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推荐心房颤动、高血压和心力衰竭患者睡眠呼吸障碍的评估和管理:台湾心脏病学会/台湾睡眠医学会/台湾肺和重症医学学会联合共识声明。

Recommended assessment and management of sleep disordered breathing in patients with atrial fibrillation, hypertension and heart failure: Taiwan Society of Cardiology/Taiwan Society of sleep Medicine/Taiwan Society of pulmonary and Critical Care Medicine joint consensus statement.

机构信息

Center of Sleep Disorder, National Taiwan University Hospital, Taipei, Taiwan; School of Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.

Division of Cardiology, Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.

出版信息

J Formos Med Assoc. 2024 Feb;123(2):159-178. doi: 10.1016/j.jfma.2023.08.024. Epub 2023 Sep 14.

Abstract

Sleep disordered breathing (SDB) is highly prevalent and may be linked to cardiovascular disease in a bidirectional manner. The Taiwan Society of Cardiology, Taiwan Society of Sleep Medicine and Taiwan Society of Pulmonary and Critical Care Medicine established a task force of experts to evaluate the evidence regarding the assessment and management of SDB in patients with atrial fibrillation (AF), hypertension and heart failure with reduced ejection fraction (HFrEF). The GRADE process was used to assess the evidence associated with 15 formulated questions. The task force developed recommendations and determined strength (Strong, Weak) and direction (For, Against) based on the quality of evidence, balance of benefits and harms, patient values and preferences, and resource use. The resulting 11 recommendations are intended to guide clinicians in determining which the specific patient-care strategy should be utilized by clinicians based on the needs of individual patients.

摘要

睡眠呼吸障碍(SDB)极为普遍,并且可能以双向方式与心血管疾病相关。台湾心脏病学会、台湾睡眠医学会和台湾呼吸暨重症加护医学会成立了一个专家工作组,以评估有关评估和管理心房颤动(AF)、高血压和射血分数降低的心力衰竭(HFrEF)患者的 SDB 的证据。使用 GRADE 流程评估与 15 个制定问题相关的证据。工作组根据证据质量、获益与风险平衡、患者价值观和偏好以及资源利用制定了建议,并确定了建议的强度(强、弱)和方向(支持、反对)。这 11 项建议旨在指导临床医生根据患者的具体需求确定特定的患者护理策略应被临床医生采用。

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