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Der Kardiologe

, Volume 9, Issue 2, pp 140–158 | Cite as

Positionspapier „Schlafmedizin in der Kardiologie“

Update 2014
  • O. OldenburgEmail author
  • M. Arzt
  • T. Bitter
  • H. Bonnemeier
  • F. Edelmann
  • I. Fietze
  • T. Podszus
  • T. Schäfer
  • C. Schöbel
  • E. Skobel
  • D. Skowasch
  • T. Penzel
  • C. Nienaber
Positionspapier

1. Präambel

Die Deutsche Gesellschaft für Kardiologie, Herz- und Kreislaufforschung (DGK) hat erstmals 2009 ein Positionspapier „Schlafmedizin in der Kardiologie“ herausgegeben [167]. Seither ist das Wissen um den Stellenwert des gesunden und gestörten Schlafes, insbesondere das Wissen um schlafbezogene Atmungsstörungen (SBAS), deren prognostische Bedeutung und Behandlung deutlich gewachsen. Daten aus Studien, großen Registern und Metaanalysen sind inzwischen verfügbar, und neue Diagnose- und Therapieverfahren sind entwickelt worden. Das vorliegende Positionspapier beschränkt sich im Wesentlichen auf den Zusammenhang zwischen schlafbezogenen Atmungsstörungen und kardiovaskulären Erkrankungen. Es handelt sich dabei um eine Stellungnahme der DGK, die den gegenwärtigen Erkenntnisstand wiedergibt und allen Ärzten und ihren Patienten die Entscheidungsfindung erleichtern soll. Auf der Basis publizierter, relevanter Studien werden gelöste Fragen beantwortet, ungelöste Fragen aufgezeigt und...

Glossar

AASM

American Academy of Sleep Medicine

ACCP

American College of Chest Physicians

AHI

Apnoe-Hypopnoe-Index

ASV

adaptive Servoventilation

ATS

American Thoracic Society

BiPAP

„bi-level positive airway pressure“

BMI

Body-Mass-Index

complSA

„complex sleep apnoea“, komplexe Schlafapnoe

CPAP

„continuous positive airway pressure“, nächtliche Atmungsunterstützung mittels kontinuierlich positiven Atemwegsdruckes

CRT

kardiale Resynchronisationstherapie

CSA

Cheyne-Stokes-Atmung

CTEPH

Chronisch thromboembolische pulmonale Hypertonie

DGK

Deutsche Gesellschaft für Kardiologie – Herz- und Kreislaufforschung

DSGM

Deutsche Gesellschaft für Schlafforschung und Schlafmedizin

EBCT

Elektronenstrahltomographie

EEG

Elektroenzephalographie

EMG

Elektromyographie

EOG

Elektrookulographie

EPAP

„expiratory positive airway pressure“

ESC

European Society of Cardiology

ESH

European Society of Hypertension

HF-PEF

„heart failure with preserved left ventricular ejection fraction“, Herzinsuffizienz mit erhaltener linksventrikulärer Ejektionsfraktion

HF-REF

„heart failure with reduced left ventricular ejection fraction“, Herzinsuffizienz mit reduzierter linksventrikulärer Ejektionsfraktion

ICD

Implantierbarer Kardioverter-Defibrillator

IMT

Intima-Media-Dicke

LV-EF

linksventrikuläre Ejektionsfraktion

NIV

nichtinvasive Ventilation

NREM

„non-rapid eye movement“, Nicht-Traumschlaf N1–N3

OHS

Obesitas-Hypoventilationssyndrom

OSA

obstruktive schlafbezogene Atmungsstörung

OSAS

obstruktives Schlafapnoesyndrom

PG

Polygraphie

PH

pulmonale Hypertonie

PSG

Polysomnographie

PWV

Pulswellengeschwindigkeit

REM

„rapid eye movement“, Traumschlaf mit schnellen Augenbewegungen

SBAS

schlafbezogene Atmungsstörungen

TIA

transiente ischämische Attacke

ZSA

zentrale schlafbezogene Atmungsstörung

Position paper “Sleep medicine in cardiology”

Update 2014

Notes

Interessenkonflikt

Den Interessenkonflikt der Autoren finden Sie online auf der DGK-Homepage unter http://leitlinien.dgk.org/ bei der entsprechenden Publikation.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • O. Oldenburg
    • 1
    Email author
  • M. Arzt
    • 2
  • T. Bitter
    • 1
  • H. Bonnemeier
    • 3
  • F. Edelmann
    • 4
    • 5
  • I. Fietze
    • 6
  • T. Podszus
    • 7
  • T. Schäfer
    • 8
  • C. Schöbel
    • 6
  • E. Skobel
    • 9
  • D. Skowasch
    • 10
  • T. Penzel
    • 6
  • C. Nienaber
    • 11
  1. 1.Kardiologische Klinik, Herz- und Diabeteszentrum NRWUniversitätsklinikum, Ruhr-Universität BochumBad OeynhausenDeutschland
  2. 2.Klinik und Poliklinik für Innere Medizin IIUniversitätsklinikum RegensburgRegensburgDeutschland
  3. 3.Klinik für Innere Medizin IIIUniversitätsklinikum Schleswig-Holstein, Campus KielKielDeutschland
  4. 4.Abteilung Innere Medizin, Kardiologie und PneumologieUniversitätsmedizin GöttingenGöttingenDeutschland
  5. 5.Medizinische Klinik mit Schwerpunkt KardiologieCharité Universitätsmedizin Berlin, Campus Virchow Klinikum (CVK)BerlinDeutschland
  6. 6.Interdisziplinäres Schlafmedizinisches Zentrum, Centrum für Kardiologie und AngiologieCharité Universitätsmedizin BerlinBerlinDeutschland
  7. 7.Medizinisches Versorgungs- und Rehabilitationszentrum DresdenDresdenDeutschland
  8. 8.Medizinische FakultätRuhr-Universität BochumBochumDeutschland
  9. 9.Katholische Stiftung Marienhospital AachenAachenDeutschland
  10. 10.Medizinische Klinik und Poliklinik IIUniversitätsklinikum BonnBonnDeutschland
  11. 11.Zentrum Innere Medizin, Medizinische Klinik IUniversitätsklinikum RostockRostockDeutschland

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