作者: Robert M. Carney , William B. Howells , Kenneth E. Freedland , Stephen P. Duntley , Phyllis K. Stein
DOI: 10.1097/01.PSY.0000204632.91178.26
关键词: Coronary heart disease 、 Cardiology 、 Internal medicine 、 Anesthesia 、 Breathing 、 Medicine 、 Depression (differential diagnoses) 、 Obstructive sleep apnea 、 Hypopnea 、 Sleep medicine 、 Risk factor 、 Apnea
摘要: Objective: Depression is a risk factor for cardiac events in patients with coronary heart disease (CHD). Obstructive sleep apnea/hypopnea syndrome (OSAHS) frequently comorbid depression and also events. Undetected OSAHS could help explain the increased associated depression. Methods: Medically stable CHD major (MD, n 53), minor (md, 36), or no (ND, 43) were evaluated 2 nights medicine laboratory. Results: The prevalence of did not differ across groups (MD 66%, md 69%, ND 77%; p .05). Patients MD had significantly greater frequency apneic episodes, longer duration apneas hyponeas, more oxygen desaturations per hour than those md, but there differences between episodes desaturations. However, males tended to have obstructive males, whereas females fewer females. Apnea was compared ND. There difference mean apnea groups. Conclusions: Although common depressed CHD, both men women higher men. Key words: depression, sleep-disordered breathing, disease. disease; depression; nondepressed; syndrome; AHI index; LVEF left ventricular ejection fraction; BDI Beck Inventory; BMI body mass DISH Interview Structured Hamilton.