Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/9477
Title: Effects of Nasal Septum Deviation and Septoplasty on Cardiac Arrhythmia Risk
Authors: Uluyol, S.
Kilicaslan, S.
Gur, M.H.
Karakaya, N.E.
Büber, İpek
Ural, S.G.
Keywords: airway obstruction
atrial arrhythmia
cardiac arrhythmia
electrocardiography
nasal septum
ventricular arrhythmia
adult
cardiovascular risk
Conference Paper
controlled study
female
heart atrium arrhythmia
heart ventricle arrhythmia
human
major clinical study
male
nasal septum deviation
nose septum reconstruction
outcome assessment
postoperative period
practice guideline
prospective study
risk assessment
tertiary care center
treatment response
adolescent
Arrhythmias, Cardiac
case control study
complication
middle aged
Nose Deformities, Acquired
nose septum
risk factor
treatment outcome
Adolescent
Adult
Airway Obstruction
Case-Control Studies
Electrocardiography
Female
Humans
Male
Middle Aged
Nasal Septum
Prospective Studies
Risk Factors
Treatment Outcome
Publisher: SAGE Publications Inc.
Abstract: Objective Upper airway obstruction (UAO) can result in cardiac complications, including arrhythmias and sudden cardiac death. Nasal septum deviation (NSD) is a common cause of UAO. The aim of this study was to assess the risk of cardiac arrhythmias in patients with NSD. To assess this risk, we measured noninvasive indicators of atrial arrhythmia (P-wave dispersion [Pd]) and ventricular arrhythmia (corrected QT dispersion [QTcd]) and compared these values between NSD patients and healthy subjects. Study Design Prospective study. Settings Tertiary referral center. Subjects and Methods This study included 53 consecutive patients who had underwent septoplasty due to marked NSD. Electrocardiographic records were used to determine Pd and QTcd values preoperatively and 6 months postoperatively. Fifty-three consecutive age- and sex-matched subjects without any UAO were also examined as a control group. Results Preoperative Pd and QTcd values were significantly higher in NSD patients than in the control group (Pd: 57.40 ± 14.21 vs 34.11 ± 7.12 milliseconds, P <.001; QTcd: 81.77 ± 16.39 vs 50.25 ± 11.51 milliseconds, P <.001, respectively). In addition, Pd and QTcd values were significantly greater in preoperative NSD patients when compared with the same patients postoperatively (Pd: 57.40 ± 14.21 vs 36.32 ± 8.9 milliseconds, P =.013; QTcd: 81.77 ± 16.39 vs 55.76 ± 11.4 milliseconds, P =.012, respectively). Conclusion In conclusion, NSD patients are at risk for both atrial and ventricular cardiac arrhythmias; however, septoplasty in these patients can relieve UAO and reduce the risk of arrhythmias. © Official journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016.
URI: https://hdl.handle.net/11499/9477
https://doi.org/10.1177/0194599816642432
ISSN: 0194-5998
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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