Risk of fatal sinus arrest induced by low-grade subarachnoid hemorrhage: A case of a young patient with obstructive sleep apnea
| Autor: | Satoshi Yamamoto, Naoki Wakuta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Subarachnoid hemorrhage Case Report 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine cardiovascular diseases Asystole Sinus (anatomy) Coil embolization Endovascular surgery business.industry Sinus arrest Sleep apnea medicine.disease Temporary Pacemaker nervous system diseases Obstructive sleep apnea Sleep apnea syndrome 030104 developmental biology medicine.anatomical_structure Increased risk Cardiology Surgery Neurology (clinical) business |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 2229-5097 |
| Popis: | Background: Sleep apnea syndrome (SAS) and subarachnoid hemorrhage (SAH) are both considered possible causes of secondary arrhythmias. However, there are limited reports on the increased risk of bradyarrhythmia for arrhythmia-free SAS patients with SAH. Case Description: A 31-year-old woman with SAS developed low-grade SAH and underwent coil embolization on postbleed day 1. Following a coiling procedure, she experienced worsening episodes of sinus arrest lasting up to 12 s and required a temporary pacemaker. Frequent episodes of sinus arrest were detected for the next 4 days. Thereafter, all types of arrhythmias gradually decreased, and she eventually recovered to be arrhythmia free. Conclusion: Acceleration of sympathetic nervous activity caused by acute SAH may predispose patients to bradyarrhythmia with SAS and elicit asystole. The coexistence of SAS and SAH should be recognized as a cause of life-threatening sinus arrest, even if the severity of SAH is low grade. |
| Databáze: | OpenAIRE |
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