Association between atrial fibrillation and central sleep apnea
We previously described an association between atrial fibrillation and central sleep apnea in a group of patients with congestive heart failure. We hypothesized that the prevalence of atrial fibrillation might also be increased in patients with central sleep apnea in the absence of other cardiac dis...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 2005-12, Vol.28 (12), p.1543-1546 |
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| container_title | Sleep (New York, N.Y.) |
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| creator | LEUNG, Richard S. T HUBER, Matthias A ROGGE, Thomas MAIMON, Nimrod CHIU, Kuo-Liang BRADLEY, T. Douglas |
| description | We previously described an association between atrial fibrillation and central sleep apnea in a group of patients with congestive heart failure. We hypothesized that the prevalence of atrial fibrillation might also be increased in patients with central sleep apnea in the absence of other cardiac disease.
We compared the prevalence of atrial fibrillation in a series of 60 consecutive patients with idiopathic central sleep apnea (apnea-hypopnea index > 10 events per hour, > 50% central events) with that in 60 patients with obstructive sleep apnea (apnea-hypopnea index > 10, > 50% obstructive events) and 60 patients without sleep apnea (apnea-hypopnea index < 10), matched for age, sex, and body mass index. Subjects with a history of congestive heart failure, coronary artery disease, or stroke were excluded from the study. The prevalence of atrial fibrillation among patients with idiopathic central sleep apnea was found to be significantly higher than the prevalence among patients with obstructive sleep apnea or no sleep apnea (27%, 1.7%, and 3.3%, respectively, P < .001). However, hypertension was most common and oxygen desaturation most extreme among patients with obstructive sleep apnea.
We conclude that there is a markedly increased prevalence of atrial fibrillation among patients with idiopathic central sleep apnea in the absence of congestive heart failure. Moreover, the high prevalence of atrial fibrillation among patients with idiopathic central sleep apnea is not explainable by the presence of hypertension or nocturnal oxygen desaturation, since both of these were more strongly associated with obstructive sleep apnea. |
| doi_str_mv | 10.1093/sleep/28.12.1543 |
| format | Article |
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We compared the prevalence of atrial fibrillation in a series of 60 consecutive patients with idiopathic central sleep apnea (apnea-hypopnea index > 10 events per hour, > 50% central events) with that in 60 patients with obstructive sleep apnea (apnea-hypopnea index > 10, > 50% obstructive events) and 60 patients without sleep apnea (apnea-hypopnea index < 10), matched for age, sex, and body mass index. Subjects with a history of congestive heart failure, coronary artery disease, or stroke were excluded from the study. The prevalence of atrial fibrillation among patients with idiopathic central sleep apnea was found to be significantly higher than the prevalence among patients with obstructive sleep apnea or no sleep apnea (27%, 1.7%, and 3.3%, respectively, P < .001). However, hypertension was most common and oxygen desaturation most extreme among patients with obstructive sleep apnea.
We conclude that there is a markedly increased prevalence of atrial fibrillation among patients with idiopathic central sleep apnea in the absence of congestive heart failure. Moreover, the high prevalence of atrial fibrillation among patients with idiopathic central sleep apnea is not explainable by the presence of hypertension or nocturnal oxygen desaturation, since both of these were more strongly associated with obstructive sleep apnea.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/28.12.1543</identifier><identifier>PMID: 16408413</identifier><identifier>CODEN: SLEED6</identifier><language>eng</language><publisher>Rochester, MN: American Academy of Sleep Medicine</publisher><subject>Arrhythmias, Cardiac - epidemiology ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - physiopathology ; Biological and medical sciences ; Electrocardiography ; Female ; Humans ; Hypertension - diagnosis ; Hypertension - epidemiology ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Oxyhemoglobins - metabolism ; Polysomnography ; Prevalence ; Sleep Apnea, Central - diagnosis ; Sleep Apnea, Central - epidemiology ; Sleep Apnea, Central - physiopathology ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>Sleep (New York, N.Y.), 2005-12, Vol.28 (12), p.1543-1546</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-297f29d6202fcafc3e6fd7981c72e00e135c779c327ad4c8de9e3ec914d641383</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17310412$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16408413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LEUNG, Richard S. T</creatorcontrib><creatorcontrib>HUBER, Matthias A</creatorcontrib><creatorcontrib>ROGGE, Thomas</creatorcontrib><creatorcontrib>MAIMON, Nimrod</creatorcontrib><creatorcontrib>CHIU, Kuo-Liang</creatorcontrib><creatorcontrib>BRADLEY, T. Douglas</creatorcontrib><title>Association between atrial fibrillation and central sleep apnea</title><title>Sleep (New York, N.Y.)</title><addtitle>Sleep</addtitle><description>We previously described an association between atrial fibrillation and central sleep apnea in a group of patients with congestive heart failure. We hypothesized that the prevalence of atrial fibrillation might also be increased in patients with central sleep apnea in the absence of other cardiac disease.
We compared the prevalence of atrial fibrillation in a series of 60 consecutive patients with idiopathic central sleep apnea (apnea-hypopnea index > 10 events per hour, > 50% central events) with that in 60 patients with obstructive sleep apnea (apnea-hypopnea index > 10, > 50% obstructive events) and 60 patients without sleep apnea (apnea-hypopnea index < 10), matched for age, sex, and body mass index. Subjects with a history of congestive heart failure, coronary artery disease, or stroke were excluded from the study. The prevalence of atrial fibrillation among patients with idiopathic central sleep apnea was found to be significantly higher than the prevalence among patients with obstructive sleep apnea or no sleep apnea (27%, 1.7%, and 3.3%, respectively, P < .001). However, hypertension was most common and oxygen desaturation most extreme among patients with obstructive sleep apnea.
We conclude that there is a markedly increased prevalence of atrial fibrillation among patients with idiopathic central sleep apnea in the absence of congestive heart failure. Moreover, the high prevalence of atrial fibrillation among patients with idiopathic central sleep apnea is not explainable by the presence of hypertension or nocturnal oxygen desaturation, since both of these were more strongly associated with obstructive sleep apnea.</description><subject>Arrhythmias, Cardiac - epidemiology</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Oxyhemoglobins - metabolism</subject><subject>Polysomnography</subject><subject>Prevalence</subject><subject>Sleep Apnea, Central - diagnosis</subject><subject>Sleep Apnea, Central - epidemiology</subject><subject>Sleep Apnea, Central - physiopathology</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1LAzEQxYMotlbvnmQvets2k-xuNicppX5AwYueQ5qdQGSbXZMt4n9v2i70NAzv92Yej5B7oHOgki9ii9gvWD0HNoey4BdkCmVJc5nUSzKlUEFeAy0n5CbGb5r2QvJrMkmT1gXwKXlextgZpwfX-WyLwy-iz_QQnG4z67bBte1J077JDPohJOH4NtO9R31LrqxuI96Nc0a-Xtafq7d88_H6vlpuclPwcsiZFJbJpmKUWaOt4VjZRsgajGBIKQIvjRDScCZ0U5i6QYkcjYSiqVLOms_I0-luH7qfPcZB7Vw0mNJ57PZRVZJWlShlAukJNKGLMaBVfXA7Hf4UUHUoTR3TK1YrYOpQWrI8jLf32x02Z8PYUgIeR0BHo1sbtDcunjnBgRbA-D93FnXG</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>LEUNG, Richard S. T</creator><creator>HUBER, Matthias A</creator><creator>ROGGE, Thomas</creator><creator>MAIMON, Nimrod</creator><creator>CHIU, Kuo-Liang</creator><creator>BRADLEY, T. Douglas</creator><general>American Academy of Sleep Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Association between atrial fibrillation and central sleep apnea</title><author>LEUNG, Richard S. T ; HUBER, Matthias A ; ROGGE, Thomas ; MAIMON, Nimrod ; CHIU, Kuo-Liang ; BRADLEY, T. Douglas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-297f29d6202fcafc3e6fd7981c72e00e135c779c327ad4c8de9e3ec914d641383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Arrhythmias, Cardiac - epidemiology</topic><topic>Atrial Fibrillation - epidemiology</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Oxyhemoglobins - metabolism</topic><topic>Polysomnography</topic><topic>Prevalence</topic><topic>Sleep Apnea, Central - diagnosis</topic><topic>Sleep Apnea, Central - epidemiology</topic><topic>Sleep Apnea, Central - physiopathology</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LEUNG, Richard S. T</creatorcontrib><creatorcontrib>HUBER, Matthias A</creatorcontrib><creatorcontrib>ROGGE, Thomas</creatorcontrib><creatorcontrib>MAIMON, Nimrod</creatorcontrib><creatorcontrib>CHIU, Kuo-Liang</creatorcontrib><creatorcontrib>BRADLEY, T. Douglas</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEUNG, Richard S. T</au><au>HUBER, Matthias A</au><au>ROGGE, Thomas</au><au>MAIMON, Nimrod</au><au>CHIU, Kuo-Liang</au><au>BRADLEY, T. Douglas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between atrial fibrillation and central sleep apnea</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><addtitle>Sleep</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>28</volume><issue>12</issue><spage>1543</spage><epage>1546</epage><pages>1543-1546</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><coden>SLEED6</coden><abstract>We previously described an association between atrial fibrillation and central sleep apnea in a group of patients with congestive heart failure. We hypothesized that the prevalence of atrial fibrillation might also be increased in patients with central sleep apnea in the absence of other cardiac disease.
We compared the prevalence of atrial fibrillation in a series of 60 consecutive patients with idiopathic central sleep apnea (apnea-hypopnea index > 10 events per hour, > 50% central events) with that in 60 patients with obstructive sleep apnea (apnea-hypopnea index > 10, > 50% obstructive events) and 60 patients without sleep apnea (apnea-hypopnea index < 10), matched for age, sex, and body mass index. Subjects with a history of congestive heart failure, coronary artery disease, or stroke were excluded from the study. The prevalence of atrial fibrillation among patients with idiopathic central sleep apnea was found to be significantly higher than the prevalence among patients with obstructive sleep apnea or no sleep apnea (27%, 1.7%, and 3.3%, respectively, P < .001). However, hypertension was most common and oxygen desaturation most extreme among patients with obstructive sleep apnea.
We conclude that there is a markedly increased prevalence of atrial fibrillation among patients with idiopathic central sleep apnea in the absence of congestive heart failure. Moreover, the high prevalence of atrial fibrillation among patients with idiopathic central sleep apnea is not explainable by the presence of hypertension or nocturnal oxygen desaturation, since both of these were more strongly associated with obstructive sleep apnea.</abstract><cop>Rochester, MN</cop><pub>American Academy of Sleep Medicine</pub><pmid>16408413</pmid><doi>10.1093/sleep/28.12.1543</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Arrhythmias, Cardiac - epidemiology Atrial Fibrillation - epidemiology Atrial Fibrillation - physiopathology Biological and medical sciences Electrocardiography Female Humans Hypertension - diagnosis Hypertension - epidemiology Male Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Oxyhemoglobins - metabolism Polysomnography Prevalence Sleep Apnea, Central - diagnosis Sleep Apnea, Central - epidemiology Sleep Apnea, Central - physiopathology Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
| title | Association between atrial fibrillation and central sleep apnea |
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