Russian MedicineRussian MedicineРоссийский медицинский журнал0869-21062412-9100Eco-Vector68198510.17816/medjrf681985TMDDQSReviewsНаучные обзорыReview ArticleStructural and functional changes in right heart in patients with obstructive sleep apnea syndromeСтруктурно-функциональные изменения правых отделов сердца у пациентов с синдромом обструктивного апноэ снаhttps://orcid.org/0000-0002-3863-67552656-1420KarasevAnton A.КарасёвАнтон Андреевич
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

akara95_2010@mail.ruhttps://orcid.org/0000-0001-9803-21392863-4840PoteshkinaNataliya G.ПотешкинаНаталия Георгиевна
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

nat-pa@yandex.ruThe Russian National Research Medical University named after N.I. PirogovРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаMoscow City Clinical Hospital 52Городская клиническая больница № 5207082025080920253143913970306202530062025Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://medjrf.com/0869-2106/article/view/681985

Obstructive sleep apnea syndrome is a common condition in the global population. Despite its relatively short history of study, there has been accumulated sufficient evidence of its negative influence on the cardiovascular system. However, the condition of the right heart chambers and the development of pulmonary hypertension in this patient cohort often remain outside the focus due to disturbed hemodynamics in the pulmonary circulation system. Diagnosis of right heart involvement in patients with obstructive sleep apnea syndrome is challenging as there is no specific clinical manifestations and such patients have multiple comorbidities.

The aim of this review article is to describe original studies and meta-analyses dedicated to examining the structures and functions of the right heart chambers and to attempt to highlight the multifaceted nature of pulmonary hypertension diagnosis in patients with obstructive sleep apnea syndrome.

The literature review was conducted using medical abstract databases PubMed (MEDLINE), ScienceDirect, and eLIBRARY.RU.

Синдром обструктивного апноэ сна является широко распространённым заболеванием в общемировой популяции. Несмотря на относительно недолгую историю его изучения, накоплено достаточно убедительных данных о негативном влиянии этого синдрома на состояние сердечно-сосудистой системы. При этом часто остаётся за пределами внимания исследователей состояние правых отделов сердца и формирование лёгочной гипертензии у данной когорты пациентов ввиду нарушения гемодинамики малого круга кровообращения. Диагностика поражения правых отделов сердца у пациентов с синдромом обструктивного апноэ сна является сложной задачей ввиду отсутствия специфической клинической картины и мультиморбидности таких пациентов.

В обзоре продемонстрированы результаты оригинальных исследований и метаанализов, посвящённых изучению структурно-функциональных параметров правых отделов сердца, и сделана попытка показать многогранность проблемы диагностики лёгочной гипертензии у пациентов с синдромом обструктивного апноэ сна.

Анализ источников литературы проводили в медицинских реферативных базах данных: PubMed (MEDLINE), ScienсeDirect, eLIBRARY.RU.

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