Key result
Pulmonary vein isolation did not significantly affect the prevalence (74% before vs 70% after) or severity of obstructive sleep apnea in patients with atrial fibrillation at 6 months.
Why the study?
Does pulmonary vein isolation improve the prevalence and severity of obstructive sleep apnea in patients with non-permanent atrial fibrillation?
Observational (n=23)
Single-blind (outcomes assessment)
No
Does pulmonary vein isolation improve the prevalence and severity of obstructive sleep apnea in patients with non-permanent atrial fibrillation?
Absolute Event Rate: 70% vs 74%
p-value: p=0.67
Pulmonary vein isolation does not significantly alter the prevalence or severity of obstructive sleep apnea in patients with non-permanent atrial fibrillation.
BACKGROUND: Obstructive sleep apnea (OSA) has been identified as associated with the onset and propagation of atrial fibrillation (AF) and predicts recurrences of AF after pulmonary vein isolation (PVI). Vice versa, it has never been investigated whether PVI influences OSA. However, it has been controversial whether a restored atrial function can affect the course of OSA. There-fore, we have assessed whether PVI procedure modulates the prevalence and severity of OSA. METHODS AND RESULTS: We included 23 individuals with AF that were assigned to undergo PVI into this study. Patients were 65 ± 7 years old, obese (BMI 29.9 ± 5.4 kg/m²), white (100%) and had a normal left ventricular function (LVEF 64 ± 9%). Polygraphic assessment was carried out before and 6 months after PVI. The prevalence of OSA, defined as an apnea-hypopnea index (AHI) ≥ 5 per hour of sleep, was 74% before PVI compared to 70% 6 months after the procedure (p > 0.05). Severity of OSA did not differ (AHI before vs. after: 18 ± 18/h vs. 15 ± 17/h, p > 0.05) as well as further polygraphic parameters did not differ before and after the procedure. CONCLUSIONS: Prevalence and severity of OSA are not affected by PVI in patients suffering from AF.
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Hoyer et al. (2013) conducted an observational in Atrial fibrillation (n=23). Pulmonary vein isolation (PVI) vs. Baseline (before PVI) was evaluated on Prevalence of obstructive sleep apnea (OSA) (p=0.67). Pulmonary vein isolation did not significantly affect the prevalence (74% before vs 70% after) or severity of obstructive sleep apnea in patients with atrial fibrillation at 6 months.
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