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中国心力衰竭患者睡眠呼吸暂停的患病率及临床特征

Prevalence and clinical characteristics of sleep apnea in Chinese patients with heart failure.

作者信息

Zhao Zhi-Hui, Sullivan Colin, Liu Zhi-Hong, Luo Qin, Xiong Chang-Ming, Ni Xin-Hai, Zhang Jian, Zhang Shu, Yang Yue-Jin

出版信息

Int J Cardiol. 2007 May 16;118(1):122-3. doi: 10.1016/j.ijcard.2006.06.031. Epub 2006 Aug 17.

Abstract

One hundred twenty-six eligible consecutive Chinese heart failure (HF) patients classified by New York Heart Association (NYHA) Classes II-IV underwent historic data collection and a sleep study. Seventy-one percent of HF patients were diagnosed with sleep apnea (SA), of which 65% were central sleep apnea (CSA) and 35% were obstructive sleep apnea (OSA). Higher body mass index (BMI), metabolic syndrome, habitual snoring, and nocturia were independent risk factors for OSA; NYHA classes III and IV were independent risk factors for CSA in the HF patients. There was a high prevalence of SA in Chinese patients with HF. HF patients with obesity, metabolic syndrome, snoring, nocturia and NYHA classes III and IV were more susceptible to OSA and CSA.

摘要

126例符合条件的连续入选的按纽约心脏协会(NYHA)心功能II-IV级分类的中国心力衰竭(HF)患者进行了历史数据收集和睡眠研究。71%的HF患者被诊断为睡眠呼吸暂停(SA),其中65%为中枢性睡眠呼吸暂停(CSA),35%为阻塞性睡眠呼吸暂停(OSA)。较高的体重指数(BMI)、代谢综合征、习惯性打鼾和夜尿症是OSA的独立危险因素;NYHA心功能III级和IV级是HF患者CSA的独立危险因素。中国HF患者中SA的患病率很高。肥胖、代谢综合征、打鼾、夜尿症以及NYHA心功能III级和IV级的HF患者更容易患OSA和CSA。

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