The importance of sleep apnea index determination using 24h ECG analysis in patients with heart rhythm disorders
| Autor: | Violeta Randjelovic-Krstic, Aleksandra Grdinić, Ognjen Gudelj, Radomir Matunovic, Dragan Drobnjak, Zoran Stajic, Predrag Bogdanovic, Predrag Djuric, Angelina Stevanovic, Zarko Vucinic, G Aleksandar Grdinic, Stanko Petrovic, Milanko Rakonjac |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Polysomnography Pilot Projects electrocardiography ambulatory QRS complex Rhythm Internal medicine medicine Humans sleep apnea syndromes Pharmacology (medical) cardiovascular diseases Aged lcsh:R5-920 medicine.diagnostic_test business.industry Sleep apnea Apnea Middle Aged arrhythmias cardiac medicine.disease Ambulatory Cardiology Etiology Breathing Female medicine.symptom lcsh:Medicine (General) business Electrocardiography Software |
| Zdroj: | Vojnosanitetski Pregled, Vol 71, Iss 11, Pp 1049-1054 (2014) |
| ISSN: | 2406-0720 0042-8450 |
| DOI: | 10.2298/vsp130603026g |
| Popis: | Background/Aim. A possible cause of malignant heart rhythm disorders is the syndrome of sleep apnea (periodic cessation of breathing during sleep longer than 10 seconds). Recent 24h ECG software systems have the option of determination ECG apnea index (AI) based on the change in voltage of QRS complexes. The aim of the study was to determine the significance of AI evaluation in routine 24-hour Holter ECG on a group of 12 patients. Methods. We presented a total of 12 consecutive patients with previously documented arrhythmias and the history of breathing disorders during night. They were analyzed by 24 h ECG (Medilog AR 12 plus Darwin), that is able to determine AI. Results. We presented a case series of 12 patients, 8 men and 4 women, mean age 58.75 years and the average AI 5.78. In the whole group there was a trend of increasing prevalence of complex rhythm disorders with increasing of AI and increased frequency of arrhythmias in the night phase vs day phase. Conclusion. Determination of AI using routine long term (24 h) ECG analysis is important because sleep apnea can be successfully treated as an etiological or contributing factor of arrhythmias. |
| Databáze: | OpenAIRE |
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