Woo Mary A., Fonarow Gregg C.
Ahmanson-UCLA Cardiomyopathy Center, UCLA Division of Cardiology - CHS 47-123, 10833 LeConte Avenue, Los Angeles, CA 90095, USA.
Curr Treat Options Cardiovasc Med. 2003 Dec;5(6):459-467. doi: 10.1007/s11936-003-0035-7.
Sleep-related breathing disorders are common in heart failure patients and can have significant adverse impact on clinical outcomes. If sleep-disordered breathing or considerable daytime sleepiness exists, assessment and treatment recommendations include the following: 1) carefully assess and correct hemodynamic status; heart failure exacerbations can induce central sleep apneas; 2) if overweight, encourage patient weight loss; 3) elevate head of bed; 4) discourage sleeping on back; 5) order polysomnography, to assess type and extent of sleep-related breathing disorder; and 6) treat sleep-disordered breathing with nasal continuous positive airway pressure or bilevel positive airway pressure.
睡眠相关呼吸障碍在心力衰竭患者中很常见，并且可能对临床结局产生重大不利影响。如果存在睡眠呼吸紊乱或明显的日间嗜睡，评估和治疗建议如下：1）仔细评估并纠正血流动力学状态；心力衰竭加重可诱发中枢性睡眠呼吸暂停；2）如果超重，鼓励患者减重；3）抬高床头；4）不建议仰卧睡眠；5）安排多导睡眠图检查，以评估睡眠相关呼吸障碍的类型和程度；6）使用鼻持续气道正压通气或双水平气道正压通气治疗睡眠呼吸紊乱。
