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[心力衰竭男性患者的中枢性睡眠呼吸暂停(CSA)]

[Central sleep apnoea (CSA) in male with heart failure].

作者信息

Pływaczewski Robert, Czerniawska Justyna, Bieleń Przemysław, Bednarek Michał, Górecka Dorota, Sliwiński Paweł

机构信息

Zakład diagnostyki i Leczenia Niewydolności Oddychania, Warszawie, Poland.

出版信息

Pneumonol Alergol Pol. 2006;74(4):426-30.

PMID:17427154
Abstract

We studied 44-year old man with heart failure (ejection fraction -25%). Obesity, arterial hypertension, snoring and excessive daytime sleepiness suggested concomitant obstructive sleep apnoea. Limited polysomnography with Polymesam revealed typical Cheyne-Stokes respiration with mainly central apnoeas (RDI=48/hour). We did not find any obstructive episodes during sleep study. Patient responded to CPAP therapy and apnoea hypopnoe index decreased to 12/hour on 8 mbar pressure.

摘要

我们研究了一名44岁的心力衰竭男性患者(射血分数为25%)。肥胖、动脉高血压、打鼾和日间过度嗜睡提示合并阻塞性睡眠呼吸暂停。使用Polymesam进行的有限多导睡眠图检查显示典型的潮式呼吸,主要为中枢性呼吸暂停(呼吸紊乱指数=48次/小时)。在睡眠研究期间,我们未发现任何阻塞性发作。患者对持续气道正压通气(CPAP)治疗有反应,在8毫巴压力下,呼吸暂停低通气指数降至12次/小时。

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