Chwan Ng Austin Chin, Freedman Saul Benedict, Sindone Andrew Paul
Concord RG Hospital and University of Sydney, Concord, NSW, Australia.
J Card Fail. 2007 Jun;13(5):395-400. doi: 10.1016/j.cardfail.2007.02.003.
The increasing prevalence of chronic heart failure is affecting patients' longevity, quality of life, and health resources, despite advances in management. Recognizing and treating comorbid illnesses is critical. Risk factors such as hypertension and diabetes are treated, but less importance is placed on the role of sleep apnea in heart failure.
There is a discrepancy between the growing evidence on the potential adverse influence of sleep apnea on heart failure (and vice versa) and incorporating its treatment as part of the management strategy for chronic heart failure. Apneic episodes during sleep can lead to profound disturbances to the sympathetic and parasympathetic nervous system.
This review explores the impact of sleep disordered breathing in patients with chronic heart failure, focusing on the autonomic nervous system.
尽管在慢性心力衰竭的管理方面取得了进展，但慢性心力衰竭患病率的不断上升仍在影响患者的寿命、生活质量和卫生资源。识别和治疗合并症至关重要。高血压和糖尿病等风险因素得到了治疗，但睡眠呼吸暂停在心力衰竭中的作用却未得到足够重视。
关于睡眠呼吸暂停对心力衰竭潜在不良影响（反之亦然）的证据越来越多，但将其治疗纳入慢性心力衰竭管理策略的一部分方面存在差异。睡眠期间的呼吸暂停发作可导致交感神经系统和副交感神经系统受到严重干扰。
本综述探讨了睡眠呼吸障碍对慢性心力衰竭患者的影响，重点关注自主神经系统。
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