Citation: Omega-3 fatty acids do not suppress atrial fibrillation even in the
"inflamed" heart.
Int J Cardiol. 2015 Mar 20;187:445-446
Authors: Saravanan P, Calder PC, Davidson NC
PMID: 25841146 [PubMed - as supplied by publisher]
Link to Pubmed record
A resource to keep Wirral University Teaching Hospital (WUTH) and Wirral Community Health and Care Trust (WCHCT) staff and students on placement up to date with the latest developments, news and events relating to library, research and evidence based practice within the organisation. Brought to you as a collaborative venture between the Library & Knowledge Service and the WUTH Research & Development department.
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Friday, 3 April 2015
WUTH Publication: Treatment of tachycardia: bradycardia syndrome in a patient with obstructive sleep apnoea.
Citation: Treatment of tachycardia: bradycardia syndrome in a patient with
obstructive sleep apnoea.
BMJ Case Rep. 2015;2015
Authors: Lagan J, Saravanan P
Abstract: Obstructive sleep apnoea (OSAS) affects 4% of men and 2% of women aged 30-65 years. It is diagnosed in the presence of excessive daytime sleepiness and an apnoea-hypopnoea index (AHI) of ≥5 on polysomnography. Rhythm disturbances are common in OSAS and continuous positive airway pressure (CPAP) has been shown to be beneficial. We present a case of a patient with obesity, atrial fibrillation with fast ventricular response, significant nocturnal pauses (3.9 s) and tachycardiomyopathy. A polysomnography confirmed severe OSAS (AHI=64.25). CPAP improved bradycardia and allowed for the introduction of β-blockers. Subsequent Holter monitoring revealed better rate control with the longest pause of 2 s and the patient's left ventricular systolic function improved. CPAP prevented our patient from invasive treatment, allowed for rate control and improvement of tachycardiomyopathy. With such a high prevalence of OSAS, clinicians should be aware that CPAP may aid arrhythmia control.
PMID: 25833907 [PubMed - as supplied by publisher]
Link to Pubmed record
BMJ Case Rep. 2015;2015
Authors: Lagan J, Saravanan P
Abstract: Obstructive sleep apnoea (OSAS) affects 4% of men and 2% of women aged 30-65 years. It is diagnosed in the presence of excessive daytime sleepiness and an apnoea-hypopnoea index (AHI) of ≥5 on polysomnography. Rhythm disturbances are common in OSAS and continuous positive airway pressure (CPAP) has been shown to be beneficial. We present a case of a patient with obesity, atrial fibrillation with fast ventricular response, significant nocturnal pauses (3.9 s) and tachycardiomyopathy. A polysomnography confirmed severe OSAS (AHI=64.25). CPAP improved bradycardia and allowed for the introduction of β-blockers. Subsequent Holter monitoring revealed better rate control with the longest pause of 2 s and the patient's left ventricular systolic function improved. CPAP prevented our patient from invasive treatment, allowed for rate control and improvement of tachycardiomyopathy. With such a high prevalence of OSAS, clinicians should be aware that CPAP may aid arrhythmia control.
PMID: 25833907 [PubMed - as supplied by publisher]
Link to Pubmed record
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