Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea.
<h4>Study objectives</h4>Obstructive sleep apnea is common among patients with atrial fibrillation, but the prevalence and risk factors for atrial fibrillation among patients who are being investigated on suspicion of sleep apnea are not well known. The aim of the study was to estimate t...
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171575&type=printable |
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| author | Tijn Hendrikx Martin Sundqvist Herbert Sandström Carin Sahlin Morteza Rohani Faris Al-Khalili Rolf Hörnsten Anders Blomberg Per Wester Mårten Rosenqvist Karl A Franklin |
| author_facet | Tijn Hendrikx Martin Sundqvist Herbert Sandström Carin Sahlin Morteza Rohani Faris Al-Khalili Rolf Hörnsten Anders Blomberg Per Wester Mårten Rosenqvist Karl A Franklin |
| author_sort | Tijn Hendrikx |
| collection | DOAJ |
| description | <h4>Study objectives</h4>Obstructive sleep apnea is common among patients with atrial fibrillation, but the prevalence and risk factors for atrial fibrillation among patients who are being investigated on suspicion of sleep apnea are not well known. The aim of the study was to estimate the prevalence of atrial fibrillation among patients investigated for suspected obstructive sleep apnea and to identify risk factors for atrial fibrillation among them.<h4>Methods</h4>The prevalence of atrial fibrillation was investigated among 201 patients referred for suspected obstructive sleep apnea. Patients without known atrial fibrillation were investigated with a standard 12-lead ECG at hospital and short intermittent handheld ECG recordings at home, during 14 days.<h4>Results</h4>Atrial fibrillation occurred in 13 of 201 subjects (6.5%), and in 12 of 61 men aged 60 years and older (20%). The prevalence of atrial fibrillation increased with sleep apnea severity (p = 0.038). All patients with atrial fibrillation were men and all had sleep apnea. Age 60 or older, the occurrence of central sleep apnea and diabetes mellitus were independent risk factors for atrial fibrillation after adjustments for body mass index, gender, sleep apnea and cardiovascular disease.<h4>Conclusions</h4>Atrial fibrillation is common among subjects referred for sleep apnea investigation and the prevalence of atrial fibrillation increases with sleep apnea severity. Independent risk factors for atrial fibrillation among patients investigated for suspected obstructive sleep apnea include the occurrence of coexisting central sleep apnea, age 60 years or older and diabetes mellitus. |
| format | Article |
| id | doaj-art-ace2f02c5ce744f2b6b9c7449fbcc43b |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-ace2f02c5ce744f2b6b9c7449fbcc43b2025-08-20T03:04:34ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017157510.1371/journal.pone.0171575Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea.Tijn HendrikxMartin SundqvistHerbert SandströmCarin SahlinMorteza RohaniFaris Al-KhaliliRolf HörnstenAnders BlombergPer WesterMårten RosenqvistKarl A Franklin<h4>Study objectives</h4>Obstructive sleep apnea is common among patients with atrial fibrillation, but the prevalence and risk factors for atrial fibrillation among patients who are being investigated on suspicion of sleep apnea are not well known. The aim of the study was to estimate the prevalence of atrial fibrillation among patients investigated for suspected obstructive sleep apnea and to identify risk factors for atrial fibrillation among them.<h4>Methods</h4>The prevalence of atrial fibrillation was investigated among 201 patients referred for suspected obstructive sleep apnea. Patients without known atrial fibrillation were investigated with a standard 12-lead ECG at hospital and short intermittent handheld ECG recordings at home, during 14 days.<h4>Results</h4>Atrial fibrillation occurred in 13 of 201 subjects (6.5%), and in 12 of 61 men aged 60 years and older (20%). The prevalence of atrial fibrillation increased with sleep apnea severity (p = 0.038). All patients with atrial fibrillation were men and all had sleep apnea. Age 60 or older, the occurrence of central sleep apnea and diabetes mellitus were independent risk factors for atrial fibrillation after adjustments for body mass index, gender, sleep apnea and cardiovascular disease.<h4>Conclusions</h4>Atrial fibrillation is common among subjects referred for sleep apnea investigation and the prevalence of atrial fibrillation increases with sleep apnea severity. Independent risk factors for atrial fibrillation among patients investigated for suspected obstructive sleep apnea include the occurrence of coexisting central sleep apnea, age 60 years or older and diabetes mellitus.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171575&type=printable |
| spellingShingle | Tijn Hendrikx Martin Sundqvist Herbert Sandström Carin Sahlin Morteza Rohani Faris Al-Khalili Rolf Hörnsten Anders Blomberg Per Wester Mårten Rosenqvist Karl A Franklin Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea. PLoS ONE |
| title | Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea. |
| title_full | Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea. |
| title_fullStr | Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea. |
| title_full_unstemmed | Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea. |
| title_short | Atrial fibrillation among patients under investigation for suspected obstructive sleep apnea. |
| title_sort | atrial fibrillation among patients under investigation for suspected obstructive sleep apnea |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171575&type=printable |
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