Personalized management of sleep apnea in patients with atrial fibrillation: An interdisciplinary and translational challenge

Dominik Linz, Benedikt Linz, Dobromir Dobrev, Mathias Baumert, Jeroen M. Hendriks, Jean Louis Pepin, Thomas Jespersen

Research output: Contribution to journalEditorial

Abstract

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...
Original languageEnglish
Article number100843
Number of pages3
JournalIJC Heart and Vasculature
Volume35
DOIs
Publication statusPublished - Aug 2021

Keywords

  • sleep apnea
  • atrial fibrillation
  • Patient management

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