SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n—...

37
SCOMPENSO CARDIACO ED APNEE NOTTURNE DOTT. ERMINIO MAURO Cardiologia Policlinico di Modena

Transcript of SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n—...

Page 1: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1

SCOMPENSO CARDIACO ED APNEE NOTTURNE

DOTT. ERMINIO MAURO Cardiologia Policlinico di Modena

Page 2: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 3: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 4: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 5: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 6: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 7: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 8: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 9: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 10: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 11: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1

EFFETTI MECCANICI

Page 12: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 13: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 14: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 15: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1

EFFETTI

EMODINAMICI

Page 16: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1

EFFETTI

AUTONOMICI

Page 17: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 18: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 19: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 20: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1

A QUESTO PUNTO,

ATTENZIONE ALLA

SONNOLENZA PERCHÉ ….

….POTREI ESSERE IO!!!!!!!!!

Page 21: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 22: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1

PLoS Medicine 2009

Sleep-Disordered Breathing and

Mortality: A Prospective Cohort Study

Naresh M. Punjabi1*, Brian S. Caffo1, James L. Goodwin2, Daniel J. Gottlieb3, Anne B.

Newman4, George T.O’Connor5, David M. Rapoport6, Susan Redline7, Helaine E.

Resnick8, John A. Robbins9, Eyal Shahar2,Mark L. Unruh4, Jonathan M. Samet10

Page 23: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 24: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 25: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 26: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 27: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 28: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 29: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 30: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 31: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 32: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 33: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 34: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 35: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 36: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1
Page 37: SCOMPENSO CARDIACO ED APNEE NOTTURNE · WHA Class (111+1V), % Ischemic heart failure, % Men (n— 168) 55.4±132 29.1±52 24.0±9.8 Women (n—50) 22 * 56.3±10.7 29.5±5.8 26.9±10.1