摘要
为了观察阻塞性睡眠呼吸暂停（ＯＳＡ）患者的心律失常特点以及睡眠体位对心律失常的影响，对２１例经五官科确诊的ＯＳＡ患者进行２４ｈ动态心电图监测。清醒状态下６例（２８．６％）偶发房性早搏、室性早搏，睡眠中２１例（１００％）均出现心律失常。心律失常特征为：随憋气加重出现传导阻滞、停搏、逸搏及早搏、短阵心动过速；呼吸恢复时，窦性心律突然加速伴早搏、心动过速。侧卧位时心律失常消失或改善（７６．７％ｖｓ３３．３％）。结论：迷走－交感神经失衡是引起ＯＳＡ患者发生心律失常的主要原因之一。
To observe the feature of cardiac arrhythmias in patients with obstructive sleep apnea (OSA) and the effects of the postures on cardiac arrhythmias,21 patients with OSA were mornitored with ambulatory electrocardiogram.Results:there were a few premature beats in 6 cases (28.6%) during waking and cardiac arrhythmias were occurred in all of cases (100%) during sleeping. while their breathing were recoved,premature beats,atral and ventricular tachycardias presented when sinus rhythm were accelerated suddenly. Cardiac arrhythmias disappeared on the side in 14 of 21 (76.7%).The results showed that disfunction of vagal and sympathytic nerves is one of the important factors causing arrhythmias in patients with OSA.
出处
《中国心脏起搏与心电生理杂志》
1999年第2期101-102,共2页
Chinese Journal of Cardiac Pacing and Electrophysiology
