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Abstract(s)
Durante o sono ocorrem alterações ao nível dos vários processos fisiológicos. Estas tendem a variar consoante estamos perante o sono NREM ou REM. Contudo ocorrem, também, alterações que parecem não ser tanto influenciadas com a fase do sono, mas sim com a fase do seu ciclo circadiano. Todos estes mecanismos acabam por ser importantes, quando temos patologias que afetam o sono, como a insónia e a síndrome da apneia obstrutiva do sono. Estas duas entidades constituem as doenças do sono mais frequentes, estão normalmente associadas a uma elevada morbilidade, em grande parte por alterações dos mecanismos acima descritos, resultantes de um sono inadequado. No entanto, a partir do final do seculo passado a relação entre insonia e apneia do sono tem-se vindo a fortalecer e o termo Comisa tornou-se habitual para relatar a relação co-mrbida entre insonia e apenai do sono. Nesta revisão, aborda-se o sono, a insonia e a apenia obstrutiva e a Comisa, relacionando.se esta com o risco cardiometabolico.
During sleep, changes occur in the various physiological processes. These tend to vary depending on whether we are in NREM or REM sleep. However, there are also changes that seem to be influenced not so much by the stage of sleep, but by the stage of its circadian cycle. All these mechanisms turn out to be important when we have pathologies that affect sleep, such as insomnia and obstructive sleep apnea syndrome. These two entities are the most frequent sleep disorders and are usually associated with high morbidity, largely due to changes in the mechanisms described above, resulting from inadequate sleep. However, from the end of the last century, the relationship between insomnia and sleep apnea has been strengthened and the term Comisa became common to describe the co-morbid relationship between insomnia and sleep disorder. In this review, sleep, insomnia and obstructive apenia and Comisa are addressed, relating this to the cardiometabolic risk.
During sleep, changes occur in the various physiological processes. These tend to vary depending on whether we are in NREM or REM sleep. However, there are also changes that seem to be influenced not so much by the stage of sleep, but by the stage of its circadian cycle. All these mechanisms turn out to be important when we have pathologies that affect sleep, such as insomnia and obstructive sleep apnea syndrome. These two entities are the most frequent sleep disorders and are usually associated with high morbidity, largely due to changes in the mechanisms described above, resulting from inadequate sleep. However, from the end of the last century, the relationship between insomnia and sleep apnea has been strengthened and the term Comisa became common to describe the co-morbid relationship between insomnia and sleep disorder. In this review, sleep, insomnia and obstructive apenia and Comisa are addressed, relating this to the cardiometabolic risk.
Description
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2022
Keywords
Insónia Apneia do sono Cardiovascular Metabólico Comorbid insomnia and sleep apnea (COMISA)