Effects of physiological cardiac pacing on sleep-disordered breathing in patients with chronic bradydysrhythmias

Psychiatry Clin Neurosci. 2001 Jun;55(3):257-8. doi: 10.1046/j.1440-1819.2001.00849.x.

Abstract

In six patients with chronic bradydysrhythmias, polysomnographies were performed before cardiac pacemaker implantation and over the week following implantation. A patient with third-degree atrioventricular block (AVB) and two patients with sinus node dysfunction (SND) were associated with sleep-disordered breathing (SDB). Their cardiac pacemaker therapies, with the increase in the average heart rate, led to a reduction of apnea-hypopnea index and/or an improvement of Cheyne-Stokes breathing. It seems that chronic bradydysrhythmia is one of the causative factors leading to SDB.

Publication types

  • Clinical Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bradycardia / complications*
  • Cheyne-Stokes Respiration
  • Chronic Disease
  • Female
  • Heart Block / complications
  • Heart Block / therapy
  • Heart Rate / physiology
  • Humans
  • Male
  • Middle Aged
  • Pacemaker, Artificial*
  • Polysomnography
  • Postoperative Period
  • Preoperative Care
  • Severity of Illness Index
  • Sleep Apnea Syndromes / complications*
  • Sleep Apnea Syndromes / diagnosis*
  • Treatment Outcome