A clinical case of hemangioma of the face and tongue concurrent with severe obstructive sleep apnea syndrome complicated by cardiac arrhythmias and conduction disturbances

Abstract


The paper describes a clinical case of a female patient with severe obstructive sleep apnea syndrome in the presence of congenital hemangioma of the face, soft palate, and tongue concurrent with paroxysmal atrial fibrillation and atrial flutter, paroxysmal supraventricular tachycardia, and sinoatrial block (maximally up to 3.9 sec). Continuous positive airway pressure therapy could reduce the number of paroxysms of atrial fibrillation and atrial flutter, supraventricular tachycardia and eliminate sinoatrial block.

About the authors

K I Konovalova

E M Elfimova

E A Butorova

A V Aksenova

P V Galitsin

O S Bulkina

A Yu Litvin

I E Chazova

References

  1. Guilleminaut C, Eldridge F, Dement WC. Insomnia with sleep apnea: a new syndrome. Science. 1973;181:856-858.
  2. Young T, Peppard PE, Gottlieb DJ. Epidemiology of Obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165:1217-1239.
  3. Martin JM, Carizzo SJ, Vicente E et al. Longterm cardiovascular outcomes in men with obstructive sleep apnea-hypopnea with or without treatment with CPAP an observational study. Lancet. 2005;365:1046-1053.
  4. Lavie P, Lavie L, Herer P. All-cause mortality in males with sleep apnea syndrome: declining mortality rates with age. Eur Resir J. 2005;25:514-520.
  5. Doherty LS, Kiely JL, Swan V et al. Long-term effects of nasal CPAP therapy on cardiovascular outcomes in sleep apnea syndrome. Chest. 2005;127:2076-2084.
  6. Apoor S Gami, Eric J Olson, Win K Shen et al. Obstructive Sleep Apnea and the Risk of Sudden Cardiac Death: A Longitudinal Study of 10,701 Adults. J Am Coll Cardiol. Accepted Date: 7 April 2013.
  7. H Klar Yaggi, John Concato, Walter N Kernan, Judith H Lichtman, Lawrence M Brass, Vahid Mohsenin. N Engl J Med. 2005;353:2034-2041.
  8. Meslier N, Gagnadoux F, Giraud P, Person C, Ouksel H, Urban T, Racineux JL. Impaired glucose-insulin metabolism in males with obstructive sleep apnea syndrome. Eur Respir J. 2003;22(1): 156-160.
  9. Somers V, Dyken M, Clary M et al. Sympathetic Neural Mechanisms in Obstructive sleep apnea. J Clin Invest. 1995;96:1897-1904.
  10. Carlson J, Hedner J, Elam M et al. Augmented resting sympathetic activity in awake patients with Obstructive sleep apnea. Chest. 1993;103:1763-1768.
  11. Peled N, Abinader EG, Pillar G et al. Nocturnal is- chemic events in patients with Obstructive sleep apnea syndrome and ischemic heart disease: effects of continuous positive air pressure treatment. J Am Coll Cardiol. 1999;34:1744-1799.
  12. Tilkian AG, Guilleminault C, Schroeder JS et al. Sleep-induced apnea syndrome. Prevalence of cardiac arrhythmias and their reversal after tracheostomy. Am J Med. 1977;63:348-358.
  13. Becker H, Brandenburg U, Peter JH et al. Reversal of sinus arrest and atrioventricular conduction block in patients with sleep apnea during nasal continuous positive airway pressure. Am J Respir Crit Care Med. 1995:151:215-218.
  14. Grimm W, Hoffmann J, Menz V et al. Electrophysiologic evaluation of sinus node function and atrioventricular conduction in patients with prolonged ventricular asystole during obstructive sleep apnea. Am J Cardiol. 1996;77:1310-1314.
  15. Курлыкина Н.В., Певзнер А.В., Литвин А.Ю., Галицин П.В., Чазова И.Е., Соколов С.Ф., Голицын С.П. Возможности лечения больных с длительными ночными асистолиями и синдромом обструктивного апноэ сна созданием постоянного положительного давления воздуха в верхних дыхательных путях. Кардиология. 2009;6(49):36-42.
  16. Mehra R, Benjamin EJ, Shahar E et al. Association of Nocturnal Arrhythmai with Sleep Disordered Breathing. The Sleep Heart Health Study. Am J Respir Crit Care Med. 2006;173:910-916.
  17. Monahan K, StorferIsser A, Mehra R et al. Triggering of nocturnal arrhythmias by sleep-disordered breathing events. J Am Coll Cardiol. 2009;54:1797-1804.
  18. Байрамбеков Э.Ш., Певзнер А.В., Литвин А.Ю., Соко-­лов С.Ф., Голицын С.П., Чазова И.Е. Инновации и прогресс в кардиологии. Материалы конгресса 24—26 сентября 2014 г., Казань. 2014;68.

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