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Rare Case of Rapidly Worsening REM Sleep Induced Bradycardia
Joint Authors
Duba, Ayyappa S.
Jasty, Suneetha
Mahajan, Ankit
Kodadhala, Vijay
Khan, Raza
Rai, Prithviraj
Ghazvini, Mohammad
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-08-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Sinoatrial arrest also known as sinus pause occurs when sinoatrial node of the heart transiently ceases to generate the electrical impulse necessary for the myocardium to contract.
It may last from 2.0 seconds to several minutes.
Etiologies of sinoatrial arrest can be complex and heterogeneous.
During rapid eye movement (REM) sleep, sinus arrests unrelated to apnea or hypopnea are very rare and only a few cases have been reported.
Here we report a case of 36-year-old male with no significant past medical history who presented to our hospital after a syncopal episode at night.
Physical examination showed no cardiac or neurological abnormalities and initial EKG and neuroimaging were normal.
Overnight telemonitor recorded several episodes of bradyarrhythmia with sinus arrest that progressively lengthened over time.
Sleep study was done which confirmed that sinus arrests occurred more during REM sleep and are unrelated to apnea or hypopnea.
Electrophysiology studies showed sinus nodal dysfunction with no junctional escape, subsequently a dual chamber pacemaker placed for rapidly worsening case of REM sleep induced bradycardia.
American Psychological Association (APA)
Duba, Ayyappa S.& Jasty, Suneetha& Mahajan, Ankit& Kodadhala, Vijay& Khan, Raza& Rai, Prithviraj…[et al.]. 2015. Rare Case of Rapidly Worsening REM Sleep Induced Bradycardia. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058128
Modern Language Association (MLA)
Duba, Ayyappa S.…[et al.]. Rare Case of Rapidly Worsening REM Sleep Induced Bradycardia. Case Reports in Cardiology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1058128
American Medical Association (AMA)
Duba, Ayyappa S.& Jasty, Suneetha& Mahajan, Ankit& Kodadhala, Vijay& Khan, Raza& Rai, Prithviraj…[et al.]. Rare Case of Rapidly Worsening REM Sleep Induced Bradycardia. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058128
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058128