2018, Número 2
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Rev Neurol Neurocir Psiquiat 2018; 46 (2)
Consecuencias cardiovasculares del síndrome apnea-hipopnea del sueño
Sánchez UJT
Idioma: Español
Referencias bibliográficas: 24
Paginas: 58-64
Archivo PDF: 249.29 Kb.
RESUMEN
El síndrome de apnea-hipopnea del sueño representa en la actualidad uno de los factores de riesgo más significativos para la enfermedad cardiovascular, desde ser considerado la segunda causa más frecuente de hipertensión arterial sistémica secundaria hasta ser un factor de riesgo para muerte súbita tanto en arritmias como en insuficiencia cardiaca. Es indispensable no sólo diagnosticar de manera adecuada el síndrome de apnea-hipopnea, sino más aún, caracterizarlo en forma apropiada, definir con claridad cuáles son los mecanismos etiológicos que la propician, tanto anatómicos como mecánicos, y realizar una cuantificación correcta. La presión positiva continua es un tratamiento útil para esta entidad, si bien tiene un serio problema de adherencia; hay que resaltar que no es el tratamiento ideal para todos los pacientes y que resulta indispensable hacer una indicación adecuada para cada una de las modalidades terapéuticas.
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