房和右心房尺寸以及右心室直径.
- 在患有AF发作的患者中观察到左心室功能 (FS,LVEF) 和透析参数 (DT,IVRT,E/E',FPV) 的下降.
- 右心脏结构异常,特别是右心房,在患有HFpEF和AF的OSAHS患者中更为明显.
结论:
- 在患有HFpEF的患者中,心脏重塑和AF发病率随着OSAHS严重程度的升级而升级.
- 在这些患者中,右心脏,特别是右心房,与左心脏相比,结构异常的发生率更高.
- 在HFpEF患者中,OSAHS显著影响心脏结构和功能,特别是当AF存在时.
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