persmedРоссийский журнал персонализированной медициныRussian Journal for Personalized Medicine2782-38062782-3814ФОНД АЛМАЗОВА10.18705/2782-3806-2022-2-2-113-120persmed-50Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASEПроявления нарушений ритма сердца у младенца с синдромом обструктивного апноэ сна, связанного с врожденной аномалией верхних дыхательных путейCardiac arrhythmias in an infant with obstructive sleep apnea syndromeБородинА. В.BorodinA. V.

Александр Вячеславович Бородин, врач – детский кардиолог, младший научный сотрудник

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова», Научный центр мирового уровня «Центр персонализированной медицины»

НИО неизвестных, редких и генетически обусловленных заболеваний

197341

ул. Аккуратова, д. 2

Санкт-Петербург

Alexander V. Borodin, Pediatric Cardiologist, Junior Researcher

Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"

Research of unknown, rare and genetically determined diseases

197341

Akkuratova str., 2

Saint-Petersburg

Borodin_AV@almazovcentre.ruЛевкоТ. А.LevkoT. A.

Татьяна Александровна Левко, врач-педиатр

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова», Научный центр мирового уровня «Центр персонализированной медицины»

отделение педиатрии и медицинской реабилитации № 1

Санкт-Петербург

Tatiana A. Levko, pediatrician

Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"

Department of Pediatrics and Medical Rehabilitation No. 1

Saint-Petersburg

КовальчукТ. С.KovalchukT. C.

Татьяна Сергеевна Ковальчук, детский кардиолог, младший научный сотрудник

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова», Научный центр мирового уровня «Центр персонализированной медицины»

отделение кардиологии и медицинской реабилитации

НИО неизвестных, редких и генетически обусловленных заболеваний

Санкт-Петербург

Tatiana S. Kovalchuk, Pediatric Cardiologist, Junior Researcher

Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"

Department of Cardiology and Medical Rehabilitation

Research of unknown, rare and genetically determined diseases

Saint-Petersburg

ОбразцоваГ. И.ObraztsovaG. I.

Галина Игоревна Образцова, д. м. н., профессор

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова», Научный центр мирового уровня «Центр персонализированной медицины»

Института медицинского образования

кафедра детских болезней

Санкт-Петербург

Galina I. Obraztsova, MD, Professor

Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"

Institute of Medical Education

Department of Children's Diseases

Saint-Petersburg

ПетроваН. А.PetrovaN. A.

Наталья Александровна Петрова, к. м. н., научный сотрудник, заведующий, доцент

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова», Научный центр мирового уровня «Центр персонализированной медицины»

НИО неизвестных, редких и генетически обусловленных заболеваний

Институт перинатологии и педиатрии

НИЛ физиологии и патологии новорожденных

кафедра детских болезней

Санкт-Петербург

Natalia A. Petrova, PhD, Researcher, Head, Associate Professor

Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"

Research of unknown, rare and genetically determined diseases

Institute of Perinatology and Pediatrics

NIL Physiology and Pathology of Newborns

Department of Children's Diseases

Saint-Petersburg

Министерство здравоохранения Российской ФедерацииРоссияMinistry of Health of the Russian FederationRussian Federation20220306202222113120Copyright © Бородин А.В., Левко Т.А., Ковальчук Т.С., Образцова Г.И., Петрова Н.А., 20222022Бородин А.В., Левко Т.А., Ковальчук Т.С., Образцова Г.И., Петрова Н.А.Borodin A.V., Levko T.A., Kovalchuk T.C., Obraztsova G.I., Petrova N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://persmed.elpub.ru/jour/article/view/50

   Представлен клинический случай нарушений ритма сердца у младенца с синдромом обструктивного апноэ сна. В ходе обследования была установлена прямая взаимосвязь аритмий и респираторных событий во время сна. При поиске причины апноэ сна стандартные эндоскопические методики исследования оказались неинформативными, однако использование эндоскопического исследования во время медикаментозно индуцированного сна (sleep-эндоскопия) позволило выявить локализацию обструкции.

   A clinical case of heart rhythm disturbances in an infant with obstructive sleep apnea syndrome is presented. During the examination, a direct relationship between arrhythmias and respiratory events during sleep was established. During the search for the cause of sleep apnea, standard endoscopic research techniques were uninformative, but the use of endoscopic examination during drug-induced sleep endoscopy made it possible to identify the localization of obstruction.

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The authors declare that there are no conflicts of interest present.