Impact of Catheter Ablation on Sleep Quality and Relationship Between Sleep Stability and Recurrence of Paroxysmal Atrial Fibrillation After Successful Ablation: 24-Hour Holter-Based Cardiopulmonary Coupling Analysis

Background Sleep fragmentation and sleep apnea are common in patients with atrial fibrillation (AF). We investigated the impact of radio-frequency catheter ablation (RFCA) on sleep quality in patients with paroxysmal AF and the effect of a change in sleep quality on recurrence of AF. Methods and Res...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Heart Association 2020-12, Vol.9 (23), p.e017016-e017016
Main Authors: Kim, Woohyeun, Na, Jin Oh, Thomas, Robert J, Jang, Won Young, Kang, Dong Oh, Park, Yoonjee, Choi, Jah Yeon, Roh, Seung-Young, Choi, Cheol Ung, Kim, Jin Won, Kim, Eung Ju, Rha, Seung-Woon, Park, Chang Gyu, Seo, Hong Seog, Lim, Hong Euy
Format: Article
Language:English
Subjects:
24‐hour Holter study
Aged
atrial fibrillation
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
cardiopulmonary coupling analysis
Catheter Ablation
Cohort Studies
Electrocardiography, Ambulatory
Female
Humans
Male
Middle Aged
Original Research
Recurrence
Sleep - physiology
sleep disorders
sleep quality
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Sleep fragmentation and sleep apnea are common in patients with atrial fibrillation (AF). We investigated the impact of radio-frequency catheter ablation (RFCA) on sleep quality in patients with paroxysmal AF and the effect of a change in sleep quality on recurrence of AF. Methods and Results Of 445 patients who underwent RFCA for paroxysmal AF between October 2007 and January 2017, we analyzed 225 patients who had a 24-hour Holter test within 6 months before RFCA. Sleep quality was assessed by cardiopulmonary coupling analysis using 24-hour Holter data. We compared cardiopulmonary coupling parameters (high-frequency coupling, low-frequency coupling, very-low-frequency coupling) before and after RFCA. Six months after RFCA, the high-frequency coupling (marker of stable sleep) and very-low-frequency coupling (rapid eye movement/wake marker) was significantly increased (29.84%-36.15%;
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.120.017016