Advanced atrioventricular block induced by obstructive sleep apnea before oxygen desaturation

被引：11

作者：

Maeno, Ken-ichi

Kasai, Atsunobu

Setsuda, Morimichi

Nishiyama, Atsushi

Sakabe, Shigetoshi

Ohnishi, Takahiro

Saito, Kimimasa

Nishikawa, Hideo

机构：

[1] Division of Cardiology, Yamada Red Cross Hospital, Mie

[2] Nishiyama Clinic, Mie

[3] Mie Sleep Clinic, Mie

[4] Department of Cardiology, Mie Heart Center, Mie

[5] Sleep Center, Toranomon Hospital, Minato-ku, Tokyo 105-8470

来源：

HEART AND VESSELS | 2009年 / 24卷 / 03期

关键词：

Obstructive sleep apnea; Atrioventricular block; Continuous positive airway pressure; POSITIVE AIRWAY PRESSURE; CARDIAC-ARRHYTHMIAS; CONDUCTION DISTURBANCES; VENTRICULAR ASYSTOLE; HEART-BLOCK; PREVALENCE; REVERSAL;

D O I：

10.1007/s00380-008-1113-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a patient with transient advanced atrioventricular (AV) block induced by obstructive sleep apnea (OSA). This 54-year-old man was diagnosed as having severe OSA and AV block with ventricular asystole for more than 6 s during overnight polysomnography, which occurred just from the onset of OSA before oxygen desaturation had occurred. An electrophysiological study revealed normal AV conduction system function and normal His-Purkinje system function. The resolution of OSA with continuous positive airway pressure therapy improved the advanced AV block. Therefore, the bradyarrhythmia was determined to be an OSA-induced AV block that occurred before oxygen desaturation.

引用

页码：236 / 240

页数：5

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