| Popis: |
In the group of patients investigated in our sleep laboratory and successfully treated by positive pressure applied in to the upper airways through nasal mask (nCPAP) some interesting cases appeared. These cases show beneficial effect of nCPAP therapy, unfortunately not widely spread and recognized in our country. These patients were unsuccessfully treated before by conventional methods, which did not improve their situation for a longer time. Only after polysomnography carried out in our sleep laboratory and after home treatment with nCPAP or BiPAP machine, the situation radically improved.In a director of important enterprise after unrelated car accident atrial fibrillation caused by dilation was discovered, which did not respond even on Electro cardioversion. After recognition of severe obstructive sleep apnoea syndrome (OSAS) this patient was treated successfully by BiPAP. The second case: a bus driver, who falls asleep on the traffic light with full buss of passengers. A diagnose OSAS with a multiple sleep latency test result below 2.5 minutes. The nCPAP treatment allowed him to continue to work, but transiently on different position. The third: 40-year-old patient with a body mass index (BMI) 38 and with dysrhythmias IIIb-IVb according to Lown. The respiratory disturbance index (RDI) was 40 and oxygen desaturation bellow 77%. There was bigeminia on ECG. During four hour with nCPAP treatment there was only two randomly ventricular extrasystols appeared, confirming the beneficial effect of treatment. These cases demonstrate a wide spectrum of cardiac dysrhythmias, which have only functional character, but are important for the practice. The demonstrated cases highlighted the importance of home nCPAP therapy in OSAS patients. |
