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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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Autor principal: Noubiap, Jean Jacques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
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
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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.
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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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