高强度阿托瓦斯塔丁和24小时血压在阻塞性睡眠呼吸暂停:一个随机,双盲,安慰剂控制的试点研究
Joshua M Bock1, Soumya Vungarala1, Sreeja Sompalli1
1Departments of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
American journal of hypertension
|October 10, 2025
概括
在患有阻塞性睡眠呼吸暂停 (OSA) 的患者中,高强度阿托瓦斯塔丁在六个月内没有显著降低血压 (BP). 这表明阿托瓦斯塔丁不是有效的辅助疗法来降低这一群体的血压.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是高血压的已知危险因素.
- 积极的气道压力可能无法完全减轻这种风险.
- 低强度的他类药物治疗显示了适度的血压 (BP) 降低.
研究的目的:
- 调查六个月的高强度他类药物治疗是否可以降低患有OSA的患者的休息或门诊血压.
- 探索阿托瓦斯塔丁作为OSA患者减轻血压的辅助药物的潜力.
主要方法:
- 随机对照试验,39名OSA患者被分配给高强度阿托瓦斯塔丁或安慰剂.
- 血压通过办公室测量和24小时门诊监测在基线,3个月和6个月评估.
- 调整为干预措施和OSA治疗的遵守的BP的变化.
主要成果:
- 基线血压没有显著的群体间差异.
- 在休息,24小时平均值,白天或夜间血压在3个月或6个月后的变化中没有差异.
- 在OSA患者中,高强度阿托瓦斯塔丁与安慰剂相比没有降低血压.
结论:
- 高强度阿托瓦斯塔丁治疗似乎不能降低休息或门诊血压在患有OSA的患者.
- 在这种患者群体中,阿托瓦斯塔丁不是降低血压的可行的辅助干预措施.
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