Uwishema Olivier, Nazir Abubakar, Munyangaju Isabelle, Shariff Sanobar, Al Komi Omar, Chibueze Nweke, Wojtara Magda
Oli Health Magazine Organization, Research and Education, Kigali, Rwanda.
Department of Medicine, King Edward Medical University, Pakistan.
Ann Med Surg (Lond). 2024 Aug 6;86(9):5283-5291. doi: 10.1097/MS9.0000000000002414. eCollection 2024 Sep.
Sleep disorders represent common complaints in different medical illnesses. They encompass a risk for diverse inflammatory, metabolic, and cardiovascular diseases. Sleep disorders include disorders of hypersomnolence, insomnia, parasomnias, sleep-related movement disorders, circadian rhythm sleep-wake-disorders, and sleep-related breathing disorders, each one of which was associated with increased cardiovascular disease risk in a different mechanism. In this review, the authors address the most recent research on the correlation between sleep and CVD.
The literature on sleep disorders and their potential links to various cardiovascular diseases was reviewed in narrative form. For the published papers up to June 2023, the authors searched the databases of PubMed and Google Scholar. Literature demonstrating the relationship between these illnesses, pathophysiological mechanisms, diagnosis, and various therapeutic approaches was included.
Sleep disorders were significantly linked to heart rate variability, hypertension, and obesity, which can eventually result in cardiovascular consequences and affect mortality and morbidity. The disruption in sleep cycles, which can be noticed in different sleep disorders, can obviously result in blood pressure, heart rate, and other cardiac functions. The clinical assessment acts as the cornerstone in the diagnosis of different spectrums of sleep disorders. The management of sleep disorders ranges from cognitive-behavioral therapy to continuous positive airway pressure (CPAP).
Additional research on the topic is needed to pinpoint any potential links and pathological processes. To improve clinical treatment and preventive measures, further observational studies should emphasize the reliability of early diagnostic signs.
睡眠障碍是不同医学疾病中常见的主诉。它们包含引发各种炎症、代谢和心血管疾病的风险。睡眠障碍包括过度嗜睡症、失眠症、异态睡眠、睡眠相关运动障碍、昼夜节律睡眠-觉醒障碍以及睡眠相关呼吸障碍,每一种都通过不同机制与心血管疾病风险增加相关。在本综述中,作者阐述了关于睡眠与心血管疾病相关性的最新研究。
以叙述形式回顾了关于睡眠障碍及其与各种心血管疾病潜在联系的文献。对于截至2023年6月发表的论文,作者检索了PubMed和谷歌学术数据库。纳入了证明这些疾病之间关系、病理生理机制、诊断和各种治疗方法的文献。
睡眠障碍与心率变异性、高血压和肥胖显著相关,最终可能导致心血管后果并影响死亡率和发病率。在不同睡眠障碍中可观察到的睡眠周期紊乱显然会导致血压、心率和其他心脏功能的变化。临床评估是诊断不同类型睡眠障碍的基石。睡眠障碍的管理范围从认知行为疗法到持续气道正压通气(CPAP)。
需要对该主题进行更多研究以确定任何潜在联系和病理过程。为了改善临床治疗和预防措施,进一步的观察性研究应强调早期诊断体征的可靠性。