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Severe bradyarrhythmias in patients with sleep apnoea: the effect of continuous positive airway pressure treatment. A long-term evaluation using an insertable loop recorder
In this new era of insertable loop recorders, we studied obstructive sleep apnoea-hypopnoea syndrome (OSAHS) patients in order to evaluate their arrhythmias and the beneficial effect of Continuous Positive Airway Pressure treatment (CPAP), over a long-term period. We enrolled 23 patients (16 men, 50...
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| Published in: | European heart journal 2004-06, Vol.25 (12), p.1070-1076 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 1076 |
| container_issue | 12 |
| container_start_page | 1070 |
| container_title | European heart journal |
| container_volume | 25 |
| creator | SIMANTIRAKIS, Emmanuel N SCHIZA, Sophia I MARKETOU, Mary E CHRYSOSTOMAKIS, Stavros I CHLOUVERAKIS, Gregory I KLAPSINOS, Nick C SIAFAKAS, Nikolas S VARDAS, Panos E |
| description | In this new era of insertable loop recorders, we studied obstructive sleep apnoea-hypopnoea syndrome (OSAHS) patients in order to evaluate their arrhythmias and the beneficial effect of Continuous Positive Airway Pressure treatment (CPAP), over a long-term period.
We enrolled 23 patients (16 men, 50 +/- 11 years) with moderate and severe OSAHS. In all patients, an insertable loop recorder capable of monitoring the heart rhythm for 16 months was implanted. Cardiac pauses >3 s and bradycardic episodes |
| doi_str_mv | 10.1016/j.ehj.2004.04.017 |
| format | article |
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We enrolled 23 patients (16 men, 50 +/- 11 years) with moderate and severe OSAHS. In all patients, an insertable loop recorder capable of monitoring the heart rhythm for 16 months was implanted. Cardiac pauses >3 s and bradycardic episodes <40 bpm during a 2-month period before, and for 14 months after, the CPAP application, were noted. In each period, the patients underwent two 24-h Holter recordings. Before treatment, 11 patients (47%) revealed severe cardiac rhythm disturbances, mostly nocturnal. Holter recordings showed disturbances in only 3 (13%) patients (P=0.039), those in whom the insertable loop device had recorded frequent episodes. Eight weeks after the initiation of treatment, the total number of the recorded episodes tended to decrease while, during the last 6 months of the follow-up, no episodes were recorded.
Approximately half of OSAHS patients evidence severe cardiac rhythm disturbances, which are significantly reduced by CPAP. Holter recordings seem unable to precisely describe the incidence of severe brady-arrhythmias and the effect of treatment.</description><identifier>ISSN: 0195-668X</identifier><identifier>EISSN: 1522-9645</identifier><identifier>DOI: 10.1016/j.ehj.2004.04.017</identifier><identifier>PMID: 15191779</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Biological and medical sciences ; Bradycardia - etiology ; Bradycardia - therapy ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Continuous positive airway pressure ; Electrocardiography, Ambulatory ; Female ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Polysomnography - methods ; Positive-Pressure Respiration - methods ; Prospective Studies ; Sleep Apnea Syndromes - complications ; Sleep Apnea Syndromes - therapy ; Statistics, Nonparametric</subject><ispartof>European heart journal, 2004-06, Vol.25 (12), p.1070-1076</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Jun 01, 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15858846$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15191779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SIMANTIRAKIS, Emmanuel N</creatorcontrib><creatorcontrib>SCHIZA, Sophia I</creatorcontrib><creatorcontrib>MARKETOU, Mary E</creatorcontrib><creatorcontrib>CHRYSOSTOMAKIS, Stavros I</creatorcontrib><creatorcontrib>CHLOUVERAKIS, Gregory I</creatorcontrib><creatorcontrib>KLAPSINOS, Nick C</creatorcontrib><creatorcontrib>SIAFAKAS, Nikolas S</creatorcontrib><creatorcontrib>VARDAS, Panos E</creatorcontrib><title>Severe bradyarrhythmias in patients with sleep apnoea: the effect of continuous positive airway pressure treatment. A long-term evaluation using an insertable loop recorder</title><title>European heart journal</title><addtitle>Eur Heart J</addtitle><description>In this new era of insertable loop recorders, we studied obstructive sleep apnoea-hypopnoea syndrome (OSAHS) patients in order to evaluate their arrhythmias and the beneficial effect of Continuous Positive Airway Pressure treatment (CPAP), over a long-term period.
We enrolled 23 patients (16 men, 50 +/- 11 years) with moderate and severe OSAHS. In all patients, an insertable loop recorder capable of monitoring the heart rhythm for 16 months was implanted. Cardiac pauses >3 s and bradycardic episodes <40 bpm during a 2-month period before, and for 14 months after, the CPAP application, were noted. In each period, the patients underwent two 24-h Holter recordings. Before treatment, 11 patients (47%) revealed severe cardiac rhythm disturbances, mostly nocturnal. Holter recordings showed disturbances in only 3 (13%) patients (P=0.039), those in whom the insertable loop device had recorded frequent episodes. Eight weeks after the initiation of treatment, the total number of the recorded episodes tended to decrease while, during the last 6 months of the follow-up, no episodes were recorded.
Approximately half of OSAHS patients evidence severe cardiac rhythm disturbances, which are significantly reduced by CPAP. Holter recordings seem unable to precisely describe the incidence of severe brady-arrhythmias and the effect of treatment.</description><subject>Biological and medical sciences</subject><subject>Bradycardia - etiology</subject><subject>Bradycardia - therapy</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Continuous positive airway pressure</subject><subject>Electrocardiography, Ambulatory</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polysomnography - methods</subject><subject>Positive-Pressure Respiration - methods</subject><subject>Prospective Studies</subject><subject>Sleep Apnea Syndromes - complications</subject><subject>Sleep Apnea Syndromes - therapy</subject><subject>Statistics, Nonparametric</subject><issn>0195-668X</issn><issn>1522-9645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNpNkNGK1TAQhoMo7nH1AbyRQfCyNUmbNPVuWVwVFrzYFbw7TNvpNoc2qUl6lvNOPqRZPIIwMHPxzf_Bz9hbwUvBhf54KGk6lJLzunwa0TxjO6GkLFpdq-dsx0WrCq3Nzwv2KsYD59xooV-yC6FEK5qm3bHfd3SkQNAFHE4YwnRK02IxgnWwYrLkUoRHmyaIM9EKuDpP-AnSREDjSH0CP0LvXbJu81uE1Ueb7JEAbXjEE6yBYtyyIQXCtOS8Eq5g9u6hSBQWoCPOWxZ5B1u07gHQZXekkLCbKYN-hUC9DwOF1-zFiHOkN-d9yX7cfL6__lrcfv_y7frqtlhFbVKBUpmKd32vDRkplax0NUijeiHkoHknZTNK0Qxd1UkjUearpS5_yUbWw0DVJXv_N3cN_tdGMe0PfgsuK_dSqLptJFcZeneGtm6hYb8Gu2A47f91m4EPZwBjj_MY0PU2_scZZUytqz-4so1g</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>SIMANTIRAKIS, Emmanuel N</creator><creator>SCHIZA, Sophia I</creator><creator>MARKETOU, Mary E</creator><creator>CHRYSOSTOMAKIS, Stavros I</creator><creator>CHLOUVERAKIS, Gregory I</creator><creator>KLAPSINOS, Nick C</creator><creator>SIAFAKAS, Nikolas S</creator><creator>VARDAS, Panos E</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>K9.</scope></search><sort><creationdate>200406</creationdate><title>Severe bradyarrhythmias in patients with sleep apnoea: the effect of continuous positive airway pressure treatment. A long-term evaluation using an insertable loop recorder</title><author>SIMANTIRAKIS, Emmanuel N ; SCHIZA, Sophia I ; MARKETOU, Mary E ; CHRYSOSTOMAKIS, Stavros I ; CHLOUVERAKIS, Gregory I ; KLAPSINOS, Nick C ; SIAFAKAS, Nikolas S ; VARDAS, Panos E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p148t-a25830bcc68e82252363d285c112d60b227f217db3b282a27db9eba252724dde3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Bradycardia - etiology</topic><topic>Bradycardia - therapy</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Continuous positive airway pressure</topic><topic>Electrocardiography, Ambulatory</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polysomnography - methods</topic><topic>Positive-Pressure Respiration - methods</topic><topic>Prospective Studies</topic><topic>Sleep Apnea Syndromes - complications</topic><topic>Sleep Apnea Syndromes - therapy</topic><topic>Statistics, Nonparametric</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SIMANTIRAKIS, Emmanuel N</creatorcontrib><creatorcontrib>SCHIZA, Sophia I</creatorcontrib><creatorcontrib>MARKETOU, Mary E</creatorcontrib><creatorcontrib>CHRYSOSTOMAKIS, Stavros I</creatorcontrib><creatorcontrib>CHLOUVERAKIS, Gregory I</creatorcontrib><creatorcontrib>KLAPSINOS, Nick C</creatorcontrib><creatorcontrib>SIAFAKAS, Nikolas S</creatorcontrib><creatorcontrib>VARDAS, Panos E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>European heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SIMANTIRAKIS, Emmanuel N</au><au>SCHIZA, Sophia I</au><au>MARKETOU, Mary E</au><au>CHRYSOSTOMAKIS, Stavros I</au><au>CHLOUVERAKIS, Gregory I</au><au>KLAPSINOS, Nick C</au><au>SIAFAKAS, Nikolas S</au><au>VARDAS, Panos E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe bradyarrhythmias in patients with sleep apnoea: the effect of continuous positive airway pressure treatment. A long-term evaluation using an insertable loop recorder</atitle><jtitle>European heart journal</jtitle><addtitle>Eur Heart J</addtitle><date>2004-06</date><risdate>2004</risdate><volume>25</volume><issue>12</issue><spage>1070</spage><epage>1076</epage><pages>1070-1076</pages><issn>0195-668X</issn><eissn>1522-9645</eissn><abstract>In this new era of insertable loop recorders, we studied obstructive sleep apnoea-hypopnoea syndrome (OSAHS) patients in order to evaluate their arrhythmias and the beneficial effect of Continuous Positive Airway Pressure treatment (CPAP), over a long-term period.
We enrolled 23 patients (16 men, 50 +/- 11 years) with moderate and severe OSAHS. In all patients, an insertable loop recorder capable of monitoring the heart rhythm for 16 months was implanted. Cardiac pauses >3 s and bradycardic episodes <40 bpm during a 2-month period before, and for 14 months after, the CPAP application, were noted. In each period, the patients underwent two 24-h Holter recordings. Before treatment, 11 patients (47%) revealed severe cardiac rhythm disturbances, mostly nocturnal. Holter recordings showed disturbances in only 3 (13%) patients (P=0.039), those in whom the insertable loop device had recorded frequent episodes. Eight weeks after the initiation of treatment, the total number of the recorded episodes tended to decrease while, during the last 6 months of the follow-up, no episodes were recorded.
Approximately half of OSAHS patients evidence severe cardiac rhythm disturbances, which are significantly reduced by CPAP. Holter recordings seem unable to precisely describe the incidence of severe brady-arrhythmias and the effect of treatment.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>15191779</pmid><doi>10.1016/j.ehj.2004.04.017</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0195-668X |
| ispartof | European heart journal, 2004-06, Vol.25 (12), p.1070-1076 |
| issn | 0195-668X 1522-9645 |
| language | eng |
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| source | Oxford Journals Online |
| subjects | Biological and medical sciences Bradycardia - etiology Bradycardia - therapy Cardiac dysrhythmias Cardiology. Vascular system Continuous positive airway pressure Electrocardiography, Ambulatory Female Heart Humans Male Medical sciences Middle Aged Polysomnography - methods Positive-Pressure Respiration - methods Prospective Studies Sleep Apnea Syndromes - complications Sleep Apnea Syndromes - therapy Statistics, Nonparametric |
| title | Severe bradyarrhythmias in patients with sleep apnoea: the effect of continuous positive airway pressure treatment. A long-term evaluation using an insertable loop recorder |
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