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本文引用的文献

1
Regular snoring is associated with uncontrolled hypertension.习惯性打鼾与高血压失控有关。
NPJ Digit Med. 2024 Feb 17;7(1):38. doi: 10.1038/s41746-024-01026-7.
2
Cardiovascular mortality in obstructive sleep apnoea treated with continuous positive airway pressure or oral appliance: an observational study.持续气道正压通气或口腔矫治器治疗阻塞性睡眠呼吸暂停患者的心血管死亡率:一项观察性研究。
Respirology. 2013 Nov;18(8):1184-90. doi: 10.1111/resp.12140.
3
Increased prevalence of sleep-disordered breathing in adults.成年人睡眠呼吸紊乱患病率增加。
Am J Epidemiol. 2013 May 1;177(9):1006-14. doi: 10.1093/aje/kws342. Epub 2013 Apr 14.
4
Sleep apnea and cardiovascular disease: an American Heart Association/american College Of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council On Cardiovascular Nursing. In collaboration with the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health).睡眠呼吸暂停与心血管疾病:美国心脏协会/美国心脏病学会基金会科学声明,由美国心脏协会高血压研究专业教育委员会、临床心脏病学理事会、中风理事会及心血管护理理事会共同发布。与国家心肺血液研究所国家睡眠障碍研究中心(国立卫生研究院)合作。
Circulation. 2008 Sep 2;118(10):1080-111. doi: 10.1161/CIRCULATIONAHA.107.189375. Epub 2008 Aug 25.
5
Cost-effectiveness of using continuous positive airway pressure in the treatment of severe obstructive sleep apnoea/hypopnoea syndrome in the UK.在英国使用持续气道正压通气治疗重度阻塞性睡眠呼吸暂停/低通气综合征的成本效益
Thorax. 2008 Oct;63(10):860-5. doi: 10.1136/thx.2007.086454. Epub 2008 Apr 11.
6
Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study.伴有或不伴有持续气道正压通气治疗的阻塞性睡眠呼吸暂停低通气男性患者的长期心血管结局:一项观察性研究。
Lancet. 2005;365(9464):1046-53. doi: 10.1016/S0140-6736(05)71141-7.
7
Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study.睡眠呼吸障碍与心血管疾病:睡眠心脏健康研究的横断面结果
Am J Respir Crit Care Med. 2001 Jan;163(1):19-25. doi: 10.1164/ajrccm.163.1.2001008.
8
The occurrence of sleep-disordered breathing among middle-aged adults.中年成年人睡眠呼吸障碍的发生情况。
N Engl J Med. 1993 Apr 29;328(17):1230-5. doi: 10.1056/NEJM199304293281704.

睡眠呼吸暂停对心血管健康和死亡率的影响分析:一项长期队列研究

Analysis of the Impact of Sleep Apnea on Cardiovascular Health and Mortality: A Long-Term Cohort Study.

作者信息

Chawla Riddhi, Jahagirdar Abhishek, Riba Happy, Satheesh Tharini, Somwanshi Pratiksha, Behera Shiba Brata, Gulia Sunil K

机构信息

School of Dentistry, Central Asian University, Tashkent, Uzbekistan.

DDS, MDS, Associate Dentist, Lubbock, Texas, United States.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2631-S2633. doi: 10.4103/jpbs.jpbs_390_24. Epub 2024 Jul 31.

DOI:10.4103/jpbs.jpbs_390_24
PMID:39346195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426748/
Abstract

BACKGROUND

A common sleep problem linked to poor cardiovascular outcomes and death is " (SL)." Nevertheless, little is known about how SL affects cardiovascular health in the long run. The purpose of this research was to investigate the relationship between a tertiary care center's long-term cohort's cardiovascular morbidity and mortality and the severity of their SL.

METHODS

Between January 1, 2010, and December 31, 2020, 500 individuals at a tertiary care facility who had been diagnosed with SL participated in this retrospective cohort research. Electronic medical records were used to collect patient data, which were then examined for cardiovascular outcomes, treatment methods, comorbidities, sleep research findings, and demographics. Heart failure, myocardial infarction, stroke, and cardiovascular-related mortality were among the cardiovascular events that were noted throughout the follow-up period, and the severity of SL was classified using the "-."

FINDINGS

Of the 500 patients in the cohort, 60% were men and the mean age was 55.7 years. Fifty percent of people had one or more cardiovascular risk factors, including diabetes, high blood pressure, and smoking. During the course of the follow-up, 100 cardiovascular-related fatalities were reported, and 40% of patients had at least one cardiovascular event. The severity of SL was shown to be positively correlated with the occurrence of cardiovascular events (16.7% in mild, 25% in moderate, and 40% in severe SL, < 0.05).

CONCLUSION

In a cohort of patients receiving tertiary care, this research shows a substantial correlation between the severity of SL and cardiovascular morbidity and death. It is crucial to identify and treat SL early on to reduce cardiovascular risks and enhance patient outcomes. To further understand the underlying processes and develop treatment approaches for people with cardiovascular comorbidities and SL, more research is necessary.

摘要

背景

一种与不良心血管结局及死亡相关的常见睡眠问题是“睡眠呼吸暂停(SL)”。然而,从长远来看,关于睡眠呼吸暂停如何影响心血管健康,人们知之甚少。本研究的目的是调查一家三级医疗中心的长期队列中,心血管发病率和死亡率与他们睡眠呼吸暂停严重程度之间的关系。

方法

在2010年1月1日至2020年12月31日期间,一家三级医疗机构中500名被诊断患有睡眠呼吸暂停的个体参与了这项回顾性队列研究。使用电子病历收集患者数据,然后对这些数据进行心血管结局、治疗方法、合并症、睡眠研究结果及人口统计学方面的检查。在整个随访期间记录的心血管事件包括心力衰竭、心肌梗死、中风及心血管相关死亡,睡眠呼吸暂停的严重程度使用“-”进行分类。

结果

该队列中的500名患者中,60%为男性,平均年龄为55.7岁。50%的人有一个或多个心血管危险因素,包括糖尿病、高血压和吸烟。在随访过程中,报告了100例心血管相关死亡,40%的患者至少发生过一次心血管事件。睡眠呼吸暂停的严重程度与心血管事件的发生呈正相关(轻度睡眠呼吸暂停患者中为16.7%,中度为2