医学
心房颤动
阻塞性睡眠呼吸暂停
心脏病学
内科学
窦性心律
睡眠呼吸暂停
心脏复律
导管消融
持续气道正压
麻醉
呼吸暂停
作者
Dominik Linz,Stanley Nattel,Jonathan M. Kalman,Prashanthan Sanders
标识
DOI:10.1016/j.ccep.2020.10.003
摘要
Obstructive sleep apnea (OSA) creates a complex and dynamic substrate for atrial fibrillation (AF), which is characterized by structural remodeling as a result of long-term OSA as well as transient and acute apnea-associated transient atrial electrophysiological changes. OSA is present in 21% to 74% of patients with AF, and nonrandomized studies suggest that treatment of OSA by continuous positive airway pressure may help to maintain sinus rhythm after electrical cardioversion and improve catheter ablation success rates. Management of OSA in patients with AF requires a close interdisciplinary collaboration between the electrophysiologist/cardiologist and sleep specialists.
科研通智能强力驱动
Strongly Powered by AbleSci AI