REM-associated bradyarrhythmia
https://doi.org/10.18705/2782-3806-2022-2-2-97-103
Abstract
Nocturnal bradyarrhythmias represent a special group of cardiac arrhythmias that require volumetric diagnostics. The article presents a case of a rare arrhythmia — REM-associated atrioventricular block and a description of our approach to managing a patient, taking into account his individual characteristics.
About the Authors
S. I. OsipenkoRussian Federation
Sofya I. Osipenko, student, laboratory researcher
Federal State Budgetary Educational Institution of Higher Education "First St. Petersburg State Medical University named after Academician I. P. Pavlov"
Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"
NIG of Somnology
Saint-Petersburg
L. S. Korostovtseva
Russian Federation
Lyudmila S. Korostovtseva, PhD, Senior Researcher
Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"
NIG of Somnology
Saint-Petersburg
U. R. Nikishkina
Russian Federation
Ulyana R. Nikishkina, student, laboratory researcher
Federal State Budgetary Educational Institution of Higher Education "First St. Petersburg State Medical University named after Academician I. P. Pavlov"
Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"
NIG of Somnology
Saint-Petersburg
M. V. Bochkarev
Russian Federation
Mikhail V. Bochkarev, PhD, Senior Researcher, Researcher
Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"
NIG of Somnology
NIH of hypersomnia and respiratory disorders
Saint-Petersburg
Saint-Petersburg
Yu. V. Sviryaev
Russian Federation
Yuri V. Sviryaev, MD, Head
Federal State Budgetary Institution "V. A. Almazov National Medical Research Center", World-class Scientific Center "Center for Personalized Medicine"
NIG of Somnology
NIH of hypersomnia and respiratory disorders
Saint-Petersburg
References
1. Glikson M, Nielsen JC, Kronborg MB, Michowitz Y, Auricchio A, Barbash IM, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapyDeveloped by the Task Force on cardiac pacing and cardiac resynchronization therapy of the European Society of Cardiology (ESC) With the special contribution of the European Heart . Eur Heart J. 2021 Sep 14; 42(35):3427–520. Available from: https://academic.oup.com/eurheartj/article/42/35/3427/6358547
2. Koehler U, Becker HF, Grimm W, Heltmann J, Peter JH, Schafer H. Relations among hypoxemia, sleep stage, and bradyarrhythmia during obstructive sleep apnea. Am Heart J. 2000 Jan 1;139(1):142–8.
3. Maeno K, Kasai A, Setsuda · M, Sakabe · S, Ohnishi · T, Saito K, et al. Advanced atrioventricular block induced by obstructive sleep apnea before oxygen desaturation. Hear Vessel 2009 243. 2009 May 24; 24(3):236–40. Available from: https://link.springer.com/article/10.1007/s00380-008-1113-2
4. Zwillich C, Devlin T, White D, Douglas N, Weil J, Martin R. Bradycardia during sleep apnea. Characteristics and mechanism. J Clin Invest. 1982;69(6):1286–92. Available from: https://pubmed.ncbi.nlm.nih.gov/7085875/
5. Guilleminault C, Pool P, Motta J, Gillis AM. Sinus Arrest during Rem Sleep in Young Adults. http://dx.doi.org/101056/NEJM198410183111602. 2010 Jan 13;311(16):1006–10. Available from: https://www.nejm.org/doi/full/10.1056/NEJM198410183111602
6. Sobotka PA, Mayer JH, Bauernfeind RA, Kanakis C, Rosen KM. Arrhythmias documented by 24-hour continuous ambulatory electrocardiographic monitoring in young women without apparent heart disease. Am Heart J. 1981;101(6):753–9. Available from: https://pubmed.ncbi.nlm.nih.gov/7234653/
7. Brodsky M, Wu D, Denes P, Kanakis C, Rosen KM. Arrhythmias documented by 24 hour continuous electrocardiographic monitoring in 50 male medical students without apparent heart disease. Am J Cardiol. 1977;39(3):390–5. Available from: https://pubmed.ncbi.nlm.nih.gov/65912/
8. Clarke JM, Shelton JR, Venning GR, Hamer J, Taylor S. The rhythm of the normal human heart. Lancet (London, England). 1976 Sep 4; 1(7984):508–12. Available from: https://pubmed.ncbi.nlm.nih.gov/74472/
9. Holty JEC, Guilleminault C. REM-related bradyarrhythmia syndrome. Sleep Med Rev [Internet]. 2011;15(3):143–51. Available from: http://dx.doi.org/10.1016/j.smrv.2010.09.001
10. Otsuka K, Ikari M, Ichimaru Y, Saito H, Kawakami T, Otsuka K, et al. Experimental study on the relationship between cardiac arrhythmias and sleep states by ambulatory ecg‐EEC monitoring. Clin Cardiol. 1986;9(7):305–13.
11. Slavich G, Poser S, Antonutto G, Fregolent R, Piccoli G, Enrico P. Prolonged nocturnal asystole and cerebral neurogliosis in a marathon runner. 2011;(August 2006).
12. Pakhomova DV, Agaltsov MV, Andreenko EYu, Drapkina OM. REM-associated bradyarrhythmia (a clinical case).Arterial’naya Gipertenziya = Arterial Hypertension. In Russian [ Пахомова Д. В.,Агальцов М. В., Андреенко Е. Ю., Драпкина О.М. REM-ассоциированные брадиаритмии на примере клинического случая. Артериальная гипертензия ][Internet]. 2021 Aug 19;27(5):583–90. Available from: https://htn.almazovcentre.ru/jour/article/view/2074
Review
For citations:
Osipenko S.I., Korostovtseva L.S., Nikishkina U.R., Bochkarev M.V., Sviryaev Yu.V. REM-associated bradyarrhythmia. Russian Journal for Personalized Medicine. 2022;2(2):97-103. (In Russ.) https://doi.org/10.18705/2782-3806-2022-2-2-97-103