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EnglishBACKGROUND: Sleep disordered breathing (SDB), a common condition among patients with permanent pacemaker (PM), is associated with greater incidence of cardiac arrhythmias. Scarce availability of sleep laboratories and the high costs of nocturnal-attended polysomnography limit the routine screening of patients with PM for SDB. We investigated whether a novel PM that utilizes variations in transthoracic impedance to record the fluctuations in breathing pattern and minute ventilation could be used to screen patients for SDB. METHODS: Twenty patients who underwent dual-chamber PM implantation were studied. The Talent 3 DR PM (SORIN Group Italy S.r.l., Milan, Italy) calculates apnea-hypopnea index (AHI) by computing minute ventilation signal derived from transthoracic impedance measurements. Within a month after PM implantation, an in-home respiratory monitoring was performed to evaluate the accuracy of PM-derived AHI. Patients were followed for mean ± standard deviation, 487 ± 166 days. The PM was checked at each follow-up visit to retrieve the information about recurrent arrhythmias. RESULTS: Eleven patients were diagnosed with SDB by an in-home respiratory monitoring. An AHI derived from an in-home respiratory monitoring was similar to pacemaker-derived AHI (27 ± 14 vs 16 ± 13 events/hour, P = 0.15). The cumulative incidence of cardiac arrhythmias, including atrial fibrillation, extrasystolic beats, sustained and nonsustained ventricular tachycardia, and supraventricular tachycardia was similar in patients with and without SDB. CONCLUSION: SDB is highly prevalent in patients with permanent pacemaker. Screening for SDB with Talent 3 DR PM may facilitate diagnosis and treatment of SDB.
Sleep Disordered Breathing and Arrhythmia Burden in Pacemaker Recipients / MARGHERITA PADELETTI;SIMONE VIGNINI;GIUSEPPE RICCIARDI;PAOLO PIERAGNOLI;VALERIO ZACÀ;MICHELE EMDIN;STEFANO FUMAGALLI;SANJA JELIC. - In: PACING AND CLINICAL ELECTROPHYSIOLOGY. - ISSN 0147-8389. - STAMPA. - 33(2010), pp. 1462-1466. [10.1111/j.1540-8159.2010.02881.x]
| Titolo: | Sleep Disordered Breathing and Arrhythmia Burden in Pacemaker Recipients | |
| Autori di Ateneo: | ||
| Autori: | PADELETTI, MARGHERITA; SIMONE VIGNINI; RICCIARDI, GIUSEPPE; PIERAGNOLI, PAOLO; VALERIO ZACÀ; MICHELE EMDIN; FUMAGALLI, STEFANO; SANJA JELIC | |
| Anno di registrazione: | 2010 | |
| Rivista: | ||
| Volume: | 33 | |
| Pagina iniziale: | 1462 | |
| Pagina finale: | 1466 | |
| Abstract: | BACKGROUND: Sleep disordered breathing (SDB), a common condition among patients with permanent pacemaker (PM), is associated with greater incidence of cardiac arrhythmias. Scarce availability of sleep laboratories and the high costs of nocturnal-attended polysomnography limit the routine screening of patients with PM for SDB. We investigated whether a novel PM that utilizes variations in transthoracic impedance to record the fluctuations in breathing pattern and minute ventilation could be used to screen patients for SDB. METHODS: Twenty patients who underwent dual-chamber PM implantation were studied. The Talent 3 DR PM (SORIN Group Italy S.r.l., Milan, Italy) calculates apnea-hypopnea index (AHI) by computing minute ventilation signal derived from transthoracic impedance measurements. Within a month after PM implantation, an in-home respiratory monitoring was performed to evaluate the accuracy of PM-derived AHI. Patients were followed for mean ± standard deviation, 487 ± 166 days. The PM was checked at each follow-up visit to retrieve the information about recurrent arrhythmias. RESULTS: Eleven patients were diagnosed with SDB by an in-home respiratory monitoring. An AHI derived from an in-home respiratory monitoring was similar to pacemaker-derived AHI (27 ± 14 vs 16 ± 13 events/hour, P = 0.15). The cumulative incidence of cardiac arrhythmias, including atrial fibrillation, extrasystolic beats, sustained and nonsustained ventricular tachycardia, and supraventricular tachycardia was similar in patients with and without SDB. CONCLUSION: SDB is highly prevalent in patients with permanent pacemaker. Screening for SDB with Talent 3 DR PM may facilitate diagnosis and treatment of SDB. | |
| Handle: | http://hdl.handle.net/2158/771349 | |
| Appare nelle tipologie: | 1a - Articolo su rivista |
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| Sleep_PACE_2010.pdf | Versione finale referata (Postprint, Accepted manuscript) | Open Access | Accesso pubblicoVisualizza/Apri |
http://hdl.handle.net/2158/771349
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