В статье подробно описаны основные механизмы возникновения синдрома обструктивного апноэ во время сна (СОАС). На основании крупных популяционных рандомизированных исследований в этой области показана значимость и распространенность нарушений дыхания во время сна обструктивного характера и обосновывается их клиническое значение в практике врача – терапевта и кардиолога. По данным многочисленных литературных источников продемонстрированы особенности взаимосвязи СОАС и сердечно-сосудистых заболеваний, а также приводятся основные подходы и методы лечения на современном этапе.
Ключевые слова: синдром обструктивного апноэ во время сна, патогенез, эпидемиология, диагностика, клиника, лечение, заболевания сердечно-сосудистой системы
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The paper describes the major mechanisms of occurrence of obstructive sleep apnea syndrome (OSAS). Large populationbased randomized studies in this area show the importance and prevalence of obstructive sleep respiratory disorders and provide evidence for their clinical significance in the practice of a therapist and cardiologist. Multiple references demonstrate the specific features of an association of OSAS with cardiovascular diseases, as well as major treatment approaches and methods at the present stage are given.
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Авторы
А.Ю.Литвин, И.Е.Чазова
ФГУ РКНПК Федерального агентства по высокотехнологичной медицинской помощи, Москва