心血管疾病患者阻塞性睡眠呼吸暂停评估与管理专家共识(2024版)

Expert Consensus on the Evaluation and Management of Obstructive Sleep Apnea in Patients With Cardiovascular Disease(2024 Edition)

随着我国心血管疾病(CVD)患病率和死亡率的不断上升,识别和管理CVD危险因素的重要性与日俱增。阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠呼吸障碍性疾病,据推算全球30~69岁人群中约有9.36亿人罹患此病,而我国患病人数高达1.76亿,居全球首位。越来越多的研究表明,OSA与各种CVD的发生和发展密切相关,且深刻影响预后。然而,在CVD临床诊疗实践中,OSA却长期未能得到充分的认识和治疗。为此,国家心血管病专家委员会、中国医师协会睡眠医学专业委员会心血管学组、中国老年学和老年医学学会睡眠科学与技术分会老年睡眠障碍与心肺血管学组组织多学科专家,共同制定了《心血管疾病患者阻塞性睡眠呼吸暂停评估与管理专家共识(2024版)》。本共识涵盖了CVD患者合并OSA的筛查、诊断、治疗和随访等核心临床问题,基于当前循证医学证据,经过多次讨论和投票表决,最终对常见的17个临床问题形成17条推荐意见,旨在为我国CVD患者中OSA的评估和管理提供规范性指导,为临床决策提供依据,从而提高临床诊疗水平和医疗服务质量。

As cardiovascular disease(CVD)incidence and mortality rates continue to rise in China,the importance of identifying and managing CVD risk factors grows.Obstructive sleep apnea(OSA)is a prevalent sleep-related breathing disorder,affecting an estimated 936 million individuals aged 30-69 worldwide,with China leading globally with 176 million affected.Increasing research indicates a close association between OSA and the onset and progression of various CVD,significantly affecting outcomes.However,OSA has long been underrecognized and undertreated in CVD clinical practice.To address this,National Expert Commission for Cardiovascular Diseases,Cardiovascular Group,Chinese Academy Society of Sleep Medicine,Chinese Medical Doctor Association,and Geriatric Sleep Disorders and Cardiopulmonary Group,Division of Sleep Science and Technology,China Association of Gerontology and Geriatrics convened multidisplinary experts to formulate the"Expert Consensus on the Evaluation and Management of Obstructive Sleep Apnea in Patients With Cardiovascular Diseases(2024 Edition)".This consensus addresses core clinical issues such as screening,diagnosis,treatment,and follow-up of CVD patients with OSA.It offers 17 recommendations on common clinical questions,based on current evidence-based medicine,following extensive discussions and votes,aiming to standardize the assessment and management of OSA in Chinese CVD patients,support clinical decision-making,and improve clinical care and service quality.