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The effects of simulated obstructive apnea and hypopnea on arrhythmic potential in healthy subjects
- Source :
- European journal of applied physiology. 113(2)
- Publication Year :
- 2013
-
Abstract
- Preliminary evidence supports an association between OSA and cardiac dysrhythmias. Negative intrathoracic pressure, as occurring during OSA, may provoke cardiac dysrhythmias. Thus, we aimed to study the acute effects of simulated apnea and hypopnea on arrhythmic potential and measures of cardiac repolarization [QTC and T peak to T end intervals ( $$ T_{\text{p}} T_{{{\text{e}}_{\text{c}} }} $$ )] in humans. In 41 healthy volunteers, ECG was continuously recorded prior, during and after simulated obstructive hypopnea (inspiration through a threshold load), simulated apnea (Mueller maneuver), end-expiratory central apnea and normal breathing in randomized order. The number of subjects with premature beats was significantly higher during inspiration through a threshold load (n=7), and the Mueller maneuver (n=7) compared to normal breathing (n=0) (p=0.008 for all comparisons), but not during end-expiratory central apnea (n=3, p=0.125). Inspiration through a threshold load was associated with a non-significant mean (SD) increase of the QTC interval [+5.4 (22.4)ms, 95%CI −1.7 to +12.4ms, p=0.168] and a significant increase of the $$ T_{\text{p}} T_{{{\text{e}}_{\text{c}} }} $$ interval [+3.7 (8.9)ms, 95%CI +0.9 to +6.6ms, p=0.010]. The Mueller maneuver induced a significant increase of the QTC interval [+8.3 (23.4)ms, 95%CI 0.9 to +15.6ms, p=0.035] and the $$ T_{\text{p}} T_{{{\text{e}}_{\text{c}} }} $$ interval (+4.2 (8.2)ms, 95%CI +1.6 to +6.8ms, p=0.002). There were no significant changes of the QTC and $$ T_{\text{p}} T_{{{\text{e}}_{\text{c}} }} $$ intervals during central end-expiratory apnea. These data indicate that simulated obstructive apnea and hypopnea are associated with an increase of premature beats and prolongation of QTC and $$ T_{\text{p}} T_{{{\text{e}}_{\text{c}} }} $$ intervals. Therefore, negative intrathoracic pressure changes may be a contributory mechanism for the association between OSA and cardiac dysrhythmias
- Subjects :
- Adult
Male
Müller's maneuver
Cardiac Complexes, Premature
Physiology
medicine.medical_treatment
Central apnea
610 Medicine & health
Respiratory physiology
Young Adult
2732 Orthopedics and Sports Medicine
2737 Physiology (medical)
Heart Rate
Physiology (medical)
Heart rate
Humans
Medicine
Orthopedics and Sports Medicine
Sleep Apnea, Obstructive
business.industry
Public Health, Environmental and Occupational Health
Apnea
2739 Public Health, Environmental and Occupational Health
General Medicine
Cardiac dysrhythmia
Middle Aged
medicine.disease
Obstructive sleep apnea
10076 Center for Integrative Human Physiology
Anesthesia
Respiratory Mechanics
570 Life sciences
biology
Female
10178 Clinic for Pneumology
medicine.symptom
business
Hypopnea
Subjects
Details
- Language :
- English
- ISSN :
- 14396327 and 14396319
- Volume :
- 113
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- European journal of applied physiology
- Accession number :
- edsair.doi.dedup.....1e29e02b1a4b7e61ac3fa43b21f0d1e9