Therapeutic effect of noninvasive positive pressure ventilation on arrhythmia in patients with CHD complicated OSAHS
10.3969/j.issn.1008-0074.2017.06.10
- VernacularTitle:无创正压通气对冠心病合并OSA HS患者心律失常的治疗作用
- Author:
lei Xiao ZHAO
1
;
qin Wen ZHANG
Author Information
1. 河北省邯郸市第四医院内九科
- Keywords:
Coronary disease;
Sleep apnea;
obstructive;
Positive-pressure respiration
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2017;26(6):620-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore therapeutic effect of noninvasive positive pressure ventilation(NPPV)on arrhythmi-a in patients with coronary heart disease(CHD)complicated obstructive sleep apnea-hypopnea syndrome(OSAHS). Methods:A total of 90 CHD + OSAHS patients were selected from our hospital.They were randomly and equally divided into routine treatment group and NPPV group(received NPPV treatment based on routine treatment).After three-month treatment,incidence of supraventricular arrhythmias,ventricular arrhythmias and adverse cardiovascu-lar events were compared between two groups.Results:Compared with routine treatment group after three-month treatment,there were significant reductions in times of supraventricular arrhythmia[(659.3 ± 15.6)times/8h vs.(124.9 ± 12.6)times/8h],ventricular arrhythmia[(298.3 ± 15.3)times/8h vs.(79.6 ± 10.2)times/8h],prema-ture ventricular contraction[(3927 ± 709)times/d vs.(2524 ± 418)times/d]and nonsustained ventricular tachycar-dia[(4.91 ± 2.34)times/d vs.(1.12 ± 0.83)times/d]in NPPV group,P=0.001 all;incidence rate of adverse car-diovascular events in NPPV group was significantly lower than that of routine treatment group(2.2% vs.17.8%,P=0.035).Conclusion:Noninvasive positive pressure ventilation can reduce incidence of arrhythmias and adverse cardiovascular events in patients with coronary heart disease complicated obstructive sleep apnea-hypopnea syn-drome.
