Screening for Obstructive Sleep Apnea in Patients with Atrial Fibrillation.
Obstructive sleep apnea (OSA) and atrial fibrillation (AF) are common conditions in the adult population and independently associated with increased morbidity and mortality. There is evidence, although not definitive, that OSA independently contributes to AF incidence and recurrence. Full polysomnography is expensive and may not be readily available to diagnose all patients with OSA and AF. Several patients with OSA do not present the classical signs and symptoms of OSA, impairing the accuracy of screening questionnaires for OSA. In this context, home sleep test is a promising alternative to screen and diagnose OSA in AF patients. However, the cost-effectiveness of such approach need to be studied.
Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, University of São Paulo School of Medicine, Av Dr. Eneas de Carvalho Aguiar, 44, 8th Floor, São Paulo, São Paulo 05403-000, Brasil.
Pedro R
PR
Genta
Hypertension Unit of the Renal Division and Heart Institute (InCor), Hospital das Clínicas, University of São Paulo School of Medicine, Av Dr. Eneas de Carvalho Aguiar, 44, 8th Floor, São Paulo, São Paulo 05403-000, Brasil.
Luciano F
LF
Drager
Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, University of São Paulo School of Medicine, Av Dr. Eneas de Carvalho Aguiar, 44, 8th Floor, São Paulo, São Paulo 05403-000, Brasil. Electronic address: geraldo.lorenzi@gmail.com.
Geraldo
G
Lorenzi Filho
D001281:Atrial Fibrillation / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology
Atrial fibrillation; Home sleep testing; Obstructive sleep apnea; Questionnaires; Screening