Sleep Apnea and Atrial Fibrillation. The Autonomic Link

Journal of the American College of Cardiology

Volumn 54, Issue 22, 2009, Pages 2084-2086

  Asirvatham, Samuel J ^a   Kapa, Suraj ^b  

^a MAYO CLINIC   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

atrial fibrillation; autonomic nervous system; sleep apnea

Indexed keywords

ARRHYTHMOGENESIS; AUTONOMIC DYSREFLEXIA; DISEASE MODEL; EDITORIAL; GANGLIONATED PLEXUS; HEART ATRIUM FIBRILLATION; HEART MUSCLE REFRACTORY PERIOD; HUMAN; NERVE BLOCK; NERVE PLEXUS; NONHUMAN; PARASYMPATHETIC TONE; PRIORITY JOURNAL; RADIOFREQUENCY ABLATION; SLEEP APNEA SYNDROME; SYMPATHETIC TONE;

ADRENERGIC BETA-ANTAGONISTS; ANIMALS; ATRIAL FIBRILLATION; ATROPINE; AUTONOMIC NERVOUS SYSTEM; DOGS; SLEEP APNEA, OBSTRUCTIVE;

EID: 71849102980     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacc.2009.09.017     Document Type: Editorial

References (23)

1. Gami A.S., Pressman G., Caples S.M., et al. Association of atrial fibrillation and obstructive sleep apnea. Circulation 110 (2004) 364-367
2. Kapa S., Javaheri S., and Somers V.K. Obstructive sleep apnea and arrhythmias. Sleep Med Clin 2 (2007) 575-581
3. Fung J.W., Li T.S., Choy D.K., et al. Severe obstructive sleep apnea is associated with left ventricular diastolic dysfunction. Chest 121 (2002) 422-429
4. Roche F., Xuong A.N., Court-Fortune I., et al. Relationship among the severity of sleep apnea syndrome, cardiac arrhythmias, and autonomic imbalance. Pacing Clin Electrophysiol 26 (2003) 669-677
5. Schafer H., Hasper E., Ewig S., et al. Pulmonary haemodynamics in obstructive sleep apnoea: time course and associated factors. Eur Respir J 12 (1998) 679-684
6. Tkacova R., Rankin F., Fitzgerald F.S., Floras J.S., and Bradley T.D. Effects of continuous positive airway pressure on obstructive sleep apnea and left ventricular afterload in patients with heart failure. Circulation 98 (1998) 2269-2275
7. Kanagala R., Murali N.S., Friedman P.A., et al. Obstructive sleep apnea and the recurrence of atrial fibrillation. Circulation 107 (2003) 2589-2594
8. Bettoni M., and Zimmermann M. Autonomic tone variations before the onset of paroxysmal atrial fibrillation. Circulation 105 (2002) 2753-2759
9. Schauerte P., Scherlag B.J., Pitha J., et al. Catheter ablation of cardiac autonomic nerves for prevention of vagal atrial fibrillation. Circulation 102 (2000) 2774-2780
10. Ghias M., Scherlag B.J., Lu Z., et al. The role of ganglionated plexi in apnea-related atrial fibrillation. J Am Coll Cardiol 54 (2009) 2075-2083
11. Zhang Y., Scherlag B.J., Lu Z., et al. Comparison of atrial fibrillation inducibility by electrical stimulation of either the extrinsic or the intrinsic autonomic nervous systems. J Interv Card Electrophysiol 24 (2009) 5-10
12. Zhou J., Scherlag B.J., Edwards J., Jackman W.M., Lazzara R., and Po S.S. Gradients of atrial refractoriness and inducibility of atrial fibrillation due to stimulation of ganglionated plexi. J Cardiovasc Electrophysiol 18 (2007) 83-90
13. Somers V.K., Dyken M.E., Mark A.L., and Abboud F.M. Sympathetic-nerve activity during sleep in normal subjects. N Engl J Med 328 (1993) 303-307
14. Vanoli E., Adamson P.B., Ba L., Pinna G.D., Lazzara R., and Orr W.C. Heart rate variability during specific sleep stages. A comparison of healthy subjects with patients after myocardial infarction. Circulation 91 (1995) 1918-1922
15. Hou Y., Scherlag B.J., Lin J., et al. Ganglionated plexi modulate extrinsic cardiac autonomic nerve input: effects on sinus rate, atrioventricular conduction, refractoriness, and inducibility of atrial fibrillation. J Am Coll Cardiol 50 (2007) 61-68
16. Kapa S., and Asirvatham S. Atrial fibrillation: focal or reentrant or both?. A new autonomic lens to examine an old riddle. Circ Arrhythmia Electrophysiol 2 (2009) 345-348
17. Scherlag B.J., Hou Y.L., Lin J., et al. An acute model for atrial fibrillation arising from a peripheral atrial site: evidence for primary and secondary triggers. J Cardiovasc Electrophysiol 19 (2008) 519-527
18. Patterson E., Lazzara R., Szabo B., et al. Sodium-calcium exchange initiated by the Ca2+ transient: an arrhythmia trigger within pulmonary veins. J Am Coll Cardiol 47 (2006) 1196-1206
19. Niu G., Scherlag B.J., Lu Z., et al. Inducibility of atrial fibrillation in the myocardial sleeve of the superior vena cava is mediated by the ganglionated plexi on the right pulmonary artery. (abstr). Circulation 116 (2007) 140
20. Sinno H., Derakhchan K., Libersan D., Merhi Y., Leung T.K., and Nattel S. Atrial ischemia promotes atrial fibrillation in dogs. Circulation 107 (2003) 1930-1936
21. Asirvatham S.J. Pacing maneuvers for nonpulmonary vein sources: part II. Heart Rhythm 4 (2007) 681-685
22. Asirvatham S.J. Pulmonary vein-related maneuvers: part I. Heart Rhythm 4 (2007) 538-544
23. Patterson E., Po S.S., Scherlag B.J., and Lazzara R. Triggered firing in pulmonary veins initiated by in vitro autonomic nerve stimulation. Heart Rhythm 2 (2005) 624-631