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二尖瓣反流患者瓣膜成形术后从以中枢性睡眠呼吸暂停为主转变为阻塞性睡眠呼吸暂停。

Conversion from predominant central sleep apnea to obstructive sleep apnea following valvuloplasty in a patient with mitral regurgitation.

机构信息

Clinical Physiology, Toranomon Hospital, Tokyo, Japan.

出版信息

J Clin Sleep Med. 2011 Oct 15;7(5):523-5. doi: 10.5664/JCSM.1324.

DOI:10.5664/JCSM.1324
PMID:22003349
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3190853/
Abstract

A few reports have shown that cardiac valve repair may improve central sleep apnea (CSA) in patients with valvular heart disease. It has been suggested that such improvements are associated with the improvement of cardiac function. We report the case of a 67-year-old man with mitral regurgitation, whose CSA converted to predominant obstructive sleep apnea following mitral valvuloplasty in association with a shortening of lung-to-finger circulation time.

摘要

有少数报告表明，心脏瓣膜修复术可能改善瓣膜性心脏病患者的中枢性睡眠呼吸暂停（CSA）。有人认为这种改善与心功能的改善有关。我们报告了一例 67 岁男性患者，二尖瓣反流，二尖瓣成形术后 CSA 转为以阻塞性睡眠呼吸暂停为主，同时肺至指循环时间缩短。

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本文引用的文献

1
Nocturnal rostral fluid shift: a unifying concept for the pathogenesis of obstructive and central sleep apnea in men with heart failure.夜间头侧液移位：心力衰竭男性阻塞性和中枢性睡眠呼吸暂停发病机制的统一概念。
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A case of mitral regurgitation whose nocturnal periodic breathing was improved after mitral valve replacement.
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