Baguet Jean-Philippe
Groupe hospitalier mutualiste de Grenoble, service de cardiologie, 8, rue Docteur-Calmette, 38028 Grenoble, France; Université Grenoble Alpes, radiopharmaceutiques biocliniques, Inserm U1039, 38043 Grenoble, France.
Presse Med. 2016 Oct;45(10):892-897. doi: 10.1016/j.lpm.2016.05.020. Epub 2016 Sep 7.
Obstructive sleep apnea (OSA) is a common disease, often present in "cardiovascular or metabolic patients". OSA favours the occurrence of arterial lesions, all the more if severe. There is a strong relationship between OSA and acute aortic syndromes (AAS). This relationship is in part explained by aortic dilatation linked to OSA. The presence of repeated episodes of sudden variation of transmural pressure applied on aortic wall seems to play a major role in this dilatation. All OSA patients should have a search of aortic dilatation by ultrasound (at a thoracic and abdominal level). Also, screening of OSA should be systematically performed in patients with aortic disease. The effect of continuous positive airway pressure in apneic patients with AAS has not been studied.
阻塞性睡眠呼吸暂停（OSA）是一种常见疾病，常在“心血管或代谢疾病患者”中出现。OSA易引发动脉病变，病情越严重，这种可能性就越大。OSA与急性主动脉综合征（AAS）之间存在密切关系。这种关系部分可归因于与OSA相关的主动脉扩张。作用于主动脉壁的跨壁压力突然变化的反复发生似乎在这种扩张中起主要作用。所有OSA患者都应通过超声检查（在胸段和腹段水平）排查主动脉扩张情况。此外，对于患有主动脉疾病的患者，应系统地进行OSA筛查。持续气道正压通气对患有AAS的呼吸暂停患者的影响尚未得到研究。
