超越睡眠:阻塞性睡眠呼吸暂停综合征对心血管的影响
Pasquale Palmiero1,2, Francesca Amati3, Lucrezia Bombini3
1Cardiology Equipe, ASL Brindisi, 72100 Brindisi, Italy.
Journal of clinical medicine
|February 13, 2026
概括
阻塞性睡眠呼吸暂停综合征 (OSAS) 显著增加心血管风险,包括高血压和心律失常. 心声图显示了OSAS患者的心脏异常,需要例行查和多学科管理.
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综合征 (OSAS) 是一种慢性疾病,导致呼吸道阻塞,间歇性缺氧和交感性过度活动.
- OSAS与高血压,心力衰竭和动脉样硬化等心血管疾病密切相关,导致心脏结构和功能变化.
研究的目的:
- 通过心声学来调查阻断性睡眠呼吸暂停综合征 (OSAS) 患者心血管异常的患病率.
- 评估OSAS与心脏结构和功能改变之间的关联.
主要方法:
- 招募了105名连续的OSAS患者和100名对照.
- 通过多普勒成像进行了全面的心声回声评估,以评估心脏结构和功能.
主要成果:
- 在OSAS患者中,高血压的发病率较高 (81%vs. 74%),左心室透静功能障碍 (56.2%vs. 26%),左心房扩大 (21%vs. 13%) 和左心室缩 (51.4%vs. 5%).
- 在OSAS组中,永久性心房动的发生频率明显高 (17.1%对比7%).
结论:
- OSAS与可通过心声学检测到的显著心血管异常有关.
- 常规的心血管查和多学科方法对于管理OSAS患者以减轻心血管风险至关重要.
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