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Impact of pulmonary vein isolation on obstructive sleep apnea in patients with atrial fibrillation
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Abstract
Background: Obstructive sleep apnea (OSA) has been identified as associated with the onset and propagation of atrial fibrillation (AF) and predicts recurrences of AF after pulmonary vein isolation (PVI). Vice versa, it has never been investigated whether PVI influences OSA. However, it has been controversial whether a restored atrial function can affect the course of OSA. Therefore, we have assessed whether PVI procedure modulates the prevalence and severity of OSA.
Methods and Results: We included 23 individuals with AF that were assigned to undergo PVI into this study. Patients were 65 ± 7 years old, obese (BMI 29.9 ± 5.4 kg/m2), white (100%) and had a normal left ventricular function (LVEF 64 ± 9%). Polygraphic assessment was carried out before and 6 months after PVI. The prevalence of OSA, defined as an apnea-hypopnea index (AHI) ≥ 5 per hour of sleep, was 74% before PVI compared to 70% 6 months after the procedure (p > 0.05). Severity of OSA did not differ (AHI before vs. after: 18 ± 18/h vs. 15 ± 17/h, p > 0.05) as well as further polygraphic parameters did not differ before and after the procedure.
Conclusions: Prevalence and severity of OSA are not affected by PVI in patients suffering from AF.
Abstract
Background: Obstructive sleep apnea (OSA) has been identified as associated with the onset and propagation of atrial fibrillation (AF) and predicts recurrences of AF after pulmonary vein isolation (PVI). Vice versa, it has never been investigated whether PVI influences OSA. However, it has been controversial whether a restored atrial function can affect the course of OSA. Therefore, we have assessed whether PVI procedure modulates the prevalence and severity of OSA.
Methods and Results: We included 23 individuals with AF that were assigned to undergo PVI into this study. Patients were 65 ± 7 years old, obese (BMI 29.9 ± 5.4 kg/m2), white (100%) and had a normal left ventricular function (LVEF 64 ± 9%). Polygraphic assessment was carried out before and 6 months after PVI. The prevalence of OSA, defined as an apnea-hypopnea index (AHI) ≥ 5 per hour of sleep, was 74% before PVI compared to 70% 6 months after the procedure (p > 0.05). Severity of OSA did not differ (AHI before vs. after: 18 ± 18/h vs. 15 ± 17/h, p > 0.05) as well as further polygraphic parameters did not differ before and after the procedure.
Conclusions: Prevalence and severity of OSA are not affected by PVI in patients suffering from AF.
Keywords
obstructive sleep apnea, pulmonary vein isolation, atrial fibrillation
About this articleTitle
Impact of pulmonary vein isolation on obstructive sleep apnea in patients with atrial fibrillation
Journal
Issue
Pages
392-396
Published online
2014-08-29
Page views
2388
Article views/downloads
2000
DOI
10.5603/CJ.a2013.0122
Bibliographic record
Cardiol J 2014;21(4):392-396.
Keywords
obstructive sleep apnea
pulmonary vein isolation
atrial fibrillation
Authors
Friedrich Felix Hoyer
Katharina Henrich
Jens Kreuz
Carmen Pizarro
Jan-Wilko Schrickel
Lars Martin Lickfett
Erica Mittmann-Braun
Uwe Juergens
Georg Nickenig
Dirk Skowasch
