Obstrüktif Uyku Apne Şiddeti ile QRS Süresi Arasındaki İlişkinin Araştırılması

Yıl 2015, Cilt: 18 Sayı: 1, 10 - 14, 06.04.2015

Fatih Aygün , Harun Karamanlı

Öz

Giriş: Bu çalışmada,
obstrüktif uyku apnesi (OSA) şiddeti ile elektrokardiyogramdaki QRS süresinin
genişlemesi arasındaki ilişki araştırılmıştır.

Hastalar ve Yöntem: Bu çalışma;
kliniğimizde Mart 2013 ve Eylül 2014 tarihleri arasında, OSA tanısı almış 85
kişiyi içermektedir. PSG raporları alanında uzman hekim tarafından
değerlendirildi. Şiddetli uyku apne hastalığı olan bireyler Grup 1 olarak
adlandırılırken, orta, hafif uyku apne hastalığı olan bireyler Grup 2 olarak
belirlendi.

Bulgular: Çalışmaya
katılan tüm bireylerin yaş dağılımı; minimum(min) 20 yıl (y), maksimum(max) 85
yıldır (ortalama ± standart sapma 48.5 ± 13.2 y). Bu kişilerin 51 (%60)’i
erkek, 34 (%40)’ ü kadındır. Polisomnografi (PSG) kayıtları ve skorlaması ALICE
6 system kullanılarak oluşturulan, şiddetli OSA’sı olan bireyleri içeren Grup
1’de QRS süresi 0.112 ± 0.016 saniye iken Grup 2’ de 0,080 ± 0,017 saniye
olduğu görüldü.

Sonuç: Şiddetli OSA’sı olan
bireylerin, hafif ve orta şiddette OSA’sı olan bireylere göre QRS sürelerinin
yüksek olduğu görüldü. Sonucun istatiksel olarak anlamlı olduğu tespit edildi
(p< 0.01).

Anahtar Kelimeler

Uyku monitorizasyonu, elektrokardiyogram, obstrüktif uyku apnesi

Relation Between Obstructive Sleep Apnea and Duration of QRS Complex

Öz

Introduction: To investigate the
relation between severity of obstructive sleep apnea (OSA) and widened QRS
complex on electrocardiogram.

Patients and Methods: The present study
comprised 85 subjects diagnosed with OSA at our clinic between March 2013 and
September 2014. PSG reports were reviewed by a self-proclaimed expert
physician. Whilst the patients with severe sleep apnea disease were assigned to
Group 1, patients with mild-moderate sleep apnea disease were assigned to Group
2.

Results: The age of the patients
participated in the study ranged between 20 years (y) (minimum-min) and 85
years (maximum-max) (mean ± standard deviation 48.5 ± 13.2 y). Of these
subjects, 51 (60%) were male and 34 (40%) were female. Mean duration of QRS
complex was 0.112 ± 0.016 seconds (sec) in Group I consisted of patients with
severe OSA of which Polysomnography (PSG) records and scoring were done using
ALICE 6 system, whereas it was 0.080 ± 0.017 sec in Group 2.

Conclusion: It was
observed that duration of QRS complex was longer in the patients with severe
OSA as compared to those with mild-moderate OSA. The result was statistically
significant (p< 0.01).

Anahtar Kelimeler

Monitoring sleep, electrocardiogram, obstructive sleep apnea

Kaynakça

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