Abstract

The association between sleep apnea (SA) and atrial fibrillation (AF) has been well documented. 1 Van Wagoner D.R. Piccini J.P. Albert C.M. et al. Progress toward the prevention and treatment of atrial fibrillation: a summary of the Heart Rhythm Society Research Forum on the Treatment and Prevention of Atrial Fibrillation, Washington, DC, December 9–10, 2013. Heart Rhythm. 2015; 12: e5-e29 Abstract Full Text Full Text PDF PubMed Scopus (81) Google Scholar , 2 Benjamin E.J. Chen P.-S. Bild D.E. et al. Prevention of atrial fibrillation: report from a National Heart, Lung, and Blood Institute workshop. Circulation. 2009; 119: 606-618 Crossref PubMed Scopus (400) Google Scholar This association remains even after accounting for potential confounding variables, such as age, body mass index, and hypertension. 3 Mehra R. Stone K.L. Varosy P.D. Hoffman A.R. Marcus G.M. Blackwell T. Ibrahim O.A. Salem R. Redline S. Nocturnal arrhythmias across a spectrum of obstructive and central sleep-disordered breathing in older men: outcomes of sleep disorders in older men (MrOS sleep) study. Arch Intern Med. 2009; 169: 1147-1155 Crossref PubMed Scopus (200) Google Scholar It has been previously demonstrated that among patients with SA undergoing catheter ablation for treatment of AF, use of continuous positive airway pressure (CPAP) for treatment of SA is associated with a significant increase in arrhythmia-free survival (72% vs 37%). 4 Fein A.S. Shvilkin A. Shah D. Haffajee C.I. Das S. Kumar K. Kramer D.B. Zimetbaum P.J. Buxton A.E. Josephson M.E. Anter E. Treatment of obstructive sleep apnea reduces the risk of atrial fibrillation recurrence after catheter ablation. J Am Coll Cardiol. 2013; 62: 300-305 Abstract Full Text Full Text PDF PubMed Scopus (286) Google Scholar Variability in obstructive sleep apnea: Analysis of pacemaker-detected respiratory disturbancesHeart RhythmVol. 14Issue 3PreviewObstructive sleep apnea (OSA) is associated with several cardiovascular conditions. Some pacemakers feature specific algorithms detecting respiratory cycles and deriving indices well correlated with the identification of polysomnography-confirmed severe OSA. Full-Text PDF

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