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Yıl:2019; Cilt: 6; Sayı: 1>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2019;6(1):19-21
Aritmilerin Gizli Yüzü: Obstrüktif Uyku Apne Sendromu
P Mutlu, M Yılmaz, NA Mirici
Çanakkale Onsekiz Mart Universitesi, Çanakkale
Obstrüktif Uyku Apne sendromu (OUAS), uykuda üst hava yolundaki tıkanıklıklar nedeniyle uyku sırasında oluşan solunum durması epizotları, uyku fragmantasyonu, oksijen satürasyonu ve gündüz artmış uyku hali ile birlikte olan bir klinik tablodur. OUAS toplumda aslında sanılandan çok daha yaygındır. Bazı hastalarda OUAS semptomlarını çok rahat görebiliriz, ancak bazı hastalar hiç semptom vermeyebilir. Her ne kadar OUAS’nin nedenlerinin ve kardiyovasküler hastalığa bağlanmış ölüm oranının üzerine olan ilgi ve araştırmalar artsa da, hala bu ilişki tam olarak netleştirilememiştir. Temel olarak güvenilir klinik bulgular OSAS’nin, esansiyal ve dirençli hipertansiyonla olduğu kadar, felç geçirme riskini, kardiyak ritim bozukluklarını (atriyal fibrilasyon, bradiaritmi, supraventriküler taşikardi, ventriküler aritmi) koroner arter hastalığını, akut miyokard infarktüsünü ve kardiyak arresti arttırdığı hipotezini destekliyor. Biz de bu olguda OUAS semptomları olmayan genç obez bir hastada aritminin nedeni olarak OUAS ve OUAS tedavisi ile düzelen bir aritmiyi göstermek istedik.
The Secret Face of Arhythmias: Obstructive Sleep Apnea Syndrome
Obstructive Sleep Apnea syndrome (OSAS) is a clinical condition accompanied by episodes of respiratory arrest, sleep fragmentation, oxygen desaturation, and excessive daytime sleepiness due to obstructions in the upper airway during sleep. Contrary to popular belief, OSAS is much more common in society. In some patients, we can observe symptoms of OSAS easily; however, some of the patients may not indicate any symptoms. Although the interest and research on the causes of OSAS and the mortality rate associated with cardiovascular disease have increased, this relationship has still not completely understood. The results of several proven trusted clinical trials support the hypothesis that OSAS increases the risk of stroke, arrhythmias (atrial fibrillation, bradyarrhythmia, supraventricular tachycardia, ventricular arrhythmia), coronary artery disease, acute myocardial infarction, and cardiac arrest as much as essential or resistant hypertension. In this case report, we wanted to demonstrate OSAS as a cause of arrhythmia in a young obese patient without OSAS symptoms, and an arrhythmia that improved with OSAS therapy.

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