, M.D.
...
12 20-23 2015
(OSA)
,
,
Chest 2009 Nov 135:1488-95
~ 25%
25
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2 /
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, . 1 5
: ,
A. (>
5 / h )
B.
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.
.
.
.
. Sleep Medicine 2007; 8:402-428
( )
GER
-
libido
Sleep Medicine 2007; 8:402-28
(CVD)
CVD
2-3
Texas Heart Institute Houston
2011; 38(4):340-43
(10% 32% )
(, )
,
(peak ~ 50)
Sleep Medicine 2007; 8:402-28,
Editorial, Chest 2005; 127(1):1-3
2 stress
@
;
1651 .
1651 .
CVD
105 .,
66%
&
OSA
ST (SaO2)
K ST
structural
- ;
Editorial, Chest 2005; 127(1):1-3
- HR
30% . ..
~ 45% . .
.. CVD
Pimenta E. IJKD 2011; 5:215-27, Sleep Medicine 2007; 8:402-28, Chest 2007; 132:1847-52
42 . :
83% S
( > 10 / )
J Hypert 2001; 19:2271-7
SA
,
, ..
CPAP
CHEST 2013; 143(5):12941301, CHEST 2007; 132:1847-1852
10-30% .
OSA
~ 50% CHF
OSA, , / CSR
OSA
in HF -
.
(SV)
iii. 2
v.
,
AJRCCM 2006; 173:1300-1308
, CPAP
, 3 ,
.
remodeling, ,
CMRI
Chest 2012; 141(3):674-81
OSA, 50%
,
CPAP
Sleep Medicine 2007; 8:402-28
Chest 2007; 131:1406-13
Cardiovascular Variability
and OSA
OSA
. heart rate
variability, .
. variability,
MOF
Am Col Cardiology 2008
Aug 19, 52 (8): 686-717
& Sudden
Death
112 Minessota residents,
-
1987-2003
Sudden death; 46%
. OSA 21% .
OSA (p=0.01) (noon-6.00 a.m.)
Somers, NEJM 2005; 352(12):1206-1214
1.
2.
3.
S Guidelines 2005
4.
5.
6.
S Guidelines 2005
..
1.682 : 25%
;
.
(Multiple linear
regression)
Thorax 2006 Aug 23
1.387 (Wisconsin); > 15
15% vs 3% < 5
.
(SDB)
182 . A
/ / -
> 10 / h, 69/182 . (37%)
- Sat O2 (
),
. (p<0.05)
Koutsovasilis A., ..10 th Meeting of the Mediterranean Group for
the Study of Diabetes; 2007:April 26-29: 145
J Appl Physiol 2005 Nov;99(5): 1998-2007
2
&
i.
ii. 2
iii.
(, /..)
iv.-
(TNF, L-6..)
J Appl Physiol 2005 Nov;99(5): 1998-2007
J Appl Physiol 2005 Nov;99(5): 1998-2007
Sleep Heart Health Study; 2.656
,
(ultivariable
linear regresion analysis)
m J Epid 2004; 160(6):521-30, Sleep Medicine 2007; 8:402-28,
Clinics 2006 Jun;61(3): 253-66, Sleep Med Rev 2005; 9(3):211-24
,
,
(Multivariable linear regresion
analysis)
m J Epid 2004; 160(6):521-30
Sleep Medicine 2007; 8:402-28,
CPAP
CPAP
, CPAP
HbA1c
Arch Intern Med 2005; 165(4):447-52
Sleep Breath 2005 Dec;9(4): 176-80
C-PAP
C-PAP ?
1651 .
1651 .
cho
47 , 2007-10, CMRI
Chest 2012; 141(3):674-81
MRI
47 , 2007-10, CMRI
Chest 2012; 141(3):674-81
i. OSA:
ii. OSA:
&
iii. OSA:
Editorial, Chest 2005; 127(1):1-3
Progr Cardiov Dis 2009; 51(5): 434-51