Department of Clinical Medicine and Prevention, University of Milano-Bicocca, Milan, Italy.
J Hypertens. 2012 Apr;30(4):633-46. doi: 10.1097/HJH.0b013e328350e53b.
This article is aimed at addressing the current state of the art in epidemiology, pathophysiology, diagnostic procedures and treatment options for appropriate management of obstructive sleep apnea (OSA) in cardiovascular (particularly hypertensive) patients, as well as for the management of cardiovascular diseases (particularly arterial hypertension) in OSA patients. The present document is the result of the work done by a panel of experts participating in the European Union COST (COoperation in Scientific and Technological research) ACTION B26 on OSA, with the endorsement of the European Respiratory Society (ERS) and the European Society of Hypertension (ESH). These recommendations are particularly aimed at reminding cardiovascular experts to consider the occurrence of sleep-related breathing disorders in patients with high blood pressure. They are at the same time aimed at reminding respiration experts to consider the occurrence of hypertension in patients with respiratory problems at night.
本文旨在阐述心血管(特别是高血压)患者阻塞性睡眠呼吸暂停(OSA)的治疗管理中,流行病学、病理生理学、诊断程序和治疗选择的现状,以及 OSA 患者心血管疾病(特别是动脉高血压)的治疗管理现状。本文档是参与欧盟 COST(科技合作)B26 行动中 OSA 项目的专家组的工作成果,得到了欧洲呼吸学会(ERS)和欧洲高血压学会(ESH)的认可。这些建议特别旨在提醒心血管专家注意高血压患者中睡眠相关呼吸障碍的发生。同时,这些建议也旨在提醒呼吸专家注意夜间存在呼吸问题的患者中高血压的发生。