Otsuka K, Ichimaru Y, Yanaga T, Sato Y
Am Heart J. 1983 Jun;105(6):934-40. doi: 10.1016/0002-8703(83)90393-9.
The relationship between AV conduction disturbances and sleep states was investigated using continuous polygraphic recordings for one full night. The results were as follows: (1) In the case of first-degree AV block, the phasic shortening of the PQ interval was observed during rapid eye movement (REM) sleep. (2) In the case of second-degree AV block (Wenckebach type), the conduction ratio increased transiently during REM sleep and significant relationships were observed between the number of nonconducted P waves and the mean heart rate in each sleep stage. (3) In the case of advanced AV block, complete AV block was observed less frequently during REM sleep and the period of falling asleep. Since the reproducibility of these results from night to night has not yet been investigated, additional evaluation is required.
使用连续的多导睡眠记录对一整晚进行监测，以研究房室传导障碍与睡眠状态之间的关系。结果如下：（1）在一度房室传导阻滞的情况下，在快速眼动（REM）睡眠期间观察到PQ间期呈阶段性缩短。（2）在二度房室传导阻滞（文氏型）的情况下，REM睡眠期间传导比率短暂增加，并且在每个睡眠阶段未下传P波的数量与平均心率之间观察到显著关系。（3）在高度房室传导阻滞的情况下，REM睡眠期间和入睡期间完全性房室传导阻滞的发生率较低。由于这些结果在不同夜晚的可重复性尚未得到研究，因此需要进一步评估。
