CAJ | 학술논문

慢性充血性心力衰竭(CHF)是一种复杂的临床综合征,发病率和病死率都极高.心力衰竭患者中睡眠呼吸障碍的发病率极高,对心力衰竭患者的预后产生极为不利的影响.陈-施呼吸(CSR)是最常见的一种中枢性呼吸暂停,但关于该综合征的确切的诊断标准、减少CSR的最有效方法、以及这是否能够降低CHF的致残率和病死率等方面,存在许多不同观点.另外,究竟CSR只是反应CHF严重程度的一个参数,还是一种可导致远期不良预后的严重并发症,亦尚存争议.本文对慢性心力衰竭患者的中枢性睡眠呼吸暂停的诊治进展进行了简要综述.
만성충혈성심력쇠갈(CHF)시일충복잡적림상종합정,발병솔화병사솔도겁고.심력쇠갈환자중수면호흡장애적발병솔겁고,대심력쇠갈환자적예후산생겁위불리적영향.진-시호흡(CSR)시최상견적일충중추성호흡잠정,단관우해종합정적학절적진단표준、감소CSR적최유효방법、이급저시부능구강저CHF적치잔솔화병사솔등방면,존재허다불동관점.령외,구경CSR지시반응CHF엄중정도적일개삼수,환시일충가도치원기불량예후적엄중병발증,역상존쟁의.본문대만성심력쇠갈환자적중추성수면호흡잠정적진치진전진행료간요종술.
Chronic systolic heart failure (CHF) is a complex clinical syndrome that is characterized by high morbidity and mortality.Sleep disordered breathing (SDB) is highly prevalent in CHF,and seems to have a signifcant adverse effect on prognosis.Cheyne-Stokes respiration (CSR) is a common form of central sleep apnea (CSA),but signifcant controversy still exists about the exact criteria for the diagnosis of the syndrome,as well as which is the most effective therapy for apnea alleviation and whether this is associated with reduced CHF morbidity and mortality.In addition,controversy exists as to whether CSA-CSR is simply an index of CHF severity,or a serious comorbidity with adverse long term prognostic implications.This article review the available data on these controversial issues.