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冠状动脉搭桥术后房颤的危险因素:阻塞性睡眠呼吸暂停的作用。

Risk factors for post coronary artery bypass graft atrial fibrillation: role of obstructive sleep apnea.

作者信息

Qaddoura Amro, Baranchuk Adrian

机构信息

Division of Cardiology, Kingston General Hospital, Queen’s University, Kingston, Ontario, Canada. Address: Adrian Baranchuk MD FACC FRCPC, Professor of Medicine, Head, Heart Rhythm Service, 76 Stuart St, Kingston, ON, Canada, K7P1C7. Email:

Division of Cardiology, Kingston General Hospital, Queen’s University, Kingston, Ontario, Canada.

出版信息

Medwave. 2016 Dec 21;16(Suppl4):e6810. doi: 10.5867/medwave.2016.6810.

Abstract

In this chapter, we start by discussing coronary artery bypass grafting and the most common complication after surgery – post coronary artery bypass grafting atrial fibrillation (PCAF). We then discuss the major risk factors for PCAF, and subsequently conduct an in-depth discussion of obstructive sleep apnea as a risk factor. In this endeavor, we outline how obstructive sleep apnea is diagnosed, its pathophysiological relationship to PCAF, and recent clinical studies investigating the association between obstructive sleep apnea and PCAF. We conclude with prevention and treatment strategies for PCAF, and a discussion of future research recommendations.

摘要

在本章中,我们首先讨论冠状动脉旁路移植术以及该手术后最常见的并发症——冠状动脉旁路移植术后房颤(PCAF)。然后,我们讨论PCAF的主要危险因素,随后深入探讨阻塞性睡眠呼吸暂停作为一种危险因素。在此过程中,我们概述了阻塞性睡眠呼吸暂停的诊断方法、其与PCAF的病理生理关系,以及近期研究阻塞性睡眠呼吸暂停与PCAF之间关联的临床研究。我们最后阐述了PCAF的预防和治疗策略,并讨论了未来的研究建议。

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