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习惯性打鼾个体中有许多罹患阻塞性睡眠呼吸暂停(0SA),心血管病的危险性也增加了。OSA与右心衰有关系很早被公认,但引起左心功能紊乱却很少有人注意。该作者研究8名男性(年龄29～69岁)均为过度肥胖的特发性心脏病引起的充血性心衰通过持续性经鼻气道正压通气(NCPAP)纠正OSA使左心功能改善。实验患者:①至少有一次充血性心衰史,混合性呼吸困难,周围性水肿,心脏肥大,肺充血;②混合性呼吸困难经药物治疗无效;③左心室收缩力损害证据(左心室喷射指数LVEF<55%);(4)正常的冠状血流图;(5)右心室为特发性扩张性心脏病无心肌炎证据:⑥
Many individuals with habitual snoring suffer from obstructive sleep apnea (OAA) and the risk of cardiovascular disease is also increased. OSA and right heart failure has long been recognized as a relationship, but left ventricular dysfunction was seldom noticed. The authors studied congestive heart failure in 8 men (aged 29-69 years) with idiopathic heart disease that was over-obese. Left ventricular function improved by continuous nasal positive airway pressure (NCPAP) correction of OSA. Experimental patients: ① at least one history of congestive heart failure, mixed dyspnea, peripheral edema, cardiac hypertrophy, pulmonary congestion; ② mixed dyspnea by drug therapy is invalid; ③ evidence of left ventricular contractile impairment (left ventricular ejection index LVEF <55%); (4) normal coronary blood flow diagram; (5) right ventricle as idiopathic dilated heart disease without myocarditis evidence: ⑥