Breathless nights and heart flutters: Understanding the relationship between obstructive sleep apnea and atrial fibrillation.

Arrhythmia Atrial fibrillation Atrial fibrillation ablation Continuous positive airway pressure (CPAP) Obstructive sleep apnea (OSA) Sleep apnea Sleep disordered breathing (SDB)

Journal

Heart rhythm
ISSN: 1556-3871
Titre abrégé: Heart Rhythm
Pays: United States
ID NLM: 101200317

Informations de publication

Date de publication:
09 2023
Historique:
received: 11 04 2023
revised: 24 04 2023
accepted: 26 04 2023
medline: 1 9 2023
pubmed: 2 5 2023
entrez: 1 5 2023
Statut: ppublish

Résumé

There is an extraordinary and increasing global burden of atrial fibrillation (AF) and obstructive sleep apnea (OSA), two conditions that frequently accompany one another and that share underlying risk factors. Whether a causal pathophysiologic relationship connects OSA to the development and/or progression of AF, or whether shared risk factors promote both conditions, is unproven. With increasing recognition of the importance of controlling AF-related risk factors, numerous observational studies now highlight the potential benefits of OSA treatment in AF-related outcomes. Physicians are regularly faced with caring for this important and increasing population of patients despite a paucity of clinical guidance on the topic. Here, we review the clinical epidemiology and pathophysiology of AF and OSA with a focus on key clinical studies and major outstanding questions that should be addressed in future studies.

Identifiants

pubmed: 37127146
pii: S1547-5271(23)02181-1
doi: 10.1016/j.hrthm.2023.04.022
pii:
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1267-1273

Informations de copyright

Copyright © 2023 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Eric W Mills (EW)

Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: ewmills@partners.org.

Elliott M Antman (EM)

Cardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts.

Sogol Javaheri (S)

Division of Sleep Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

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Classifications MeSH