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Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association
Atrial fibrillation (AF), the most common sustained arrhythmia, is one of the risk factors with the largest relative increase in attributed cardiovascular mortality in Africa. There are important knowledge gaps in the epidemiology of AF in Africa, along with inadequate service provision for cardiac...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The African Field Epidemiology Network
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363968/ https://www.ncbi.nlm.nih.gov/pubmed/34422178 http://dx.doi.org/10.11604/pamj.2021.39.55.29000 |
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author | Noubiap, Jean Jacques |
author_facet | Noubiap, Jean Jacques |
author_sort | Noubiap, Jean Jacques |
collection | PubMed |
description | Atrial fibrillation (AF), the most common sustained arrhythmia, is one of the risk factors with the largest relative increase in attributed cardiovascular mortality in Africa. There are important knowledge gaps in the epidemiology of AF in Africa, along with inadequate service provision for cardiac arrhythmias including AF. This paper comments on the available data on the prevalence and correlates of obstructive sleep apnea (OSA) in patients with AF in Africa. Two studies from Tunisia revealed a high prevalence of OSA based on polysomnography (77% and 90%) among patients with AF. Patients with OSA were more likely to report snoring, were older and had longer AF duration compared to those without OSA. The implications of these findings are discussed. Furthermore, key points on the mechanisms underlying the association between AF and OSA, the impact of OSA on AF-related outcomes and the screening and management of OSA in patients with AF are highlighted. |
format | Online Article Text |
id | pubmed-8363968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-83639682021-08-20 Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association Noubiap, Jean Jacques Pan Afr Med J Commentary Atrial fibrillation (AF), the most common sustained arrhythmia, is one of the risk factors with the largest relative increase in attributed cardiovascular mortality in Africa. There are important knowledge gaps in the epidemiology of AF in Africa, along with inadequate service provision for cardiac arrhythmias including AF. This paper comments on the available data on the prevalence and correlates of obstructive sleep apnea (OSA) in patients with AF in Africa. Two studies from Tunisia revealed a high prevalence of OSA based on polysomnography (77% and 90%) among patients with AF. Patients with OSA were more likely to report snoring, were older and had longer AF duration compared to those without OSA. The implications of these findings are discussed. Furthermore, key points on the mechanisms underlying the association between AF and OSA, the impact of OSA on AF-related outcomes and the screening and management of OSA in patients with AF are highlighted. The African Field Epidemiology Network 2021-05-20 /pmc/articles/PMC8363968/ /pubmed/34422178 http://dx.doi.org/10.11604/pamj.2021.39.55.29000 Text en Copyright: Jean Jacques Noubiap et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Commentary Noubiap, Jean Jacques Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association |
title | Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association |
title_full | Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association |
title_fullStr | Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association |
title_full_unstemmed | Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association |
title_short | Atrial fibrillation and obstructive sleep apnea in African populations: uncovering a neglected association |
title_sort | atrial fibrillation and obstructive sleep apnea in african populations: uncovering a neglected association |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363968/ https://www.ncbi.nlm.nih.gov/pubmed/34422178 http://dx.doi.org/10.11604/pamj.2021.39.55.29000 |
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