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持续气道正压通气成功治疗阻塞性睡眠呼吸暂停综合征相关的缓慢性心律失常

[Successful treatment of bradyarrhythmia associated with obstructive sleep apnea syndrome by continuous positive airway pressure].

作者信息

Iakovlev A V, Buzunov R V, Andriushina N A, Turov A N, Iakovleva N F

机构信息

Novosibirsk State Medical University, Krasny Prospect 52, 630091 Novosibirsk, Russia.

出版信息

Kardiologiia. 2013;53(8):93-6.

Abstract

Obstructive Sleep Apnea Syndrome (OSAS) is an additional independent factor of growth of cardiovascular mortality. Special role disturbances of respiration during sleep play in development of nocturnal cardiac arrhythmias. Approaches to correction of OSAS associated nocturnal bradyarrhythmias have substantially changed during recent years. We present report of a clinical case in which we detected relation of nocturnal bradyarrhythmias to OSAS. Adequate correction of OSAS by continuous positive airway pressure therapy resulted in complete elimination of bradyarrhythmias during night time. This allowed to avoid implantation of permanent pacemaker.

摘要

阻塞性睡眠呼吸暂停综合征(OSAS)是心血管死亡率增长的另一个独立因素。睡眠期间呼吸的特殊作用紊乱在夜间心律失常的发生中起作用。近年来,与OSAS相关的夜间缓慢性心律失常的矫正方法发生了很大变化。我们报告了一例临床病例,其中我们检测到夜间缓慢性心律失常与OSAS的关系。通过持续气道正压通气治疗对OSAS进行充分矫正,导致夜间缓慢性心律失常完全消除。这避免了植入永久性起搏器。

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