Maillier B, Metz D, Nazeyrollas P, Prevost A, Boudjedien S, Maes D, Chapoutot L, Chabert J P, Elaerts J
Service de Cardiologie et de Pneumologie, CHU Robert Debré, REIMS.
Ann Cardiol Angeiol (Paris). 1996 Dec;45(10):561-6.
This prospective study in 37 patients evaluated the prevalence of ventricular late potentials in sleep apnea syndrome, a condition associated with an increased risk of ventricular rhythm disorders and sudden death. A comparative analysis was conducted among a group of patients considered free of coronary heart disease and admitted for suspected sleep apnea syndrome based on clinical symptoms and simple blood gas measurements. The prevalence of ventricular late potentials was 56% in the subgroup with and 14% in the subgroup without polygraphy evidence of apnea (F < 0.01). The analysis of clinical, respiratory, and echocardiographic findings in the apneic subgroup failed to detect any factors associated with the presence of ventricular late potentials. Only long-term follow-up studies involving invasive heart rhythm testing could define the prognostic significance of ventricular late potentials in sleep apnea syndrome. However, our data demonstrate that there is an association between ventricular late potentials and sleep apnea syndrome.
这项针对37例患者的前瞻性研究评估了睡眠呼吸暂停综合征中心室晚电位的患病率，该病症与室性心律失常和猝死风险增加相关。基于临床症状和简单血气测量，对一组被认为无冠心病且因疑似睡眠呼吸暂停综合征入院的患者进行了对比分析。有呼吸暂停多导睡眠图证据的亚组中室性晚电位患病率为56%，无该证据的亚组中为14%（F<0.01）。对呼吸暂停亚组的临床、呼吸和超声心动图检查结果分析未能发现与室性晚电位存在相关的任何因素。只有涉及有创心律测试的长期随访研究才能确定睡眠呼吸暂停综合征中室性晚电位的预后意义。然而，我们的数据表明室性晚电位与睡眠呼吸暂停综合征之间存在关联。
