Cardiac Function in Obstructive Sleep Apnea Patients following Uvulopalatopharyngoplasty

Yuval Zohar; Yoav P. Talmi; Haya Frenkel; Yehuda Finkelstein; Carlos Rudnicki; Menachem Fried; Yzhar Zahavi

doi:10.1177/019459989210700308

Cardiac Function in Obstructive Sleep Apnea Patients following Uvulopalatopharyngoplasty

Yuval Zohar, Yoav P. Talmi^*, Haya Frenkel, Yehuda Finkelstein, Carlos Rudnicki, Menachem Fried, Yzhar Zahavi

^*Corresponding author for this work

Clinical Departments

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Abstract

Obstructive sleep apnea syndrome (OSAS) is associated with severe cardiac arrhythmias and conduction abnormalities. Cor pulmonale and right-sided heart failure may ensue. Uvulopalatopharyngoplasty (UPPP) is one of several treatment modalities suggested for OSAS. Tracheotomy and CPAP treatment in adult OSAS patients and adenotonsillectomy in children with OSAS were shown to lead to improvement in some cardiac parameters. Cardiac function was prospectively evaluated in 19 OSAS patients before and after UPPP. No significant changes after surgery were noted on electrocardiographic studies. Improvement in global and regional function of both ventricles was seen in 91% of the patients. A trend toward significant elevation in left ventricular ejection fraction and a statistically significant increase in right ventricular ejection fraction were observed (45% = 9% to 50% = 7% [p = 0.007]). Our results support performance of UPPP in selected OSAS patients for relief of potentially life-threatening cardiac pathologies.

Original language	English
Pages (from-to)	390-394
Number of pages	5
Journal	Otolaryngology - Head and Neck Surgery
Volume	107
Issue number	3
DOIs	https://doi.org/10.1177/019459989210700308
State	Published - Sep 1992

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title = "Cardiac Function in Obstructive Sleep Apnea Patients following Uvulopalatopharyngoplasty",

abstract = "Obstructive sleep apnea syndrome (OSAS) is associated with severe cardiac arrhythmias and conduction abnormalities. Cor pulmonale and right-sided heart failure may ensue. Uvulopalatopharyngoplasty (UPPP) is one of several treatment modalities suggested for OSAS. Tracheotomy and CPAP treatment in adult OSAS patients and adenotonsillectomy in children with OSAS were shown to lead to improvement in some cardiac parameters. Cardiac function was prospectively evaluated in 19 OSAS patients before and after UPPP. No significant changes after surgery were noted on electrocardiographic studies. Improvement in global and regional function of both ventricles was seen in 91% of the patients. A trend toward significant elevation in left ventricular ejection fraction and a statistically significant increase in right ventricular ejection fraction were observed (45% = 9% to 50% = 7% [p = 0.007]). Our results support performance of UPPP in selected OSAS patients for relief of potentially life-threatening cardiac pathologies.",

author = "Yuval Zohar and Talmi, {Yoav P.} and Haya Frenkel and Yehuda Finkelstein and Carlos Rudnicki and Menachem Fried and Yzhar Zahavi",

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AU - Rudnicki, Carlos

AU - Fried, Menachem

AU - Zahavi, Yzhar

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AB - Obstructive sleep apnea syndrome (OSAS) is associated with severe cardiac arrhythmias and conduction abnormalities. Cor pulmonale and right-sided heart failure may ensue. Uvulopalatopharyngoplasty (UPPP) is one of several treatment modalities suggested for OSAS. Tracheotomy and CPAP treatment in adult OSAS patients and adenotonsillectomy in children with OSAS were shown to lead to improvement in some cardiac parameters. Cardiac function was prospectively evaluated in 19 OSAS patients before and after UPPP. No significant changes after surgery were noted on electrocardiographic studies. Improvement in global and regional function of both ventricles was seen in 91% of the patients. A trend toward significant elevation in left ventricular ejection fraction and a statistically significant increase in right ventricular ejection fraction were observed (45% = 9% to 50% = 7% [p = 0.007]). Our results support performance of UPPP in selected OSAS patients for relief of potentially life-threatening cardiac pathologies.

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Cardiac Function in Obstructive Sleep Apnea Patients following Uvulopalatopharyngoplasty

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