russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2018-1-78-82russjcardiol-1062Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWСИНДРОМ ОБСТРУКТИВНОГО АПНОЭ ВО СНЕ ПРИ ХРОНИЧЕСКОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТИ: ВЗГЛЯД КАРДИОЛОГАOBSTRUCTIVE SLEEP APNEA SYNDROME IN CONGESTIVE HEART FAILURE: CARDIOLOGIST PERSPECTIVEМедведеваЕ. А.MedvedevaE. A.

Медведева Елена Александровна — врач-кардиолог консультативно-диагностического центра.

Санкт-Петербург

Saint-Petersburg

elena5583@mail.ruКоростовцеваЛ. С.KorostovtsevaL. S.

Коростовцева Людмила Сергеевна — научный сотрудник рабочей группы по сомнологии НИО артериальной гипертензии.

Saint-Petersburg

korostovtseva_ls@almazovcentre.ruСазоноваЮ. В.SazonovaYu. V.

Сазонова Юлия Вячеславовна — врач-кардиолог кардиологического отделения № 8.

Санкт-Петербург

Saint-Petersburg

yulia.via.sazonova@gmail.comБочкарёвМ. В.BochkarevM. V.

Бочкарёв Михаил Викторович — младший научный сотрудник рабочей группы по сомнологии НИО артериальной гипертензии.

Санкт-Петербург

Saint-Petersburg

michail_bv@list.ruСвиряевЮ. В.SviryaevYu. V.

Свиряев Юрий Владимирович — доктор медицинских наук, руководитель рабочей группы по сомнологии, руководитель лаборатории сравнительной сомнологии и нейроэндокринологии

Санкт-Петербург

Saint-Petersburg

yusvyr@yandex.ruКонрадиА. О.KonradiA. О.

Конради Александра Олеговна — доктор медицинских наук, зам. генерального директора по научной работе, руководитель НИО артериальной гипертензии, директор Института

Saint-Petersburg

konradi_ao@almazovcentre.ruФГБУ Северо-Западный федеральный медицинский исследовательский центр им. В.А. Алмазова Минздрава РоссииРоссияFederal Almazov North-West Medical Research Centre of the Ministry of HealthRussian FederationФГБУ Северо-Западный федеральный медицинский исследовательский центр им. В.А. Алмазова Минздрава России; ФГБУ науки Институт эволюционной физиологии и биохимии имени И.М. Сеченова РАНРоссияFederal Almazov North-West Medical Research Centre of the Ministry of Health; Sechenov Institute of Evolution Physiology and BiochemistryRussian FederationФГБУ Северо-Западный федеральный медицинский исследовательский центр им. В.А. Алмазова Минздрава России; ГАОУ ВО Санкт-Петербургский национальный исследовательский университет информационных технологий, механики и оптики, Институт трансляционной медициныРоссияFederal Almazov North-West Medical Research Centre of the Ministry of Health; Saint-Petersburg National Research University of Informational Technologies, Mechanics and Optics, Translational Medicine InstituteRussian Federation201808032018017882Copyright © Медведева Е.А., Коростовцева Л.С., Сазонова Ю.В., Бочкарёв М.В., Свиряев Ю.В., Конради А.О., 20182018Медведева Е.А., Коростовцева Л.С., Сазонова Ю.В., Бочкарёв М.В., Свиряев Ю.В., Конради А.О.Medvedeva E.A., Korostovtseva L.S., Sazonova Y.V., Bochkarev M.V., Sviryaev Y.V., Konradi A.О.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/1062

В обзоре представлены данные о нарушениях дыхания во сне у пациентов с хронической сердечной недостаточностью с акцентом на синдром обструктивного апноэ во время сна (СОАС). Обсуждаются аспекты распространённости, патогенеза, диагностики и особенностей терапии СОАС при сниженной и сохранённой фракции выброса. Представлены собственные результаты по оценке нарушений дыхания во сне у пациентов с тяжёлой систолической дисфункцией. Обоснована необходимость персонализированного диагностического и терапевтического подхода к пациентам с синдромом обструктивного апноэ сна, который является не только фактором риска развития сердечной недостаточности, но и коморбидным состоянием на разных этапах сердечно-сосудистого континуума.

In the review, the data presented, on sleep disordered respiration in chronic heart failure patients with emphazis on sleep apnea syndrome (SAS). The aspects of prevalence are discussed, as of pathogenesis, diagnostics and specifics of SAS management in decreased or normal ejection fraction. The original results presented, on the disordered breathing assessment in patients with severe systolic dysfunction. The necessity underscored for personalized diagnostic and management approach to obstructive sleep apnea syndrome which is not just a risk factor for heart failure, but is a comorbidity at various stages of cardiovascular continuum.

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The authors declare that there are no conflicts of interest present.