Mano Yoshinori, Kohno Takashi, Hayashida Kentaro, Fukuoka Ryoma, Yanagisawa Ryo, Tanaka Makoto, Yashima Fumiaki, Tsuruta Hikaru, Itabashi Yuji, Murata Mitsushige, Fukuda Keiichi
Department of Cardiology, Tokyo Dental College, Ichikawa General Hospital Chiba Japan.
Division of Cardiology, Department of Medicine, Keio University School of Medicine Tokyo Japan.
Circ Rep. 2019 Apr 27;1(5):235-239. doi: 10.1253/circrep.CR-19-0009.
The prevalence, patient profile, and outcomes of sleep-disordered breathing (SDB) in aortic stenosis (AS) remain unknown, especially in East Asia. One hundred and eighty-one AS patients undergoing transcatheter aortic valve implantation (TAVI) were enrolled. Sixty-one patients (33.7%) had SDB, and lower stroke volume index was an independent determinant of SDB. Incidence of in-hospital stroke after TAVI was higher in the SDB group. SDB is associated with left ventricular systolic dysfunction in Japanese AS patients referred for TAVI. SDB was highly associated with the incidence of stroke as a procedural complication.
主动脉瓣狭窄(AS)患者中睡眠呼吸障碍(SDB)的患病率、患者特征及预后尚不清楚,尤其是在东亚地区。我们纳入了181例接受经导管主动脉瓣植入术(TAVI)的AS患者。61例患者(33.7%)存在SDB,较低的每搏输出量指数是SDB的独立决定因素。SDB组TAVI术后院内卒中发生率更高。在因TAVI就诊的日本AS患者中,SDB与左心室收缩功能障碍相关。SDB与作为手术并发症的卒中发生率高度相关。