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USE OF CPAP THERAPY IN CORRECTION OF APNEA-DEPENDENT TRANSIENT SINOATRIAL BLOCKADE WITH EPISODES OF ASYSTOLE (CLINICAL CASE)

https://doi.org/10.17802/2306-1278-2026-15-2-218-223

Abstract

Highlights

  • A clinical case of correction of apnea-dependent transient sinoatrial block with episodes of asystole using CPAP therapy is presented.

 

Abstract

Obstructive sleep apnea syndrome (OSA) is associated with a high risk of sudden cardiac death, as well as a number of significant cardiovascular diseases, including rhythm and conduction disorders. A clinical case of a 45-year-old patient with high cardiovascular risk with transient sinoatrial block of II–III degree and nocturnal episodes of asystole lasting up to 11,256 ms, caused by severe OSA is presented. It has been shown that CPAP therapy eliminates OSA-associated bradyarrhythmias against the background of sinus rhythm, provides stable prevention of nocturnal pauses in the work of the heart, which reduces cardiovascular risks and complications, and also makes it possible to avoid implantation of a pacemaker.

About the Authors

Larisa G. Evlampieva
Tyumen Cardiology Research Center, Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
Russian Federation

PhD, Researcher at the Laboratory of Instrumental Diagnostics, Department of Instrumental Research Methods, Tyumen Cardiology Research Center, Branch of Tomsk National Research Medical Center, Tyumen, Russian Federation



Vsevolod E. Kharats
Tyumen Cardiology Research Center, Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
Russian Federation

PhD, Head of the Department of Surgical Treatment of Complex Heart Rhythm Disorders and Pacing, Senior Researcher at the Laboratory of Instrumental Diagnostics, Department of Instrumental Research Methods, Tyumen Cardiological Research Center, Branch of Tomsk National Research Medical Center, Tyumen, Russian Federation



Elena I. Yaroslavskaya
Tyumen Cardiology Research Center, Federal State Budgetary Scientific Institution “Tomsk National Research Medical Center of the Russian Academy of Sciences”
Russian Federation

PhD, MD, Leading Researcher, Head of Laboratory of Instrumental Diagnostics, Department of Instrumental Research Methods, Tyumen Cardiological Research Center, Branch of Tomsk National Research Medical Center, Tyumen, Russian Federation



References

1. Somnology and sleep medicine: national guide in memory of A.M. Vein and Ya.I. Levina. 2nd еd. Poluektov M.G. editors. Moscow: Medkongress; 2020. 664 p. (In Russ.).

2. Elfimova E.M., Mikhailova O.O., Khachatryan N.T., Litvin A.Y., Chazova I.E., Laiovich L.Y., Malkina T.A., Pevzner A.V., Golitsyn S.P. Adherence and efficacy of long-term PAP therapy in patients with sleep-related breathing disorders associated with cardiac conduction disorders. Terapevticheskii arkhiv. 2020;92(9):39-43. (In Russ.) doi: 10.26442/00403660.2020.09.0007

3. Zorina A.V., Kulagina A.M., Kazarina A.V., Vinogradov O.I. Obstructive Sleep Apnea In Patients With Atrial Fibrillation. Nevrologicheskiy Zhurnal (Neurological Journal). 2017;22(4):177–181. (In Russ.) doi: 10.18821/1560-9545-2017-22-4-177-181

4. Belenkov Yu.N., Palman A.D. Obstructive Sleep Apnea Syndrome and Cardiac Arrhythmias. Effective pharmacotherapy. 2015;(53):56-63. (In Russ.).

5. Kucherenko N.G., Bebekh A.N., Umarova I.A., Abukova A.R. Obstructive sleep apnea as a potentially reversible cause of nighttime bradyarrhythmias. Clinical case. Cardiac Arrhythmias. 2024;4(1):23-30. (In Russ.) doi: 10.17816/cardar626655

6. Revishvili A.Sh., Artyukhina E.A., Glezer M.G., Bazaev V.A., Batalov R.E., Bokeria L.A., Bokeria O.L., Davtyan K.V., Ivanitsky E.A., Kovalev A.S., Krivolapov S.N., Lebedev D.S., Lebedeva V.K., Lyubimtseva T.A., Mamchur S.E., Mikhailov E.N., Neminushchy N.M., Popov S.V., Rzaev F.G., Romanov A.B., Serguladze S.Yu., Sopov O.V., Filatov A.G. 2020 Clinical practice guidelines foret al. 2020 Clinical practice guidelines for Bradyarrhythmias and conduction disorders. Russian Journal of Cardiology. 2021;26(4):4448. (In Russ.) doi:10.15829/1569-4071-2021-4448

7. Kusumoto F..M, Schoenfeld M.H., Barrett C., Edgerton J.R., Ellenbogen K.A., Gold M.R., Goldschlager N.F., Hamilton R.M., Joglar J.A., Kim R.J., Lee R., Marine J.E., McLeod C.J., Oken K.R., Patton K.K., Pellegrini C.N., Selzman K.A., Thompson A., Varosy P.D. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society. Journal of the American College of Cardiology. 2019;74(7):1014-1016. doi: 10.1016/j.jacc.2019.06.046

8. Glikson M., Nielsen J.C., Kronborg M.B., Michowitz Y., Auricchio A., Barbash I.M., Barrabés J.A., Boriani G., Braunschweig F., Brignole M., Burri H., Coats AJS., Deharo J.C., Delgado V., Diller G.P., Israel C.W., Keren A., Knops R.E., Kotecha D., Leclercq C., Merkely B.., Starck C, Thylén I., Tolosana J.M. ESC Scientific Document Group. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. European Heart Journal. 2021;42(35):3427-3520. doi: 10.1093/eurheartj/ehab364

9. Litvin A.Yu., Chazova I.E., Elfimova E.M., Pevzner A.V., Poluektov M.G., Danilov N.M., Mikhailova O.O., Aksenova A.V. Eurasian Association of Cardiology (EAC)/ Russian society of somnologists (RSS) guidelines for the diagnosis and treatment of obstructive sleep apnea in patients with cardiovascular diseases (2024). Eurasian heart journal. 2024;(3):6-27. (In Russ.) doi: 10.38109/2225-1685-2024-3-6-27

10. Korostovtseva L.S., Varenitsyna S.Yu., Bochkarev M.V., Semenov A.P., Yu. V. Sviryaev Yu.V. Bradyarrhythmias in the obstructive sleep apnea syndrome: treatment tactics. Siberian Medical Review. 2017;(5):18-28. (In Russ.) doi: 10.20333/2500136-2017-5-18-28


Review

For citations:


Evlampieva L.G., Kharats V.E., Yaroslavskaya E.I. USE OF CPAP THERAPY IN CORRECTION OF APNEA-DEPENDENT TRANSIENT SINOATRIAL BLOCKADE WITH EPISODES OF ASYSTOLE (CLINICAL CASE). Complex Issues of Cardiovascular Diseases. 2026;15(2):218-223. (In Russ.) https://doi.org/10.17802/2306-1278-2026-15-2-218-223

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ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)