Sleep Apnea and Atrial Fibrillation

Dominik Linz; Stanley Nattel; Jonathan M. Kalman; Prashanthan Sanders

doi:10.1016/j.ccep.2020.10.003

Sleep Apnea and Atrial Fibrillation

Dominik Linz, Stanley Nattel, Jonathan M. Kalman, Prashanthan Sanders

Research output: Contribution to journal › Review article › peer-review

29 Citations (Scopus)

Abstract

Obstructive sleep apnea (OSA) creates a complex and dynamic substrate for atrial fibrillation (AF), which is characterized by structural remodeling as a result of long-term OSA as well as transient and acute apnea-associated transient atrial electrophysiological changes. OSA is present in 21% to 74% of patients with AF, and nonrandomized studies suggest that treatment of OSA by continuous positive airway pressure may help to maintain sinus rhythm after electrical cardioversion and improve catheter ablation success rates. Management of OSA in patients with AF requires a close interdisciplinary collaboration between the electrophysiologist/cardiologist and sleep specialists.

Original language	English
Pages (from-to)	87-94
Number of pages	8
Journal	Cardiac Electrophysiology Clinics
Volume	13
Issue number	1
DOIs	https://doi.org/10.1016/j.ccep.2020.10.003
Publication status	Published or Issued - Mar 2021
Externally published	Yes

Keywords

Atrial fibrillation
Continuous positive air pressure (CPAP)
Polygraphy
Pulmonary vein isolation
Screening
Sleep apnea

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ccep.2020.10.003

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title = "Sleep Apnea and Atrial Fibrillation",

abstract = "Obstructive sleep apnea (OSA) creates a complex and dynamic substrate for atrial fibrillation (AF), which is characterized by structural remodeling as a result of long-term OSA as well as transient and acute apnea-associated transient atrial electrophysiological changes. OSA is present in 21% to 74% of patients with AF, and nonrandomized studies suggest that treatment of OSA by continuous positive airway pressure may help to maintain sinus rhythm after electrical cardioversion and improve catheter ablation success rates. Management of OSA in patients with AF requires a close interdisciplinary collaboration between the electrophysiologist/cardiologist and sleep specialists.",

keywords = "Atrial fibrillation, Continuous positive air pressure (CPAP), Polygraphy, Pulmonary vein isolation, Screening, Sleep apnea",

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note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2021",

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doi = "10.1016/j.ccep.2020.10.003",

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T1 - Sleep Apnea and Atrial Fibrillation

AU - Linz, Dominik

AU - Nattel, Stanley

AU - Kalman, Jonathan M.

AU - Sanders, Prashanthan

PY - 2021/3

Y1 - 2021/3

N2 - Obstructive sleep apnea (OSA) creates a complex and dynamic substrate for atrial fibrillation (AF), which is characterized by structural remodeling as a result of long-term OSA as well as transient and acute apnea-associated transient atrial electrophysiological changes. OSA is present in 21% to 74% of patients with AF, and nonrandomized studies suggest that treatment of OSA by continuous positive airway pressure may help to maintain sinus rhythm after electrical cardioversion and improve catheter ablation success rates. Management of OSA in patients with AF requires a close interdisciplinary collaboration between the electrophysiologist/cardiologist and sleep specialists.

AB - Obstructive sleep apnea (OSA) creates a complex and dynamic substrate for atrial fibrillation (AF), which is characterized by structural remodeling as a result of long-term OSA as well as transient and acute apnea-associated transient atrial electrophysiological changes. OSA is present in 21% to 74% of patients with AF, and nonrandomized studies suggest that treatment of OSA by continuous positive airway pressure may help to maintain sinus rhythm after electrical cardioversion and improve catheter ablation success rates. Management of OSA in patients with AF requires a close interdisciplinary collaboration between the electrophysiologist/cardiologist and sleep specialists.

KW - Atrial fibrillation

KW - Continuous positive air pressure (CPAP)

KW - Polygraphy

KW - Pulmonary vein isolation

KW - Screening

KW - Sleep apnea

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DO - 10.1016/j.ccep.2020.10.003

M3 - Review article

C2 - 33516410

AN - SCOPUS:85100026508

SN - 1877-9182

VL - 13

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EP - 94

JO - Cardiac Electrophysiology Clinics

JF - Cardiac Electrophysiology Clinics

IS - 1

ER -

Sleep Apnea and Atrial Fibrillation

Abstract

Keywords

ASJC Scopus subject areas

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