Atrial flutter associated with obstructive sleep apnea syndrome. A case report.
An obese 57-year-old man with the obstructive sleep apnea syndrome had partial tracheostomy occlusion and palpitations. Continuous ECG monitoring demonstrated atrial flutter, occasional premature ventricular beats, and a high degree of atrioventricular block during apneic episodes. A 7-s period of ventricular asystole was demonstrated during one such episode. Revision of the tracheostomy produced an improvement in the patient's condition.
D000402:Airway Obstruction / Q000150:complications / Q000628:therapy; D001282:Atrial Flutter / Q000150:complications*; D004562:Electrocardiography; D006327:Heart Block / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000628:therapy; D014140:Tracheotomy