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心力衰竭患者睡眠呼吸障碍的识别与管理实用方法

A Practical Approach to the Identification and Management of Sleep-Disordered Breathing in Heart Failure Patients.

作者信息

Kahwash Rami, Khayat Rami N

机构信息

Section of Heart Failure and Transplant, Division of Cardiovascular Medicine, Davis Heart & Lung Research Institute, The Ohio State University, 473 West 12th Avenue, Columbus, OH 43210, USA.

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Davis Heart & Lung Research Institute, The Ohio State University, 473 West 12th Avenue, Columbus, OH 43210, USA.

出版信息

Sleep Med Clin. 2017 Jun;12(2):205-219. doi: 10.1016/j.jsmc.2017.01.002. Epub 2017 Mar 9.

Abstract

Sleep-disordered breathing (SDB) is a major health problem affecting much of the general population. Although SDB is responsible for rapid progression of heart failure (HF) and the worsening morbidity and mortality, advanced HF state is associated with accelerated development of SDB. In the face of recent developments in SDB treatment and availability of effective therapeutic options known to improve quality of life, exercise tolerance, and heart function, most HF patients with SDB are left unrecognized and untreated. This article provides an overview of SDB in HF with focus on practical approaches intended to facilitate screening and treatment.

摘要

睡眠呼吸障碍(SDB)是一个影响大部分普通人群的主要健康问题。尽管SDB会导致心力衰竭(HF)快速进展以及发病率和死亡率恶化,但晚期HF状态与SDB的加速发展有关。面对SDB治疗的最新进展以及已知可改善生活质量、运动耐量和心脏功能的有效治疗选择,大多数患有SDB的HF患者仍未被识别和治疗。本文概述了HF中的SDB,重点关注旨在促进筛查和治疗的实用方法。

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