icon fsr

文献詳細

雑誌文献

臨床検査68巻9号

2024年09月発行

文献概要

今月の特集 知っておきたい睡眠時無呼吸症候群

睡眠時無呼吸症候群と循環器疾患

著者: 伊東由圭12 葛西隆敏23

所属機関: 1順天堂大学大学院医学研究科麻酔科・ペインクリニック科 2順天堂大学医学部附属順天堂医院 睡眠・呼吸障害センター 3順天堂大学大学院医学研究科循環器内科学

ページ範囲:P.1076 - P.1083

文献購入ページに移動
Point

●睡眠時無呼吸症候群(SAS)には閉塞性睡眠時無呼吸(OSA)と中枢性睡眠時無呼吸(CSA)の2種類があり,循環器疾患,特に心不全はCSAを高率に合併する.

●SASを治療することで,循環器疾患への一次予防,二次予防につながる可能性がある.

●循環器領域ではSASの積極的なスクリーニングや治療導入後の有効性の評価が重要であり,臨床検査に求められるところが大きい.

参考文献

1)日本循環器学会,日本高血圧学会,日本呼吸器学会,他:2021-2022年度活動 2023年改訂版 循環器領域における睡眠呼吸障害の診断・治療に関するガイドライン,2023
2)Guilleminault C, Motta J, Mihm F, et al:Obstructive sleep apnea and cardiac index. Chest 89:331-334,1986
3)Louis M, Punjabi NM:Effects of acute intermittent hypoxia on glucose metabolism in awake healthy volunteers. J Appl Physiol (1985) 106:1538-1544,2009
4)Peppard PE, Young T, Palta M, et al:Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 284:3015-3021,2000
5)Rotenberg BW, Murariu D, Pang KP:Trends in CPAP adherence over twenty years of data collection: a flattened curve. J Otolaryngol Head Neck Surg 45:43,2016
6)Schwartz AR, Goldberg LR, McKane S, et al:Transvenous phrenic nerve stimulation improves central sleep apnea, sleep quality, and quality of life regardless of prior positive airway pressure treatment. Sleep Breath 25:2053-2063,2021
7)Broström A, Sunnergren O, Årestedt K, et al:Factors associated with undiagnosed obstructive sleep apnoea in hypertensive primary care patients. Scand J Prim Health Care 30:107-113,2012
8)Logan AG, Perlikowski SM, Mente A, et al:High prevalence of unrecognized sleep apnoea in drug-resistant hypertension. J Hypertens 19:2271-2277,2001
9)Kario K:Obstructive sleep apnea syndrome and hypertension: ambulatory blood pressure. Hypertens Res 32:428-432,2009
10)Phillips CL, Grunstein RR, Darendeliler MA, et al:Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. Am J Respir Crit Care Med 187:879-887,2013
11)Albuquerque FN, Calvin AD, Sert Kuniyoshi FH, et al:Sleep-disordered breathing and excessive daytime sleepiness in patients with atrial fibrillation. Chest 141:967-973,2012
12)Tanaka N, Tanaka K, Hirao Y, et al:Home Sleep Apnea Test to Screen Patients With Atrial Fibrillation for Sleep Apnea Prior to Catheter Ablation. Circ J 85:252-260,2021
13)Mehra R, Benjamin EJ, Shahar E, et al:Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. Am J Respir Crit Care Med 173:910-916,2006
14)Traaen GM, Aakerøy L, Hunt TE, et al:Effect of Continuous Positive Airway Pressure on Arrhythmia in Atrial Fibrillation and Sleep Apnea: A Randomized Controlled Trial. Am J Respir Crit Care Med 204:573-582,2021
15)Fein AS, Shvilkin A, Shah D, et al:Treatment of obstructive sleep apnea reduces the risk of atrial fibrillation recurrence after catheter ablation. J Am Coll Cardiol 62:300-305,2013
16)Javaheri S, Barbe F, Campos-Rodriguez F, et al:Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. J Am Coll Cardiol 69:841-858,2017
17)Kasai T, Floras JS, Bradley TD:Sleep apnea and cardiovascular disease: a bidirectional relationship. Circulation 126:1495-1510,2012
18)Wang H, Parker JD, Newton GE, et al:Influence of obstructive sleep apnea on mortality in patients with heart failure. J Am Coll Cardiol 49:1625-1631,2007
19)Javaheri S, Shukla R, Zeigler H, et al:Central sleep apnea, right ventricular dysfunction, and low diastolic blood pressure are predictors of mortality in systolic heart failure. J Am Coll Cardiol 49:2028-2034,2007
20)Arzt M, Oldenburg O, Graml A, et al:Phenotyping of Sleep-Disordered Breathing in Patients With Chronic Heart Failure With Reduced Ejection Fraction-the SchlaHF Registry. J Am Heart Assoc 6:e005899,2017
21)Cowie MR, Woehrle H, Wegscheider K, et al:Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Heart Failure. N Engl J Med 373:1095-1105,2015
22)Bradley TD, Logan AG, Lorenzi Filho G, et al:ADVENT-HF Investigators. Adaptive servo-ventilation for sleep-disordered breathing in patients with heart failure with reduced ejection fraction (ADVENT-HF): a multicentre, multinational, parallel-group, open-label, phase 3 randomised controlled trial. Lancet Respir Med 12:153-166,2024
23)日本循環器学会,日本心不全学会:心不全症例におけるASV適正使用に関するステートメント(第2報),2016(http://www.j-circ.or.jp/information/ASV_tekiseiriyou_rep2.pdf)(最終アクセス:2024年4月30日)
24)Sasayama S, Izumi T, Seino Y, et al:Effects of nocturnal oxygen therapy on outcome measures in patients with chronic heart failure and cheyne-stokes respiration. Circ J 70:1-7,2006
25)Sasayama S, Izumi T, Matsuzaki M, et al:Improvement of quality of life with nocturnal oxygen therapy in heart failure patients with central sleep apnea. Circ J 73:1255-1262,2009

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?