title: Effects of Nasal Septum Deviation and Septoplasty on Cardiac Arrhythmia Risk.
abstract: Upper airway obstruction (UAO) can result in cardiac complications, including arrhythmias and sudden cardiac death. Nasal septum deviation (NSD) is a common cause of UAO. The aim of this study was to assess the risk of cardiac arrhythmias in patients with NSD. To assess this risk, we measured noninvasive indicators of atrial arrhythmia (P-wave dispersion [Pd]) and ventricular arrhythmia (corrected QT dispersion [QTcd]) and compared these values between NSD patients and healthy subjects.
  
  
  
  Prospective study.
  
  
  
  Tertiary referral center.
  
  
  
  This study included 53 consecutive patients who had underwent septoplasty due to marked NSD. Electrocardiographic records were used to determine Pd and QTcd values preoperatively and 6 months postoperatively. Fifty-three consecutive age- and sex-matched subjects without any UAO were also examined as a control group.
  
  
  
  Preoperative Pd and QTcd values were significantly higher in NSD patients than in the control group (Pd: 57.40 ± 14.21 vs 34.11 ± 7.12 milliseconds, P < .001; QTcd: 81.77 ± 16.39 vs 50.25 ± 11.51 milliseconds, P < .001, respectively). In addition, Pd and QTcd values were significantly greater in preoperative NSD patients when compared with the same patients postoperatively (Pd: 57.40 ± 14.21 vs 36.32 ± 8.9 milliseconds, P = .013; QTcd: 81.77 ± 16.39 vs 55.76 ± 11.4 milliseconds, P = .012, respectively).
  
  
  
  In conclusion, NSD patients are at risk for both atrial and ventricular cardiac arrhythmias; however, septoplasty in these patients can relieve UAO and reduce the risk of arrhythmias.
authors.affiliation: Department of Otolaryngology, Van Training and Research Hospital, Van, Turkey sinanuluyol@hotmail.com.
authors.forename: Sinan
authors.initials: S
authors.lastname: Uluyol
authors.affiliation: Department of Otolaryngology, Van Training and Research Hospital, Van, Turkey.
authors.forename: Saffet
authors.initials: S
authors.lastname: Kilicaslan
authors.affiliation: Department of Otolaryngology, Van Training and Research Hospital, Van, Turkey.
authors.forename: Mehmet Hafit
authors.initials: MH
authors.lastname: Gur
authors.affiliation: Department of Otolaryngology, Van Training and Research Hospital, Van, Turkey.
authors.forename: Nermin Erdas
authors.initials: NE
authors.lastname: Karakaya
authors.affiliation: Department of Cardiology, Pamukkale University Medical Faculty, Denizli, Turkey.
authors.forename: Ipek
authors.initials: I
authors.lastname: Buber
authors.affiliation: Department of Anesthesiology, Van Training and Research Hospital, Van, Turkey.
authors.forename: Sedef Gulcin
authors.initials: SG
authors.lastname: Ural
mesh_terms: D000293:Adolescent; D000328:Adult; D000402:Airway Obstruction / Q000150:complications* / Q000209:etiology*; D001145:Arrhythmias, Cardiac / Q000209:etiology* / Q000517:prevention & control*; D016022:Case-Control Studies; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000150:complications* / Q000601:surgery*; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
keywords: airway obstruction; atrial arrhythmia; cardiac arrhythmia; electrocardiography; nasal septum; ventricular arrhythmia