Harun KARAMANLI, Fatih AYGÜN, Recep AKGEDİK

Obstrüktif Uyku Apnesi Şiddeti ve PR Süresi Arasındaki İlişki

Giriş: Obstriktif uyku apnesi (OSA) şiddeti ile elektrokardiyogramdaki PR süresinin genişlemesi arasındaki ilişki ve PR süresini etkileyebilecek OSA şiddet indeksleri ile ilişkisi araştırılmıştır. Hastalar ve Yöntem: Bu çalışma; kliniğimizde Ocak 2013 ve Ağustos 2014 tarihleri arasında, OSA tanısı almış 85 kişiyi içermektedir. Polisomnografi (PSG) raporları alanında uzman hekim tarafından değerlendirildi. Şiddetli uyku apne hastalığı olan bireyler grup 1 olarak adlandırılırken, orta, hafif uyku apne hastalığı olan bireyler grup 2 olarak belirlendi. Bulgular: Çalışmaya katılan tüm bireylerin yaş dağılımı; minimum 20 yıl, maksimum 85 yıldır (ortalama ± standart sapma 45.5 ± 13.2 y). Bu kişilerin 51’i (%60) erkek, 34’ü (%40) kadındır. Polisomnografi şiddetli OSA tanısı alan bireyleri içeren grup 1’de PR süresi 163.1 ± 35.2 milisaniye (ms) iken grup 2’de 147.8 ± 29.3 milisaniye olduğu görüldü. Sonuç: Şiddetli OSA tanısı alan bireylerin, hafif ve orta şiddette OSA tanısı alan bireylere göre PR sürelerinin yüksek olduğu görüldü. Sonucun istatiksel olarak anlamlı olduğu tespit edildi (p< 0.05, p= 0). OSA şiddeti göstergesi ve hipoksi-reoksijenizasyon parametreleri olan AHI (apne-hipopne indeksi), ODI (oksijen desaturasyon indeksi); arousal değerleri PR uzamasında katkı sağladığına inanmaktayız.

Anahtar Kelimeler:

PR aralığı süresi, obstrüktif uyku apnesi

Relationship Between Severity of Obstructive Sleep Apnea and PR Interval

Introduction: Relationship between obstructive sleep apnea (OSA) and electrocardiogram and OSA severity index relationship that may affect the PR interval were studied. Patients and Methods: This study included 85 people who had OSA diagnosed at our clinic between January 2013 and August 2013. Their polysomnography (PSG) reports were evaluated by physicians who are expert in their fields. Individuals with severe OSA diseases were categorized as group 1, and individuals with mild to moderate OSA were categorized as group 2. Results: Age distribution of individuals who participated to the study ranged from 20 years to 85 years (mean ± standard deviation, 45.5 ± 13.2 years). Fifty-one (60%) of those individuals were men, and 34 (40%) of them were women. The PR interval for the group who had severe OSA on PSG (group 1) was 163.1 ± 35.2 ms, and it was 147.8 ± 29.3 in group 2. Conclusion: It was observed that individuals having severe OSA had higher PR intervals than individuals who had mild to moderate OSA. It was determined that results were statistically significant (p< 0.05, p= 0.032). We believe that apnea-hypopnea index, oxygen desaturation index, and arousal values, which are indications of OSA severity and parameters of hypoxia-reoxygenation, contribute to PR prolongation.

Keywords:

PR interval time, sleep apnea obstructive,

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