首页|阻塞性睡眠呼吸暂停低通气综合征合并心律失常的临床特点、发病机制与治疗进展

阻塞性睡眠呼吸暂停低通气综合征合并心律失常的临床特点、发病机制与治疗进展

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随着阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并心律失常发病率的逐年上升,其对患者生命安全和生命质量的影响日益严重,已成为当前全球范围内的重要公共卫生挑战。本文对OSAHS合并心律失常的临床特征、发病机制和治疗手段进展进行综述,旨在引起相关从业者的重视,并为该疾病的临床诊疗提供帮助。OSAHS可能合并多种心律失常类型,且多发生夜间。OSAHS合并心律失常的发病机制涉及多个互相关联的生理过程。其发生机制主要是OSAHS通常伴随的间歇性低氧和高碳酸血症,引起自主神经功能紊乱和胸腔内负压的改变,进而导致心肌缺血、氧化应激、炎症反应及内皮损伤,甚至改变心脏结构和功能。因此,治疗OSAHS合并心律失常需要综合的医疗方法,旨在改善OSAHS的管理和处理心律失常本身。
Progress of clinical characteristics,pathogenesis and treatment of obstruc-tive sleep apnea hypopnea syndrome complicated with arrhythmias
With the increasing incidence of obstructive sleep apnea hypopnea syndrome(OSAHS)complicated with ar-rhythmia year by year,its impact on patients'life safety and quality of life is becoming increasingly serious,and it has be-come an important public health challenge worldwide.This article reviews the clinical characteristics,pathogenesis and treatment progress of OSAHS complicated with arrhythmia,aiming to attract the attention of relevant practitioners and pro-vide help for the clinical diagnosis and treatment of this disease.OSAHS may be associated with a variety of arrhythmia types,and most of them occur at night.The pathogenesis of OSAHS combined with arrhythmia involves several interrelated physiological processes.The main mechanism of its occurrence is intermittent hypoxia and hypercapnia usually accompanied by OSAHS,which cause autonomic nervous dysfunction and the change of negative pressure in the chest,and then lead to myocardial ischemia,oxidative stress,inflammatory response and endothelial damage,and even change the heart structure and function.Therefore,the treatment of OSAHS combined with arrhythmia requires a comprehensive medical approach aimed at improving the management of OSAHS and dealing with the arrhythmia itself.

Obstructive sleep apnea hypopnea syndromeArrhythmiasClinical characteristicPathogenesisTreatment method

张仁丹、倪会芳

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深圳市龙华区中心医院老年医学科,广东深圳 518110

阻塞性睡眠呼吸暂停低通气综合征 心律失常 临床特点 发病机制 治疗手段

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(21)