Atrial Fibrillation in Obstructive Sleep Apnea Patients: Mechanisms, Risk Factors, and Management Strategies.
airway obstruction
atrial fibrillation
continuous positive airway pressure (cpap)
obstructive sleep apnea
osas
sleep
sleep apnea
stroke
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
accepted:
17
03
2023
medline:
19
4
2023
pubmed:
19
4
2023
entrez:
19
04
2023
Statut:
epublish
Résumé
Obstructive sleep apnea (OSA) is identified by apnea or hypopnea of the upper respiratory tract, which is associated with decreased oxygen saturation or awakening from sleep. A severe and prevalent association with OSA is atrial fibrillation (AF). This review article outlined numerous studies to understand the pathogenic pathways linked with developing OSA-associated AF and the therapeutic and preventive options available to reduce AF. The article looked for multiple risk factors common to OSA and AF. In addition, it has reviewed several therapeutic modalities such as continuous positive air pressure (CPAP), weight loss, upper airway stimulation (UAS), and other novel treatment options to find their efficiency in decreasing the outcome of AF in OSA patients. Since OSA often goes undiagnosed, this article emphasizes the importance of early screening in patients with AF and other comorbid conditions such as obesity, advanced age, diabetes, hypertension, and many more. The article focuses on the importance of preventive approaches that can be easily implemented, such as behavioral modifications.
Identifiants
pubmed: 37073195
doi: 10.7759/cureus.36282
pmc: PMC10105971
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e36282Informations de copyright
Copyright © 2023, Sankaranarayanan et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Eur Heart J. 2013 Jan;34(3):170-6
pubmed: 23018151
Sleep. 2021 Jul 9;44(7):
pubmed: 33693939
J Am Coll Cardiol. 2015 Dec 29;66(25):2899-2906
pubmed: 26718677
Thorax. 2006 Nov;61(11):945-50
pubmed: 16928713
Chest. 2002 Feb;121(2):422-9
pubmed: 11834652
Eur Respir J. 2008 Dec;32(6):1488-96
pubmed: 18653654
J Clin Sleep Med. 2009 Jun 15;5(3):263-76
pubmed: 19960649
J Am Coll Cardiol. 2013 Jul 23;62(4):300-5
pubmed: 23623910
JACC Clin Electrophysiol. 2015 Mar - Apr;1(1-2):41-51
pubmed: 29759338
Int J Cardiol. 2013 Oct 25;169(1):62-72
pubmed: 24095158
Hypertension. 2012 Jul;60(1):172-8
pubmed: 22585944
Am J Respir Crit Care Med. 2001 Jan;163(1):19-25
pubmed: 11208620
Sleep. 1995 Jun;18(5):377-81
pubmed: 7676172
PLoS One. 2017 Jul 31;12(7):e0181733
pubmed: 28759652
Avicenna J Med. 2012 Jan;2(1):3-8
pubmed: 23210013
Chest. 2005 May;127(5):1674-9
pubmed: 15888845
Am J Respir Crit Care Med. 2006 Apr 15;173(8):910-6
pubmed: 16424443
J Thorac Dis. 2015 Sep;7(9):E298-310
pubmed: 26543619
Circulation. 2000 Nov 21;102(21):2607-10
pubmed: 11085964
Curr Opin Pulm Med. 2000 Nov;6(6):485-9
pubmed: 11100957
JAMA Cardiol. 2018 Jun 1;3(6):532-540
pubmed: 29541763
J Thorac Dis. 2015 May;7(5):920-9
pubmed: 26101650
Medicine (Baltimore). 2021 Apr 16;100(15):e25438
pubmed: 33847645
J Am Coll Cardiol. 2007 Feb 6;49(5):565-71
pubmed: 17276180
JACC Clin Electrophysiol. 2020 Nov;6(12):1499-1506
pubmed: 33213809
N Engl J Med. 2000 May 11;342(19):1378-84
pubmed: 10805822
J Am Coll Cardiol. 2015 May 26;65(20):2159-69
pubmed: 25792361
J Clin Endocrinol Metab. 1997 May;82(5):1313-6
pubmed: 9141509
Am J Epidemiol. 2013 May 1;177(9):1006-14
pubmed: 23589584
Circulation. 2002 May 28;105(21):2462-4
pubmed: 12034649
J Interv Card Electrophysiol. 2013 Apr;36(3):247-53
pubmed: 23179919
Mo Med. 2017 Mar-Apr;114(2):120-124
pubmed: 30228558
JAMA. 2020 Apr 14;323(14):1389-1400
pubmed: 32286648
N Engl J Med. 2014 Jan 9;370(2):139-49
pubmed: 24401051
Eur Respir J. 2002 Mar;19(3):499-503
pubmed: 11936529
Heart Rhythm. 2015 Apr;12(4):818-24
pubmed: 25533582
J Am Coll Cardiol. 2002 Nov 6;40(9):1636-44
pubmed: 12427417
Nat Sci Sleep. 2010 Apr 15;2:39-45
pubmed: 23616697
Clin Sci (Lond). 2003 Mar;104(3):231-8
pubmed: 12605577
Cardiol Res Pract. 2011;2011:164078
pubmed: 21876823
Sleep. 2011 Nov 01;34(11):1461-8
pubmed: 22043116
J Neurophysiol. 2015 Aug;114(2):893-901
pubmed: 25995345
J Appl Physiol (1985). 2003 Jan;94(1):179-84
pubmed: 12391099
Am J Respir Crit Care Med. 1995 Nov;152(5 Pt 1):1673-89
pubmed: 7582313
J Cardiovasc Electrophysiol. 2016 Sep;27(9):1086-92
pubmed: 27235276
J Am Coll Cardiol. 2009 Nov 24;54(22):2075-83
pubmed: 19926016
Chest. 2016 Mar;149(3):631-8
pubmed: 26378880
Trends Cardiovasc Med. 2021 Feb;31(2):127-132
pubmed: 32008837
Respiration. 2006;73(2):243-6
pubmed: 16549947
Am J Cardiol. 2012 Aug 1;110(3):369-72
pubmed: 22516529
JAMA. 2013 Nov 20;310(19):2050-60
pubmed: 24240932
Europace. 2014 Sep;16(9):1309-14
pubmed: 24696222
BMC Geriatr. 2022 Mar 14;22(1):204
pubmed: 35287580