Sleep and Night-Type Arrhythmias

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概要

• 論文の詳細を見る

• The relationship between arrhythmias and sleep states was investigated in patients with night-type arrhythmias, which were detected by 24-hour electrocardiogram recordings using the Holter Avionics system. These patients were examined using all-night polygraphic recordings and sleep states were divided into 5 groups according to the standard sleep stage scoring manual as stage I, II, III, IV, and REM sleep. Patients were divided into 5 groups: (1) grade 2 ventricular premature contractions (VPCs), (2) grade 4a VPCs, (3) grade 4b VPCs, (4) supraventricular premature contractions, and (5) paroxysmal tachyarrhythmias such as paroxysmal atrial fibrillation or paroxysmal supraventricular tachycardia. The paroxysmal tachyarrhythmia group showed a significant increase in arrhythmia incidence during REM sleep (p<0.05). However, the subjects with other arrhythmias showed no significant increase during REM sleep, but grade 2 VPCs showed a tendency to increase in sleep stage IV (0.05<p<0.1). These results suggest that there are 2 types of arrhythmias influenced by sleep. The first type is affected by a phasic increase in sympathetic nervous tone during REM sleep and the second type is related to an increase in vagal tone during the night.

• International Heart Journal刊行会の論文

著者

• OTSUKA Kuniaki

  Department of Medicine, Tokyo Women's Medical University

• Otsuka Kuniaki

  Department Of Internal Medicine Iii Osaka Medical College

• ICHIMARU Yuhei

  Department of Clinical Nutrition, Tokyo Kasei University

• Otsuka Keiko

  Dept.of Physiology Dept.of Medicine And Geriatrics Kochi Medical School Medical Institute Of Bioregu

• Otsuka Kuniaki

  Tokyo Women's Medical University

• YANAGA Takashi

  Department of Hematology, Takagi Hospital

• Otsuka Kuniaki

  Department Of Medicine And Geriatrics Kochi Medical School

• Ichimaru Yuhei

  Department Of Bioclimatology And Medicine Research Institute Of Balneotherapeutics Kyushu University

• Seto Katsuo

  Department Of Animal Husbandry Faculty Of Agriculture Tohoku University:(present Address) Department

• Seto Katsuo

  Department Of Animal Husbandry Faculty Of Agriculture Tohoku University

• Yanaga Takashi

  Departent Of Bioclimatology And Medicine Medical Institute Of Bioregulation Kyushu University

• Otsuka Kuniaki

  Department Of Anesthesiology Tokyo Women's Medical University Second Hospital

• SETO Katsuo

  Department of Physiology, Kochi Medical School

• OTSUKA Kuniaki

  Department of Physiology, Kochi Medical School

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