Home Sleep Apnea Test to Screen Patients With Atrial Fibrillation for Sleep Apnea Prior to Catheter Ablation
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- Tanaka Nobuaki
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Tanaka Koji
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Hirao Yuko
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Okada Masato
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Ninomiya Yuichi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Yoshimoto Issei
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Onishi Toshinari
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Koyama Yasushi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Okamura Atsunori
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Iwakura Katsuomi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Fujii Kenshi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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- Sakata Yasushi
- Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine
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- Inoue Koichi
- Cardiovascular Center, Sakurabashi-Watanabe Hospital
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<p>Background:Whether all atrial fibrillation (AF) patients should be evaluated for sleep apnea before catheter ablation (CA) remains controversial. Watch-type peripheral arterial tonometry (W-PAT) is a home sleep testing device and an easier tool for diagnosing sleep apnea than polysomnography. We investigated the prevalence and predictors of sleep apnea using W-PAT in unscreened sleep apnea patients with AF before CA.</p><p>Methods and Results:The study was conducted under a retrospective, single-center, observational design. We included 776 consecutive patients who underwent both W-PAT and AF ablation. Sleep apnea assessments were successfully performed in 774 patients (99.7%; age 65±11 years, 73.3% male; body mass index [BMI] 24.1±3.5, 56.8% paroxysmal AF). The mean apnea-hypopnea index (AHI) was 20.1±15.6. Although 81.7% of the patients had normal Epworth sleepiness scores (mean 6.5), only 88 (11.4%) had a normal AHI (AHI <5) and 412 (53.2%) had moderate-severe sleep apnea (AHI ≥15). Obesity, male sex, nonparoxysmal AF, hypertension, and a left atrial diameter (LAd) ≥40 mm were predictors of moderate-severe sleep apnea. However, the prevalence of moderate-severe sleep apnea in patients without those predictors (i.e., non-obesity (44.2%), female sex (43.0%), paroxysmal AF (43.9%), no hypertension (45.5%)), and LAd <40 mm (41.0%) was considerably high.</p><p>Conclusions:Almost all patients successfully underwent W-PAT to diagnose sleep apnea. Patients undergoing AF ablation had a high prevalence of sleep apnea, and screening for sleep apnea was important in those patients even if they did not have sleepiness or risk factors.</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 85 (3), 252-260, 2021-02-25
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390287297547320576
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- NII論文ID
- 130007991384
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 031308952
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- PubMed
- 33298643
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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