title: Correction of AV-nodal block in a 27-year-old man with severe obstructive sleep apnea--a case report.
abstract: A 27-year-old morbidly obese man diagnosed with severe obstructive sleep apnea (OSA) and experiencing significant ventricular asystoles at times exceeding 8 seconds, during polysomnography. The bradyarrhythmias were successfully corrected with the application of a nasal continuous positive airway pressure (CPAP) mask. Follow-up 24-hour ambulatory Holter monitoring without the aid of a nasal CPAP mask and repeat polysomnography with a CPAP mask after several weeks of continuous CPAP therapy during sleep revealed no evidence of ventricular asystole, despite no change in the patient's body mass index. We discuss several mechanisms explaining the findings in this particular patient.
authors.affiliation: New York Methodist Hospital, Brooklyn, NY 11215, USA.
authors.forename: Louis
authors.initials: L
authors.lastname: Voigt
authors.forename: Barry I
authors.initials: BI
authors.lastname: Saul
authors.forename: Gerard
authors.initials: G
authors.lastname: Lombardo
authors.forename: C V R
authors.initials: CV
authors.lastname: Reddy
authors.forename: John
authors.initials: J
authors.lastname: Kassotis
mesh_terms: D000328:Adult; D015716:Electrocardiography, Ambulatory; D006327:Heart Block / Q000628:therapy*; D006801:Humans; D008297:Male; D008397:Masks; D009767:Obesity, Morbid; D017286:Polysomnography; D011175:Positive-Pressure Respiration; D012891:Sleep Apnea Syndromes / Q000628:therapy*