Cardiac and respiratory standstill during sleep.

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Cardiac and respiratory standstill during sleep.

An obese man, with an attack of myocardial ischaemia, developed arrhythmias only when he was asleep. Episodes of sinus bradycardia occurred progressing to arterioventricular block and sinus arrest. These changes in the cardiac rhythm coincided with periods of sleep apnoea.

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Ventilatory regulation is conceptually best understood as a 3-part system consisting of a central controller, sensors, and effectors. The effectors of respiration include the respiratory motoneurons and muscles, which are involved in inspiration and expiration. Positional changes during sleep (ie, nonupright position) affect the mechanics of breathing significantly. Both hypoxemia and hypercapn...

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Action on Induced Cardiac Standstill

The actions of norepinephrine and isopropyl norepinephrine on the rhythnic plroperty of the heart were studied and compared with that of epinephrine. Norepinephrine does not abolish cardiac stan(1still byr carotid sinus stimulation, has no effect on the ventricular rate of heart block and induces a sinus bradyeardia. Isopropyl norepinephrine acts similarly to epinephrine in that it abolishes th...

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Cardiac Arrhythmias during Sleep

Humans spend approximately one third of their lives asleep. Although generally considered to be a peaceful, stable period for the body and mind to rest and heal, sleep in fact represents a complex, dynamic process involving dramatic changes in physiological state. Sleep-related cardiac arrhythmias are very common and often diagnosed incidentally on Holter monitor; the vast majority are benign b...

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Cardiac Arrhythmias during Sleep

Humans spend approximately one third of their lives asleep. Although generally considered to be a peaceful, stable period for the body and mind to rest and heal, sleep in fact represents a complex, dynamic process involving dramatic changes in physiological state. Sleep-related cardiac arrhythmias are very common and often diagnosed incidentally on Holter monitor; the vast majority are benign b...

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ژورنال

عنوان ژورنال: Heart

سال: 1978

ISSN: 1355-6037

DOI: 10.1136/hrt.40.9.1055