High-grade second-degree atrioventricular block associated with obstructive sleep apnea syndrome (experience in the effective use of respiratory support)
https://doi.org/10.24884/1609-2201-2024-103-1-77-81
Abstract
Sleep-disordered breathing and nighttime bradyarrhythmias associated with this syndrome are often encountered in clinical practice. With high-grade atrioventricular blocks, such patients are usually implanted with a permanent pacemaker, but this treatment method is not indicated for patients with reversible conduction disorders. A clinical case of the successful use of CPAP therapy in a patient with second degree atrioventricular block at night associated with obstructive sleep apnea syndrome is presented. Approaches to the diagnosis and treatment of patients with bradyarrhythmias are discussed.
About the Authors
V. A. Ionin
Pavlov University
Russian Federation
Russian Federation
Ionin Valery A., PhD, Senior Researcher, Associate Professor, Department of Faculty Therapy
6-8, L’va Tolstogo str., Saint Petersburg, 197022
V. A. Berdysheva
Pavlov University
Russian Federation
Russian Federation
Berdysheva Viktoriia A., postgraduate student, assistant, Department of Faculty Therapy
6-8, L’va Tolstogo str., Saint Petersburg, 197022
A. S. Vakulenko
Pavlov University
Russian Federation
Russian Federation
Vakulenko Anastasia S., 6th year Student, Medical Faculty
6-8, L’va Tolstogo str., Saint Petersburg, 197022
E. I. Baranova
Pavlov University
Russian Federation
Russian Federation
Baranova Elena I., MD, PhD, DSc, FESC, Professor, Department of Faculty Therapy, Head of Research Laboratory
6-8, L’va Tolstogo str., Saint Petersburg, 197022
References
1. Grimm W., Hoffmann J., Köhler U. et al. Invasive electrophysiological evaluation of patients with sleep apnoea-associated ventricular asystole-methods and preliminary results. J Sleep Res. 1995;4(S1):160–165. DOI: 10.1111/j.1365-2869.1995.tb00207.x.
2. Bitter T., Fox H., Gaddam S. et al. Sleep-disordered breathing and cardiac arrhythmias. Can J Cardiol. 2015;31(7):928–934. DOI: 10.1016/j.cjca.2015.04.022.
3. Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay ACC/AHA/ HRS. Circulation. 2019;140(8):382–482. DOI: 10.1161/CIR.0000000000000628.
4. Garrigue S., Pépin J., Defaye P. et al. High prevalence of sleep apnea syndrome in patients with long-term pacing: the European Multicenter Polysomnographic Study. Circulation. 2007;115(13):1703–1709. DOI: 10.1161/CIRCULATIONAHA.106.659706.
5. ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Russian Journal of Cardiology. 2022;27(7):51–59. (In Russ.). DOI: 10.15829/1560-4071-2022-5159.
6. Yeung C., Baranchuk A. Diagnosis and treatment of Lyme carditis. J Am Coll Cardiol. 2019;73(6):717–726. DOI: 10.1016/j.jacc.2018.11.035.
7. Simantirakis E., Schiza S., Marketou M. et al. Severe bradyarrhythmias in patients with sleep apnoea: the effect of continuous positive airway pressure treatment. EurHeartJ. 2004;25:1070– 1076. DOI: 10.1016/j.ehj.2004.04.017.
Review
For citations:
Ionin V.A., Berdysheva V.A., Vakulenko A.S., Baranova E.I. High-grade second-degree atrioventricular block associated with obstructive sleep apnea syndrome (experience in the effective use of respiratory support). New St. Petersburg Medical Records. 2024;(1):77-81. (In Russ.) https://doi.org/10.24884/1609-2201-2024-103-1-77-81
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