Связь обструктивного апноэ сна и сердечно-сосудистых заболеваний с позиций доказательной медицины. Часть 2
Аннотация
В обзоре, посвященном ассоциациям обструктивного апноэ сна (ОАС) и сердечно-сосудистых заболеваний, проанализированы данные проспективных исследований, метаанализов и систематических обзоров. Вторая часть обзора посвящена анализу взаимосвязей ОАС и таких сердечно-сосудистых заболеваний как ишемическая болезнь сердца, цереброваскулярные заболевания, хроническая сердечная недостаточность, легочная гипертензия. Все они с разной степенью достоверности ассоциированы с обструктивными нарушениями дыхания во сне. Среди этих заболеваний наиболее тесные ассоциации показаны для ОАС и хронической сердечной недостаточности ОАС и цереброваскулярных заболеваний. Отдельно рассматривается вопрос о взаимосвязи ОАС с сердечно-сосудистой смертностью. В большинстве наблюдательных исследований показано, что ОАС без последующей коррекции влияет на ее увеличение.
Об авторах
М, В. Агальцов
ФГБУ “Национальный медицинский исследовательский центр терапии и профилактической медицины” Минздрава России
Россия
Россия
Агальцов Михаил Викторович — кандидат медицинских наук, старший научный сотрудник отдела фундаментальных и прикладных аспектов ожирения
Москва
О. М. Драпкина
ФГБУ “Национальный медицинский исследовательский центр терапии и профилактической медицины” Минздрава России
Драпкина Оксана Михайловна — доктор медицинских наук, профессор, член-корреспондент РАН, руководитель отдела фундаментальных и прикладных аспектов ожирения, директор
Москва
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Рецензия
Для цитирования:
Агальцов М.В., Драпкина О.М. Связь обструктивного апноэ сна и сердечно-сосудистых заболеваний с позиций доказательной медицины. Часть 2. Кардиоваскулярная терапия и профилактика. 2020;19(3):2405.
For citation:
Agaltsov M.V., Drapkina O.M. The relationship of obstructive sleep apnea and cardiovascular diseases from the perspective of evidence-based medicine. Part 2. Cardiovascular Therapy and Prevention. 2020;19(3):2405. (In Russ.)
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