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
收藏
页码：236 / 240
页数：5
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