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SM ISO690:2012 RACILA-IAȚCO, Sabina, SAMOHVALOV, Elena, GRIB, Andrei, RUSANOVSCHI, Carina, GRAMA, Eugen. Significance of sleep apnea syndrome in worsening of cardiac pathology. In: MedEspera: International Medical Congress for Students and Young Doctors, Ed. 7th edition, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, 7, pp. 44-45. |
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MedEspera 7, 2018 |
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Congresul "International Medical Congress for Students and Young Doctors" 7th edition, Chişinău, Moldova, 3-5 mai 2018 | ||||||
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Pag. 44-45 | ||||||
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Introduction. Sleep apnea ( is a major public health problem, with 5% prevalence of the active population aged between 30 and 60 years 2% females and 4% males with severe cardiovascular, pulmonary, neurological and metabolic consequences. SA is found in 30% of hyp ertensive persons, in 19 20% of patients with myocardial infarction history; in 18 42% cases patients have cardiac arrhythmias: sleep association with marked sinus arrhythmias ( extreme sinusal bradycardias ( asistolias ( atrioventricular blocks ( ventricular arrhythmias ( and TV ( and ventricular extrasystoles ( Approximately 80% of patients with obstructive sleep apnea syndrome are overweight or obese. Aim of the study. Study of cardiac pathology in patients with sleep apnea. Materials and methods. In the study, 39 patients with sleep apnea were admitted to the Cardiology Institute in January December 2017 with various cardiac pathologies, 71.8% men, 28.2% women, the ratio being 2.5: 1, with an average age 53 4 years. Results. Predominant risk factors in SA patients were: smoking ( obesity ( dyslipidemia ( diabetes mellitus ( Associated SA cardiac pathologies were meat in 82.6%, angina pectoris ( in 64.1%, MI ( stroke ( heart failure(NYHA) of different degree ( pulmonary hypertension ( and left ventricular hypertrophy ( Common ECG complications: arrhythmias in 100% (atrial fibrillation ( supraventricular extrasistoles ( ventricular extrasistoles ( and cardiac blocks in 10.3%. Clinical manifestations were present by: snoring ( nicturia ( sleep fragmentation ( sleep stifling ( and daytime somnolence ( and morning headache ( memory impairment in 20.5%. According to the SA classification according to the apnea hipopnee index was: mild in 20.5%, medium in 23.1% and severe in 46.2%. Conclusions. In patients with sleep apnea, worsening of pre existing cardiovascular pathologies with the development of major cardiac events, rhythm disturbances and conductibility which negatively influenced the progression and prognosis of these patients was diagnosed. |
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Cuvinte-cheie sleep apnea, cardiac pathologies, major cardiovascular events, arrhythmias, cardiac blocks |
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