Atrial fibrillation is associated with central sleep apnea in clinic patients undergoing diagnostic polysomnography.
atrial fibrillation
central sleep apnea
Journal
Journal of arrhythmia
ISSN: 1880-4276
Titre abrégé: J Arrhythm
Pays: Japan
ID NLM: 101263026
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
20
04
2020
revised:
23
07
2020
accepted:
21
08
2020
entrez:
18
12
2020
pubmed:
19
12
2020
medline:
19
12
2020
Statut:
epublish
Résumé
Sleep apnea is highly prevalent in patients with atrial fibrillation (AF). Obstructive sleep apnea (OSA) is the most common type, and best studied in the context of AF. However, recent investigations have indicated that central sleep apnea (CSA) may be a risk factor for incident AF. We evaluated the burden of CSA events in patients referred for diagnostic polysomnography (PSG) and whether AF is associated with CSA. We identified patients with and without a history of AF who underwent clinically indicated PSG in a matched manner. OSA was defined as obstructive apnea-hypopnea index (AHI) ≥15/h, and CSA was defined as central apnea index (CAI) ≥5/h. The association between AF and CSA was evaluated using multivariable logistic regression. Among 465 patients included, mean AHI was 25.5/h, and mean CAI was 1.7/h. OSA prevalence was 53.3%, while CSA prevalence was 8.4%. The prevalence of OSA in the AF and non-AF groups (54.7% vs 52.0%, Though CSA is much less common than OSA in patients with AF, the presence of AF is independently associated with CSA.
Identifiants
pubmed: 33335615
doi: 10.1002/joa3.12427
pii: JOA312427
pmc: PMC7733563
doi:
Types de publication
Journal Article
Langues
eng
Pagination
991-996Subventions
Organisme : NHLBI NIH HHS
ID : R21 HL140432
Pays : United States
Informations de copyright
© 2020 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.
Déclaration de conflit d'intérêts
Authors declare no conflict of interests for this article.
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