Continuous positive airway pressure treatment in addition to optimal medical therapy for ventricular ectopy in a patient with heart failure and sleep-related breathing disorder

Filippo Crea, Nicola Vitulano, Giovanna Giubilato, Pasquale Santangeli, Carolina Ierardi, Maurizio Pieroni, Fulvio Bellocci

Risultato della ricerca: Contributo in rivistaArticolo in rivista

1 Citazioni (Scopus)

Abstract

In this report we describe the case of a 56-year-old man with a medical history of onset of asthenia, palpitations and dyspnoea for mild efforts. After a negative ergometric test for myocardial ischaemia and 24-h Holter monitoring showing frequent ventricular premature beats, but an echocardiogram with significant dilation and dysfunction of the left ventricle, coronary angiography was performed and did not show haemodynamically significant stenosis. Regarding the anamnesis of snoring, daytime sleepiness and the relationship between sleep-related breathing disorder and cardiovascular disease, we performed a cardiorespiratory sleep study that indicated a diagnosis of sleep-related breathing disorder with prevalent obstructive apnoea. In addition to optimal medical therapy for cardiovascular disease, the patient began therapy with continuous positive airway pressure during the night. This showed a considerable decrease in ventricular premature beats (VPBs) during the night, a better control of ventricular ectopy during the day and a better compliance with medical therapy.
Lingua originaleEnglish
pagine (da-a)673-676
Numero di pagine4
RivistaJournal of Cardiovascular Medicine
Volume14
DOI
Stato di pubblicazionePubblicato - 2013

Keywords

  • Adrenergic beta-Antagonists
  • Angiotensin II Type 1 Receptor Blockers
  • Angiotensin-Converting Enzyme Inhibitors
  • Carbazoles
  • Continuous Positive Airway Pressure
  • Coronary Artery Disease
  • Heart Failure
  • Humans
  • Hypertrophy, Left Ventricular
  • Male
  • Middle Aged
  • Propanolamines
  • Sleep Apnea, Obstructive
  • Tachycardia, Ventricular
  • Tetrazoles
  • Valine
  • Ventricular Premature Complexes

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