TY  - JOUR
T1  - Relationship Between Severity of Obstructive Sleep Apnea and PR Interval
TT  - Obstrüktif Uyku Apnesi Şiddeti ve PR Süresi Arasındaki İlişki
AU  - Karamanlı, Harun
AU  - Aygün, Fatih
AU  - Akgedik, Recep
PY  - 2016
DA  - April
JF  - Koşuyolu Heart Journal
PB  - Kartal Koşuyolu Yüksek İhtisas EAH
WT  - DergiPark
SN  - 2149-2972
SP  - 27
EP  - 31
VL  - 19
IS  - 1
LA  - en
AB  - Introduction:Relationship between obstructive sleep apnea (OSA)and electrocardiogram and OSA severity index relationship that may affect thePR interval were studied.Patientsand Methods: This study included 85 people who had OSAdiagnosed at our clinic between January 2013 and August 2013. Theirpolysomnography (PSG) reports were evaluated by physicians who are expert intheir fields. Individuals with severe OSA diseases were categorized as group 1,and individuals with mild to moderate OSA were categorized as group 2.Results: Agedistribution of individuals who participated to the study ranged from 20 yearsto 85 years (mean ± standard deviation, 45.5 ± 13.2 years). Fifty-one (60%) ofthose individuals were men, and 34 (40%) of them were women. The PR intervalfor the group who had severe OSA on PSG (group 1) was 163.1 ± 35.2 ms, and it was147.8 ± 29.3 in group 2.Conclusion: It was observed thatindividuals having severe OSA had higher PR intervals than individuals who hadmild to moderate OSA. It was determined that results were statisticallysignificant (p< 0.05, p= 0.032). We believe that apnea-hypopnea index,oxygen desaturation index, and arousal values, which are indications of OSAseverity and parameters of hypoxia-reoxygenation, contribute to PRprolongation.
KW  - PR interval time
KW  - sleep apnea obstructive
N2  - Giriş: Obstriktif uykuapnesi (OSA) şiddeti ile elektrokardiyogramdaki PR süresinin genişlemesiarasındaki ilişki ve PR süresini etkileyebilecek OSA şiddet indeksleri ileilişkisi araştırılmıştır.Hastalar ve Yöntem: Bu çalışma;kliniğimizde Ocak 2013 ve Ağustos 2014 tarihleri arasında, OSA tanısı almış 85kişiyi içermektedir. Polisomnografi (PSG) raporları alanında uzman hekimtarafından değerlendirildi. Şiddetli uyku apne hastalığı olan bireyler grup 1olarak adlandırılırken, orta, hafif uyku apne hastalığı olan bireyler grup 2olarak belirlendi.Bulgular: Çalışmayakatılan tüm bireylerin yaş dağılımı; minimum 20 yıl, maksimum 85 yıldır(ortalama ± standart sapma 45.5 ± 13.2 y). Bu kişilerin 51’i (%60) erkek, 34’ü(%40) kadındır. Polisomnografi şiddetli OSA tanısı alan bireyleri içeren grup1’de PR süresi 163.1 ± 35.2 milisaniye (ms) iken grup 2’de 147.8 ± 29.3milisaniye olduğu görüldü.Sonuç: Şiddetli OSA tanısı alanbireylerin, hafif ve orta şiddette OSA tanısı alan bireylere göre PRsürelerinin yüksek olduğu görüldü. Sonucun istatiksel olarak anlamlı olduğutespit edildi (p< 0.05, p= 0). OSA şiddeti göstergesi vehipoksi-reoksijenizasyon parametreleri olan AHI (apne-hipopne indeksi), ODI(oksijen desaturasyon indeksi); arousal değerleri PR uzamasında katkısağladığına inanmaktayız.
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UR  - https://dergipark.org.tr/tr/pub/khj/issue//499550
L1  - https://dergipark.org.tr/tr/download/article-file/601211
ER  -