Bolm-Audorff U, Köhler U, Becker E, Fuchs E, Mainzer K, Peter J H, von Wichert P
Dtsch Med Wochenschr. 1984 Jun 1;109(22):853-6. doi: 10.1055/s-2008-1069286.
A day vs. night comparison of type and frequency of cardiac arrhythmias documented by long-term ECG was done in 30 patients with nocturnal respiratory disorders in the form of the sleep apnoea syndrome. The commonest nocturnal arrhythmia was pronounced sinus arrhythmia during the apnoeic phases with variations of cardiac frequency between 40 and 120/min. Supraventricular and ventricular extrasystoles occurred significantly more frequently during the night than during the day. In three patients bradycardiac arrhythmias presenting as sinoauricular and atrioventricular blockades of the 3rd degree with node or ventricular substitute rhythm were seen during the sleep apnoea which could not be demonstrated during the day. Predominantly nightly occurrence of cardiac arrhythmias should lead to differential diagnostic consideration of the sleep apnoea syndrome.
对30例患有睡眠呼吸暂停综合征形式的夜间呼吸系统疾病的患者进行了长期心电图记录的心律失常类型和频率的昼夜比较。最常见的夜间心律失常是呼吸暂停期明显的窦性心律失常，心率在40至120次/分钟之间变化。室上性和室性早搏在夜间出现的频率明显高于白天。在三名患者中，睡眠呼吸暂停期间出现了表现为三度窦房结和房室传导阻滞并伴有结性或室性逸搏心律的缓慢性心律失常，而白天未出现这种情况。心律失常主要在夜间发生应促使对睡眠呼吸暂停综合征进行鉴别诊断。
