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Impact of markedly nasal septal deviation on 24-hour rhythm Holter findings

Year 2015, Volume: 25 Issue: 5, 284 - 288, 10.10.2015

Abstract

Objectives: This study aims to investigate any impact of nasal septal deviations on cardiac arrhythmias and heart rates by performing 24-hour rhythm Holter analysis before and after septoplasty accompanied by Nasal Obstruction Symptom Evaluation NOSE scale. Patients and Methods: The study included 21 male patients mean age 33 years; range 18 to 55 years who underwent septoplasty between September 2013 and August 2014. Patients were performed 24-hour rhythm Holter electrocardiography analysis preoperatively and at postoperative third month. Supraventricular and ventricular extrasystoles were recorded pre- and postoperatively. Operation efficiency was measured with NOSE scale. Results: Of the 21 patients, ventricular and supraventricular extrasystoles were observed in seven patients 33% in the preoperative period. Mean age of patients with arrhythmia mean age 51 years; range 18 to 55 years was statistically significant higher compared to patients without arrhythmia mean age 30 years; range 23 to 55 years p=0.012 . Extrasystoles decreased in seven patients in the postoperative period. Average, minimum, and maximum heart rates did not change statistically significant in the postoperative period. Conclusion: The fact that septoplasty decreased arrhythmias indicates that nasal septum deviations may be associated with cardiac arrhythmias. Septoplasty had no effect on heart rates. Performing septoplasty in the early period may prevent future cardiac complications in indicated patients.

References

  • Acar B, Yavuz B, Karabulut H, Gunbey E, Babademez MA, Yalcin AA, et al. Parasympathetic overactivity in patients with nasal septum deformities. Eur Arch Otorhinolaryngol 2010;267:73-6.
  • Derin S, Deveer M, Sahan M, Beydilli H. Giant concha bullosa. BMJ Case Rep 2014;2014.
  • Yurttas V, Şereflican M, Erkoçoğlu M, Terzi EH, Kükner A, Oral M. Histopathological effects of intranasal phototherapy and nasal corticosteroids in allergic rhinitis in a rabbit model. J Photochem Photobiol B 2015;149:289-91.
  • Fidan V, Aksakal E. Impact of septoplasty on pulmonary artery pressure in patients with markedly deviated septum. J Craniofac Surg 2011;22:1591-3.
  • Mengi E, Cukurova I, Yalçın Y, Yiğitbaşı OG, Karaman Y. Evaluation of operation success in patients with nasal septal deviation with quality of life scale and objective methods. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2011;21:184-91.
  • Eşki E, Güvenç IA, Hızal E, Yılmaz I. Effects of nasal pack use on surgical success in septoplasty. Kulak Burun Bogaz Ihtis Derg 2014;24:206-10.
  • Vural S, Taş E, Gürsel AO. Evaluation of septoplasty patients with health status scale, rhinomanometry and computed tomography. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:166-70.
  • Hassanpour SE, Moosavizadeh SM, Fadaei Araghi M, Eshraghi B. Pulmonary artery pressure in patients with markedly deviated septum candidate for septorhinoplasty. World J Plast Surg 2014;3:119-21.
  • Baxandall ML, Thorn JL. The nasocardiac reflex. Anaesthesia 1988;43:480-1.
  • Kimmelman CP. The systemic effects of nasal obstruction. Otolaryngol Clin North Am 1989;22:461-6.
  • O’Connor PJ, Merrill GF. Ventricular arrhythmias caused by repeat exposure to hypoxia are dependent on duration of reoxygenation. FASEB J 1995;9:387-91.
  • Hoffstein V, Mateika S. Cardiac arrhythmias, snoring, and sleep apnea. Chest 1994;106:466-71.
  • Aydin M, Altin R, Ozeren A, Kart L, Bilge M, Unalacak M. Cardiac autonomic activity in obstructive sleep apnea: time-dependent and spectral analysis of heart rate variability using 24-hour Holter electrocardiograms. Tex Heart Inst J 2004;31:132-6.
  • Wiegand L, Zwillich CW. Obstructive sleep apnea. Dis Mon 1994;40:197-252.
  • Erkul E, Isilak Z, Gungor A, Cekin Eİ, Cıncık H. The effects of septoplasty on QTc dispersion. Otolaryngol- Head and Neck Surg 2015;145(2S).

Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi

Year 2015, Volume: 25 Issue: 5, 284 - 288, 10.10.2015

Abstract

Amaç: Bu çalışmada Nazal Obstrüksiyon Semptom Değerlendirme NOSE skalası eşliğinde septoplasti ameliyatı öncesi ve sonrası 24 saat ritim Holter analizi yapılarak nazal septal deviasyonların kardiyak aritmiler ve kalp hızları üzerine etkisinin olup olmadığı araştırıldı.Hastalar ve Yöntemler: Çalışmaya Eylül 2013 - Ağustos 2014 tarihleri arasında septoplasti uygulanan 21 erkek hasta ort. yaş 33 yıl; dağılım 18-55 yıl alındı. Hastalara ameliyat öncesinde ve ameliyat sonrası üçüncü ayda 24 saat ritim Holter elektrokardiyografi analizi yapıldı. Supraventriküler ve ventriküler ekstrasistoller ameliyat öncesi ve sonrasında kaydedildi. Ameliyat etkinliği NOSE skalası ile ölçüldü.Bulgular: Yirmi bir hastanın yedisinde %33 ameliyat öncesi dönemde ventriküler ve supraventriküler ekstrasistoller izlendi. Aritmili hastaların yaş ortalaması ort. yaş 51 yıl; dağılım 18-55 yıl aritmisiz hastalara ort. yaş 30 yıl; dağılım 23-55 yıl göre istatistiksel olarak anlamlı derecede yüksek idi p=0.012 . Ekstrasistoller yedi hastada ameliyat sonrası dönemde azaldı. Ameliyat sonrası dönemde ortalama, en düşük ve en yüksek kalp hızları istatistiksel olarak anlamlı şekilde değişmedi.Sonuç: Septoplastinin aritmileri azaltması nazal septal deviasyonların kardiyak aritmilerle ilişkili olabileceğini göstermektedir. Septoplasti kalp hızları üzerinde etkili değildi. Endike hastalarda septoplastinin erken dönemde uygulanması ileride karşılaşılabilecek kardiyak komplikasyonları önleyebilir

References

  • Acar B, Yavuz B, Karabulut H, Gunbey E, Babademez MA, Yalcin AA, et al. Parasympathetic overactivity in patients with nasal septum deformities. Eur Arch Otorhinolaryngol 2010;267:73-6.
  • Derin S, Deveer M, Sahan M, Beydilli H. Giant concha bullosa. BMJ Case Rep 2014;2014.
  • Yurttas V, Şereflican M, Erkoçoğlu M, Terzi EH, Kükner A, Oral M. Histopathological effects of intranasal phototherapy and nasal corticosteroids in allergic rhinitis in a rabbit model. J Photochem Photobiol B 2015;149:289-91.
  • Fidan V, Aksakal E. Impact of septoplasty on pulmonary artery pressure in patients with markedly deviated septum. J Craniofac Surg 2011;22:1591-3.
  • Mengi E, Cukurova I, Yalçın Y, Yiğitbaşı OG, Karaman Y. Evaluation of operation success in patients with nasal septal deviation with quality of life scale and objective methods. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2011;21:184-91.
  • Eşki E, Güvenç IA, Hızal E, Yılmaz I. Effects of nasal pack use on surgical success in septoplasty. Kulak Burun Bogaz Ihtis Derg 2014;24:206-10.
  • Vural S, Taş E, Gürsel AO. Evaluation of septoplasty patients with health status scale, rhinomanometry and computed tomography. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:166-70.
  • Hassanpour SE, Moosavizadeh SM, Fadaei Araghi M, Eshraghi B. Pulmonary artery pressure in patients with markedly deviated septum candidate for septorhinoplasty. World J Plast Surg 2014;3:119-21.
  • Baxandall ML, Thorn JL. The nasocardiac reflex. Anaesthesia 1988;43:480-1.
  • Kimmelman CP. The systemic effects of nasal obstruction. Otolaryngol Clin North Am 1989;22:461-6.
  • O’Connor PJ, Merrill GF. Ventricular arrhythmias caused by repeat exposure to hypoxia are dependent on duration of reoxygenation. FASEB J 1995;9:387-91.
  • Hoffstein V, Mateika S. Cardiac arrhythmias, snoring, and sleep apnea. Chest 1994;106:466-71.
  • Aydin M, Altin R, Ozeren A, Kart L, Bilge M, Unalacak M. Cardiac autonomic activity in obstructive sleep apnea: time-dependent and spectral analysis of heart rate variability using 24-hour Holter electrocardiograms. Tex Heart Inst J 2004;31:132-6.
  • Wiegand L, Zwillich CW. Obstructive sleep apnea. Dis Mon 1994;40:197-252.
  • Erkul E, Isilak Z, Gungor A, Cekin Eİ, Cıncık H. The effects of septoplasty on QTc dispersion. Otolaryngol- Head and Neck Surg 2015;145(2S).
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Serhan Derin This is me

Fatih Akın This is me

Murat Şahan This is me

İbrahim Altun This is me

Cem Şahin This is me

Sultan Şevik Eliçora This is me

Publication Date October 10, 2015
Published in Issue Year 2015 Volume: 25 Issue: 5

Cite

APA Derin, S., Akın, F., Şahan, M., Altun, İ., et al. (2015). Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi. The Turkish Journal of Ear Nose and Throat, 25(5), 284-288.
AMA Derin S, Akın F, Şahan M, Altun İ, Şahin C, Eliçora SŞ. Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi. Tr-ENT. October 2015;25(5):284-288.
Chicago Derin, Serhan, Fatih Akın, Murat Şahan, İbrahim Altun, Cem Şahin, and Sultan Şevik Eliçora. “Belirgin Nazal Septal deviasyonların 24 Saat Ritim Holter bulgularına Etkisi”. The Turkish Journal of Ear Nose and Throat 25, no. 5 (October 2015): 284-88.
EndNote Derin S, Akın F, Şahan M, Altun İ, Şahin C, Eliçora SŞ (October 1, 2015) Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi. The Turkish Journal of Ear Nose and Throat 25 5 284–288.
IEEE S. Derin, F. Akın, M. Şahan, İ. Altun, C. Şahin, and S. Ş. Eliçora, “Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi”, Tr-ENT, vol. 25, no. 5, pp. 284–288, 2015.
ISNAD Derin, Serhan et al. “Belirgin Nazal Septal deviasyonların 24 Saat Ritim Holter bulgularına Etkisi”. The Turkish Journal of Ear Nose and Throat 25/5 (October 2015), 284-288.
JAMA Derin S, Akın F, Şahan M, Altun İ, Şahin C, Eliçora SŞ. Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi. Tr-ENT. 2015;25:284–288.
MLA Derin, Serhan et al. “Belirgin Nazal Septal deviasyonların 24 Saat Ritim Holter bulgularına Etkisi”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 5, 2015, pp. 284-8.
Vancouver Derin S, Akın F, Şahan M, Altun İ, Şahin C, Eliçora SŞ. Belirgin nazal septal deviasyonların 24 saat ritim Holter bulgularına etkisi. Tr-ENT. 2015;25(5):284-8.