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充血性心力衰竭患者的睡眠问题。

Sleep in congestive heart failure.

机构信息

Division of Sleep Medicine, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street # Asb1, Boston, MA 02115-6106, USA.

出版信息

Med Clin North Am. 2010 May;94(3):447-64. doi: 10.1016/j.mcna.2010.02.009.

Abstract

Breathing disorders during sleep are common in congestive heart failure (CHF). Sleep-disordered breathing (SDB) in CHF can be broadly classified as 2 types: central sleep apnea with Cheyne-Stokes breathing, and obstructive sleep apnea. Prevalence of SDB ranges from 47% to 76% in systolic CHF. Treatment of SDB in CHF may include optimization of CHF treatment, positive airway pressure therapy, and other measures such as theophylline, acetazolamide, and cardiac resynchronization therapy. Periodic limb movements are also common in CHF.

摘要

睡眠期间呼吸障碍在充血性心力衰竭(CHF)中很常见。CHF 中的睡眠呼吸障碍(SDB)可大致分为 2 种类型:伴有 Cheyne-Stokes 呼吸的中枢性睡眠呼吸暂停,以及阻塞性睡眠呼吸暂停。SDB 在收缩性 CHF 中的患病率为 47%至 76%。CHF 中 SDB 的治疗可能包括 CHF 治疗的优化、气道正压治疗以及其他措施,如茶碱、乙酰唑胺和心脏再同步治疗。周期性肢体运动在 CHF 中也很常见。

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