心力衰竭失代偿患者的睡眠呼吸障碍。
Sleep-disordered breathing in patients with decompensated heart failure.
机构信息
Blanchard Valley Health System, Findlay, OH, USA.
出版信息
Heart Fail Rev. 2009 Sep;14(3):183-93. doi: 10.1007/s10741-008-9103-0. Epub 2008 Aug 29.
Abstract
Sleep-disordered breathing (SDB) has a higher prevalence in patients with heart failure than in the general middle-aged population. Obstructive sleep apnea (OSA), one of the forms of SBD, promotes poorly controlled hypertension, coronary events, and atrial fibrillation events that can lead to acutely decompensated heart failure (ADHF), and evidence suggests that untreated OSA increases mortality in patients with heart failure. Cheyne-Stokes respiration and central sleep apnea (CSA) have long been associated with heart failure and, in many patients, can coexist with OSA. In this article, we propose a systematic approach to diagnose and treat OSA in patients with ADHF based on current evidence.
摘要
睡眠呼吸障碍（SDB）在心力衰竭患者中的患病率高于一般中年人群。阻塞性睡眠呼吸暂停（OSA）是 SBD 的一种形式，它会导致高血压控制不佳、冠状动脉事件和心房颤动事件，从而导致急性失代偿性心力衰竭（ADHF），并且有证据表明未经治疗的 OSA 会增加心力衰竭患者的死亡率。陈-施呼吸和中枢性睡眠呼吸暂停（CSA）长期以来一直与心力衰竭相关，在许多患者中，它们可以与 OSA 共存。在本文中，我们根据现有证据提出了一种针对 ADHF 患者诊断和治疗 OSA 的系统方法。
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