TY - JOUR
T1 - Personalized management of sleep apnea in patients with atrial fibrillation
T2 - An interdisciplinary and translational challenge
AU - Linz, Dominik
AU - Linz, Benedikt
AU - Dobrev, Dobromir
AU - Baumert, Mathias
AU - Hendriks, Jeroen M.
AU - Pepin, Jean Louis
AU - Jespersen, Thomas
PY - 2021/8
Y1 - 2021/8
N2 - Sleep apnea is present in approximately 70% of patients with atrial fibrillation (AF), and most AF patients diagnosed with sleep apnea show predominant obstructive sleep apnea (OSA). Treatment of OSA in AF patients by continuous positive airway pressure (CPAP) can help maintain sinus rhythm after electrical cardioversion, improve catheter ablation success rates and/or reduce the needs for medications. Therefore, the European Society of Cardiology (ESC) 2020 guidelines for the management of AF recommend screening for OSA as part of a comprehensive assessment of concomitant risk factors in AF management, in which treatment of OSA may be considered to reduce AF incidence, progression, recurrences, and symptoms. While many studies show an association between OSA and AF, the link between central sleep apnea (CSA) or Cheyne Stokes Respiration (CSR) and AF is less established and might be mediated by many confounders, including heart failure and comorbidities. Moreover, a cross-ethnic comparison of the association between CSA/CSR and AF has not been conducted yet...
AB - Sleep apnea is present in approximately 70% of patients with atrial fibrillation (AF), and most AF patients diagnosed with sleep apnea show predominant obstructive sleep apnea (OSA). Treatment of OSA in AF patients by continuous positive airway pressure (CPAP) can help maintain sinus rhythm after electrical cardioversion, improve catheter ablation success rates and/or reduce the needs for medications. Therefore, the European Society of Cardiology (ESC) 2020 guidelines for the management of AF recommend screening for OSA as part of a comprehensive assessment of concomitant risk factors in AF management, in which treatment of OSA may be considered to reduce AF incidence, progression, recurrences, and symptoms. While many studies show an association between OSA and AF, the link between central sleep apnea (CSA) or Cheyne Stokes Respiration (CSR) and AF is less established and might be mediated by many confounders, including heart failure and comorbidities. Moreover, a cross-ethnic comparison of the association between CSA/CSR and AF has not been conducted yet...
KW - sleep apnea
KW - atrial fibrillation
KW - Patient management
UR - http://www.scopus.com/inward/record.url?scp=85110595415&partnerID=8YFLogxK
U2 - 10.1016/j.ijcha.2021.100843
DO - 10.1016/j.ijcha.2021.100843
M3 - Editorial
AN - SCOPUS:85110595415
SN - 2352-9067
VL - 35
JO - IJC Heart and Vasculature
JF - IJC Heart and Vasculature
M1 - 100843
ER -