HEART RHYTHM AND CONDUCTION DISORDERS IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA



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Abstract

Are considered violations of rhythm and conductivity identified in patients suffering from obstructive sleep apnea during sleep. The study included 110 people who underwent cardiorespiratory monitoring. According to the data obtained arrhythmias in patients with clinically significant forms of obstructive apnea syndrome during sleep, are more common than in patients without or mild form. Against supraventricular rhythm disorders, significantly more often paired supraventricular extrasystoles and short runs of supraventricular tachyarrhythmias. Against ventricular arrhythmias such feature is observed for the rare and frequent extrasystoles. If we are to evaluate the incidence of arrhythmias, given the time of day, the fact that all arrhythmias (both supraventricular and ventricular) in patients with severe obstructive sleep apnea during sleep were significantly more prevalent during sleep in these patients. Also, important to note that the registered paroxysms of ventricular tachycardia were observed only in individuals with a history of moderate and severe forms of obstructive apnea syndrome during sleep, and was recorded only at night. All hemodynamically significant conduction disorders (pauses > 2 s) was observed only in patients with severe obstructive sleep apnea during sleep, and were associated with episodes of apnea/hypopnea.

About the authors

Aleksey Nikolaevich Кuchmin

S. M. Kirov Military Medical Academy, Saint Petersburg

Author for correspondence.

Altksandr Nikolaevich Кulicov

S. M. Kirov Military Medical Academy, Saint Petersburg; Saint Petersburg, Pavlov First Saint Petersburg State Medical University

Aleksandr Aleksandrovich Кazachenko

S. M. Kirov Military Medical Academy, Saint Petersburg

Denis Aleksandrovich Galaktionov

S. M. Kirov Military Medical Academy, Saint Petersburg

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