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Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring
In patients with atrial fibrillation (AF), the prevalence of moderate-to-severe sleep-disordered breathing (SDB) ranges between 21% and 72% and observational studies have demonstrated that SDB reduces the efficacy of rhythm control strategies, while treatment with continuous positive airway pressure...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859526/ https://www.ncbi.nlm.nih.gov/pubmed/31763438 http://dx.doi.org/10.1016/j.ijcha.2019.100424 |
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author | Linz, Dominik Baumert, Mathias Desteghe, Lien Kadhim, Kadhim Vernooy, Kevin Kalman, Jonathan M. Dobrev, Dobromir Arzt, Michael Sastry, Manu Crijns, Harry J.G.M. Schotten, Ulrich Cowie, Martin R. McEvoy, R. Doug Heidbuchel, Hein Hendriks, Jeroen Sanders, Prashanthan Lau, Dennis H. |
author_facet | Linz, Dominik Baumert, Mathias Desteghe, Lien Kadhim, Kadhim Vernooy, Kevin Kalman, Jonathan M. Dobrev, Dobromir Arzt, Michael Sastry, Manu Crijns, Harry J.G.M. Schotten, Ulrich Cowie, Martin R. McEvoy, R. Doug Heidbuchel, Hein Hendriks, Jeroen Sanders, Prashanthan Lau, Dennis H. |
author_sort | Linz, Dominik |
collection | PubMed |
description | In patients with atrial fibrillation (AF), the prevalence of moderate-to-severe sleep-disordered breathing (SDB) ranges between 21% and 72% and observational studies have demonstrated that SDB reduces the efficacy of rhythm control strategies, while treatment with continuous positive airway pressure lowers the rate of AF recurrence. Currently, the number of apneas and hypopneas per hour (apnea-hypopnea-index, AHI) determined during a single overnight sleep study is clinically used to assess the severity of SDB. However, recent studies suggest that SDB-severity in an individual patient is not stable over time but exhibits a considerable night-to-night variability which cannot be detected by only one overnight sleep assessment. Nightly SDB-severity assessment rather than the single-night diagnosis by one overnight sleep study may better reflect the exposure to SDB-related factors and yield a superior metric to determine SDB-severity in the management of AF. In this review we discuss mechanisms of night-to-night SDB variability, arrhythmogenic consequences of night-to-night SDB variability, strategies for longitudinal assessment of nightly SDB-severity and clinical implications for screening and management of SDB in AF patients. |
format | Online Article Text |
id | pubmed-6859526 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68595262019-11-22 Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring Linz, Dominik Baumert, Mathias Desteghe, Lien Kadhim, Kadhim Vernooy, Kevin Kalman, Jonathan M. Dobrev, Dobromir Arzt, Michael Sastry, Manu Crijns, Harry J.G.M. Schotten, Ulrich Cowie, Martin R. McEvoy, R. Doug Heidbuchel, Hein Hendriks, Jeroen Sanders, Prashanthan Lau, Dennis H. Int J Cardiol Heart Vasc Review In patients with atrial fibrillation (AF), the prevalence of moderate-to-severe sleep-disordered breathing (SDB) ranges between 21% and 72% and observational studies have demonstrated that SDB reduces the efficacy of rhythm control strategies, while treatment with continuous positive airway pressure lowers the rate of AF recurrence. Currently, the number of apneas and hypopneas per hour (apnea-hypopnea-index, AHI) determined during a single overnight sleep study is clinically used to assess the severity of SDB. However, recent studies suggest that SDB-severity in an individual patient is not stable over time but exhibits a considerable night-to-night variability which cannot be detected by only one overnight sleep assessment. Nightly SDB-severity assessment rather than the single-night diagnosis by one overnight sleep study may better reflect the exposure to SDB-related factors and yield a superior metric to determine SDB-severity in the management of AF. In this review we discuss mechanisms of night-to-night SDB variability, arrhythmogenic consequences of night-to-night SDB variability, strategies for longitudinal assessment of nightly SDB-severity and clinical implications for screening and management of SDB in AF patients. Elsevier 2019-10-18 /pmc/articles/PMC6859526/ /pubmed/31763438 http://dx.doi.org/10.1016/j.ijcha.2019.100424 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Linz, Dominik Baumert, Mathias Desteghe, Lien Kadhim, Kadhim Vernooy, Kevin Kalman, Jonathan M. Dobrev, Dobromir Arzt, Michael Sastry, Manu Crijns, Harry J.G.M. Schotten, Ulrich Cowie, Martin R. McEvoy, R. Doug Heidbuchel, Hein Hendriks, Jeroen Sanders, Prashanthan Lau, Dennis H. Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring |
title | Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring |
title_full | Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring |
title_fullStr | Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring |
title_full_unstemmed | Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring |
title_short | Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring |
title_sort | nightly sleep apnea severity in patients with atrial fibrillation: potential applications of long-term sleep apnea monitoring |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859526/ https://www.ncbi.nlm.nih.gov/pubmed/31763438 http://dx.doi.org/10.1016/j.ijcha.2019.100424 |
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