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KMID : 1101120220190020086
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Journal of Sleep Medicine
2022 Volume.19 No. 2 p.86 ~ p.89
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Conversion of Atrial Fibrillation to Normal Sinus Rhythm With Optimal Continuous Positive Airway Pressure Therapy in Severe Obstructive Sleep Apnea
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Lee Byeong-Cheon
Yang Seong-Kyu
Oh Dan-A
Yun Chang-Ho
Yoon Jee-Eun
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Abstract
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Obstructive sleep apnea (OSA) and atrial fibrillation (AF) are associated with increased morbidity and mortality. OSA and AF share multiple risk factors, including hypertension, cardiovascular disorders, congestive heart failure, and metabolic syndrome. Although the two conditions are likely to have a bidirectional association, recent studies have suggested that OSA contributes to the development of AF through direct mechanical effects on cardiac remodeling. We report a patient with severe OSA showing immediate conversion of AF to normal sinus rhythm with optimal continuous positive airway pressure (CPAP) therapy. This supports that OSA may lead to AF, which can be effectively reversed with CPAP therapy.
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KEYWORD
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Obstructive sleep apnea, Atrial fibrillation, Continuous positive airway pressure
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