The problem of association between obstructive sleep apnea and atrial fibrillation in cardiology practice

Харац, В. Е.

doi:10.29001/2073-8552-2022-37-3-41-48

SJCEM

2022

DOI: 10.29001/2073-8552-2022-37-3-41-48

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The problem of association between obstructive sleep apnea and atrial fibrillation in cardiology practice

В. Е. Харац

Abstract: The problem of association between obstructive sleep apnea syndrome (OSAS) and cardiac pathology, namely, atrial fibrillation (AF) is quite relevant and multifaceted. This review presents the epidemiological aspects of OSAS and AF, discusses the main concepts of atrial arrhythmogenesis in OSAS, and describes the capabilities of diagnostic tools for searching for OSAS in the context of routine cardiological practice.

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Cited by 5 publications

References 57 publications

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Analysis of the contribution of obstructive sleep apnea/hypopnea syndrome and glycemic level variability to the development and progression of cardiac arrhythmias in patients with type 2 diabetes mellitus

Enert,

Apalkov,

Pereletova

et al. 2024

Diabetes mellitus

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In this review, information is presented within the triad: obstructive sleep apnea/hypopnea syndrome (OSA), glycemic variability, and cardiac arrhythmias in patients with type 2 diabetes mellitus (DM2). Epidemiological aspects, pathogenetic relationships, possible instrumental and laboratory diagnostic methods, as well as approaches to personalized therapy are analyzed. Research is being actively conducted in certain areas of the designated triad, however, no studies have been found that include simultaneous monitoring of indicators reflecting these disorders in patients with DM2. Many issues are still controversial. Sleep disturbances in patients with DM2 are actively studied, but more often questionnaires are used for diagnosis, rather than instrumental methods. There is insufficient data examining the effect of hypoxia on the progression of complications in patients with DM2. Rhythm disturbances are being actively studied in patients with DM2 in combination with various cardiological problems. Of greatest interest is the study of rhythm disturbances in patients with DM2 without concomitant comorbid conditions of the cardiovascular system, in order to identify early signs of diabetic cardiovascular autonomic neuropathy and cardiomyopathy, as well as additional early risk factors for the development and progression of cardiovascular diseases. Most of the studies are devoted to the study of the association of OSA and various arrhythmias in cardiac patients. However, there is no data on the combined effect of glycemic variability and OSA on the development of cardiac arrhythmias in patients with DM2. Additional studies are needed to identify the features of the effect of OSA on cardiac arrhythmias in patients with DM2.

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Analysis of the contribution of obstructive sleep apnea/hypopnea syndrome and glycemic level variability to the development and progression of cardiac arrhythmias in patients with type 2 diabetes mellitus

Enert,

Apalkov,

Pereletova

et al. 2024

Diabetes mellitus

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show abstract

Obstructive sleep apnea as a potentially reversible cause of nighttime bradyarrhythmias. Clinical case

Kucherenko,

Bebekh,

Umarova

et al. 2024

Cardiac Arrhythmias

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Obstructive sleep apnea syndrome is a common condition, especially among obese patients. Patients with obstructive sleep apnea syndrome have an increased risk of developing arterial hypertension and cardiovascular events, as well as cardiac arrhythmias, which include reflexively occurring bradyarrhythmias and episodes of asystole at night. Treatment of obstructive sleep apnea syndrome leads to an improvement in the patient’s quality of life and also reduces cardiovascular risk and eliminates associated bradyarrhythmias during night sleep.

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Obstructive sleep apnea syndrome: literature review

Surikova,

Glukhova

2023

CardioSomatics

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The objective of this article was to analyze and summarize the available data on obstructive sleep apnea syndrome as a risk factor for the occurrence and aggravation of the cardiovascular system diseases. This review presents the materials of domestic and foreign authors about risk factors and their prevention. 52 different literature sources were used articles published in the international citation databases PubMed (MEDLINE), Scopus, as well as fundamental research published in the Russian Science Citation Index (RSCI), monographs. The data were selected by keywords: "cardiovascular diseases", "risk factors", "arterial hypertension", "chronic cardiac insufficiency", "atrial fibrillation", "apnea". Materials whose authorship has not been established, textbooks, near-scientific Internet resources, as well as those that do not correspond to the subject of the study were excluded from the analysis. Sleep apnea is a widespread, but not often detected disease among patients with cardiovascular pathologies. Further study of methods of diagnosis and treatment of sleep apnea is a promising direction in terms of working on risk factors and the effectiveness of cardiovascular diseases treatment.

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The problem of association between obstructive sleep apnea and atrial fibrillation in cardiology practice

Cited by 5 publications

References 57 publications

Analysis of the contribution of obstructive sleep apnea/hypopnea syndrome and glycemic level variability to the development and progression of cardiac arrhythmias in patients with type 2 diabetes mellitus

Analysis of the contribution of obstructive sleep apnea/hypopnea syndrome and glycemic level variability to the development and progression of cardiac arrhythmias in patients with type 2 diabetes mellitus

Obstructive sleep apnea as a potentially reversible cause of nighttime bradyarrhythmias. Clinical case

Obstructive sleep apnea syndrome: literature review

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