اختناقات النو٠عند الس٠ينين و٠ضاعفاتها الصحية

د.‏ سهيلة ابراهين الجىدراستشارية األهراض الصدرية و طب النىمهجوع السلوانية الطبي-البحرين

‏:مزاحل النوم / Stages • Sleep• N1• N2• N3• REM

دراسة النوم / Study • Sleep

• Apnea/Hypopnea index (AHI):• 30/hr: severe

جهاس الضغط الموجة CPAP/

• Avoid alcohol• Avoid sedatives• Weight loss : 10% loss lowers AHI by 50%

ارتفاع ضغط الدم / Hypertension• 50 % of OSA patients have hypertension• 30 % of hypertension patients have OSA• 83-90% of refractory hypertension haveOSA

Peppard et al. NEJM. 2000; 342:1378-1384

فشل القلة / Failure Heart• OSA associated with a 2.38 relative oddsfor CHF independent of other known riskfactors• 30% of heart failure patients have OSA• Most are asymptomatic

الجلطات الدماغية / Stroke• 50-60 % of stroke patients have OSA• Severe OSA >30/hr increases the risk ofstroke by 3-4 folds• Treating OSA can help with post-strokerehabilitation

اضطزاب ضزتات القلة / Arrythmias• Nocturnal arrythmias occur in 50% of OSApatients• Treating OSA can resolve the arrythmiaswithout the need for further interventions

الذتحه الصدرية/‏Infarction Myocardial• 30% of CAD patients has OSA• Most common cause of nocturnal angina

• Dyslipidemia• Atherosclerosis• Impaired glucose control• Impaired cognitive function• Sexual dysfuction

Conclusion• OSA is common and undiagnosed problem• Is associated with significant cardiovascularmorbidities and mortalities• Early diagnosis and treatment is associatedwith better outcome• Obesity is a major modifiable risk factor forOSA

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