[Arrhythmia in sleep apnea].

Q4 Medicine Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI:10.1007/s00399-024-01031-z
A-K Gamer, C Grebmer
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Abstract

Background: Sleep apnea is a widespread and yet still underdiagnosed condition. Various studies from the past have provided evidence that there is a link between sleep apnea and various cardiovascular diseases, including arrhythmias.

Objective: The aim of this article is to provide an overview of the current study situation and to point out possible consequences relevant to everyday life.

Material and methods: A systematic search was carried out in various databases using the keywords sleep apnea (OSAS/SA) and arrhythmias/dysrhythmias.

Results: There are several pathophysiological links between sleep-related breathing disorders and cardiac arrhythmias, the most important of which appear to be intrathoracic pressure, increased adrenergic tone as well as recurrent hypoxia and hypercapnia. This results in an increased occurrence of clinically relevant arrhythmias, such as atrial fibrillation, symptomatic bradycardia, high-grade atrioventricular (AV) blocks as well as ventricular arrhythmias in patients with untreated sleep apnea. These pathologies also appear to be positively influenced by the treatment of sleep apnea.

Conclusion: A close correlation between sleep apnea and cardiac arrhythmias is undisputed. Large randomized studies in this respect are so far rare but it is undisputed that a thorough search should be carried out for sleep apnea and consistently treated in patients with a history of cardiac disease as this can have a relevant influence on the treatment and ultimately the prognosis of the patient.

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[睡眠呼吸暂停的心律失常]。
背景:睡眠呼吸暂停是一种普遍存在但仍未得到充分诊断的疾病。过去的多项研究证明,睡眠呼吸暂停与包括心律失常在内的各种心血管疾病之间存在联系:本文旨在概述目前的研究情况,并指出与日常生活相关的可能后果:以睡眠呼吸暂停(OSAS/SA)和心律失常/心律失常为关键词,在各种数据库中进行了系统检索:睡眠相关呼吸障碍与心律失常之间存在多种病理生理学联系,其中最重要的似乎是胸内压、肾上腺素能张力增加以及反复缺氧和高碳酸血症。这导致临床相关心律失常的发生率增加,如心房颤动、症状性心动过缓、高级房室传导阻滞以及未治疗的睡眠呼吸暂停患者的室性心律失常。这些病症似乎也会受到睡眠呼吸暂停治疗的积极影响:结论:睡眠呼吸暂停与心律失常之间的密切关系是毋庸置疑的。但毋庸置疑的是,对于有心脏病史的患者,应进行睡眠呼吸暂停的全面检查和持续治疗,因为这会对治疗产生相关影响,并最终影响患者的预后。
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来源期刊
Herzschrittmachertherapie und Elektrophysiologie
Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.10
自引率
0.00%
发文量
76
期刊介绍: Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie
期刊最新文献
[Controversies in rhythmology]. [Atrial fibrillation in combination with severe mitral regurgitation : Which should be treated first, the atrial fibrillation or the mitral valve?] [Initial ablation of atrial fibrillation-Is pulmonary vein isolation sufficient? : Pro and contra]. [(LV)EF is a poor predictor of sudden cardiac death : Pro/Contra]. Erratum zu: Herzrhythmusstörungen bei Erwachsenen mit angeborenen Herzfehlern.
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