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Evaluation of obstructive sleep apnea among consecutive patients with all patterns of atrial fibrillation using WatchPAT home sleep testing

Atrial fibrillation (AF) is the most common arrhythmia encountered in clinical practice and is associated with significant morbidity, mortality, and financial burden. Obstructive sleep apnea (OSA) is more common in individuals with AF and may impair the efficacy of rhythm control strategies includin...

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Published in:The American heart journal 2023-07, Vol.261, p.95-103
Main Authors: Mills, Eric W., Cassidy, Michael, Sofer, Tamar, Tadros, Thomas, Zei, Paul, Sauer, William, Romero, Jorge, Martin, David, Antman, Elliott M., Javaheri, Sogol
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container_title The American heart journal
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creator Mills, Eric W.
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description Atrial fibrillation (AF) is the most common arrhythmia encountered in clinical practice and is associated with significant morbidity, mortality, and financial burden. Obstructive sleep apnea (OSA) is more common in individuals with AF and may impair the efficacy of rhythm control strategies including catheter ablation. However, the prevalence of undiagnosed OSA in all-comers with AF is unknown. This pragmatic, phase IV prospective cohort study will test 250-300 consecutive ambulatory AF patients with all patterns of atrial fibrillation (paroxysmal, persistent, and long-term persistent) and no prior sleep testing for OSA using the WatchPAT system, a disposable home sleep test (HST). The primary outcome of the study is the prevalence of undiagnosed OSA in all-comers with atrial fibrillation. Preliminary results from the initial pilot enrollment of approximately 15% (N = 38) of the planned sample size demonstrate a 79.0% prevalence of at least mild (AHI≥5) OSA or greater in consecutively enrolled patient with all patterns of AF. We report the design, methodology, and preliminary results of our study to define the prevalence of OSA in AF patients. This study will help inform approaches to OSA screening in patients with AF for which there is currently little practical guidance. NCT05155813.
doi_str_mv 10.1016/j.ahj.2023.03.014
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Obstructive sleep apnea (OSA) is more common in individuals with AF and may impair the efficacy of rhythm control strategies including catheter ablation. However, the prevalence of undiagnosed OSA in all-comers with AF is unknown. This pragmatic, phase IV prospective cohort study will test 250-300 consecutive ambulatory AF patients with all patterns of atrial fibrillation (paroxysmal, persistent, and long-term persistent) and no prior sleep testing for OSA using the WatchPAT system, a disposable home sleep test (HST). The primary outcome of the study is the prevalence of undiagnosed OSA in all-comers with atrial fibrillation. Preliminary results from the initial pilot enrollment of approximately 15% (N = 38) of the planned sample size demonstrate a 79.0% prevalence of at least mild (AHI≥5) OSA or greater in consecutively enrolled patient with all patterns of AF. We report the design, methodology, and preliminary results of our study to define the prevalence of OSA in AF patients. 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source ScienceDirect Journals
subjects Ablation
Apnea
Arrhythmia
Atrial Fibrillation - complications
Atrial Fibrillation - diagnosis
Atrial Fibrillation - epidemiology
Cardiac arrhythmia
Cardiology
Catheters
Enrollments
Fibrillation
Hospitals
Humans
Medical instruments
Medical referrals
Medicine
Morbidity
Patients
Primary care
Prospective Studies
Quality of life
Questionnaires
Risk Factors
Sleep
Sleep apnea
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - epidemiology
Sleep disorders
Smartphones
Womens health
title Evaluation of obstructive sleep apnea among consecutive patients with all patterns of atrial fibrillation using WatchPAT home sleep testing
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