睡眠障碍和自主神经功能障碍与心肾功能的关系。

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-11-30 DOI:10.1007/s11325-024-03168-0
Manabu Kadoya, Hidenori Koyama
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引用次数: 0

摘要

目的:研究发现睡眠障碍和自主神经功能障碍与几种代谢性疾病有关。此外,这些因素也被报道与动脉粥样硬化和心血管疾病的发展相关,独立于其他已知因素,其发病机制的细节最近受到越来越多的关注。此外,心脏和肾功能衰竭的发病率也呈上升趋势。方法:通过文献检索,探讨睡眠障碍、自主神经功能障碍和心肾功能之间的相互关系。结果:睡眠障碍和自主神经功能障碍已被证明与心肾功能以及各种代谢性疾病有强烈而直接的联系,而心脏和肾脏疾病本身已被发现具有双向关系,也可引起睡眠障碍和自主神经功能障碍。结论:睡眠障碍和自主神经功能障碍引起代谢异常,与心肾功能有直接或间接关系。随着人们对这一研究领域的关注和研究的开展,睡眠状况和自主神经功能有望在未来作为预防心力衰竭和慢性肾脏疾病的有希望的临床靶点得到更大的认可。
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Associations of sleep disorders and autonomic dysfunction with cardio-renal function.

Purpose: Studies have found that sleep disorders and autonomic dysfunction are associated with several metabolic diseases. Moreover, these factors also been reported to be related with the development of atherosclerosis and cardiovascular disease independent of other known factors, and details related to their pathogenesis have recently received increased attention. Additionally, the rates of incidence of heart and renal failure are showing an increasing trend.

Methods: A literature search was conducted to explore the interrelationship between sleep disorders, autonomic dysfunction, and cardio-renal function.

Results: Sleep disorders and autonomic dysfunction have been shown to be strongly and directly linked to cardio-renal function, as well as various metabolic disorders, while cardiac and renal diseases themselves have been found to have a bidirectional relationship, and can also cause sleep disorders and autonomic dysfunction.

Conclusion: Reported findings indicate that sleep disorders and autonomic dysfunction cause metabolic abnormalities, thus are directly or indirectly related to cardio-renal function. With increased attention given to this research field and more focused studies performed, sleep conditions and autonomic function are expected to receive greater recognition as promising clinical targets for the prevention of heart failure and chronic kidney disease in the future.

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来源期刊
Sleep and Breathing
Sleep and Breathing 医学-呼吸系统
CiteScore
5.20
自引率
4.00%
发文量
222
审稿时长
3-8 weeks
期刊介绍: The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
期刊最新文献
Severe bradycardia in patients with obstructive sleep apnoea and good early response to CPAP. Sleep apnea screening through a news portal using the STOP-bang questionnaire. Evolution of sleep disordered breathing in infants with achondroplasia. Association between obstructive sleep apnea and Tinnitus in the United States: NHANES 2005-2020. Breathtaking dreams: reduced REM phenotype in REM-related sleep apnea.
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