Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation
Background: Obstructive sleep apnea (OSA) is a modifiable risk factor of atrial fibrillation (AF) but is underdiagnosed in these patients due to absence of good OSA screening pathways. Polysomnography (PSG) is the gold standard for diagnosing OSA but too resource-intensive as a screening tool. We ex...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:be885ef574a44d9f83f8003eb68be1da2021-12-01T15:51:33ZCardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation2297-055X10.3389/fcvm.2021.758548https://doaj.org/article/be885ef574a44d9f83f8003eb68be1da2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.758548/fullhttps://doaj.org/toc/2297-055XBackground: Obstructive sleep apnea (OSA) is a modifiable risk factor of atrial fibrillation (AF) but is underdiagnosed in these patients due to absence of good OSA screening pathways. Polysomnography (PSG) is the gold standard for diagnosing OSA but too resource-intensive as a screening tool. We explored whether cardiorespiratory polygraphy (PG) devices using an automated algorithm for Apnea-Hypopnea Index (AHI) determination can meet the requirements of a good screening tool in AF patients.Methods: This prospective study validated the performance of three PGs [ApneaLink Air (ALA), SOMNOtouch RESP (STR) and SpiderSAS (SpS)] in consecutive AF patients who were referred for PSG evaluation. Patients wore one of the three PGs simultaneously with PSG, and a different PG during each of three consecutive nights at home. Severity of OSA was classified according to the AHI during PSG (<5 = no OSA, 5–14 = mild, 15–30 = moderate, >30 = severe).Results: Of the 100 included AF patients, PSG diagnosed at least moderate in 69% and severe OSA in 33%. Successful PG execution at home was obtained in 79.1, 80.2 and 86.8% of patients with the ALA, STR and SpS, respectively. For the detection of clinically relevant OSA (AHI ≥ 15), an area under the curve of 0.802, 0.772 and 0.803 was calculated for the ALA, STR and SpS, respectively.Conclusions: This study indicates that home-worn PGs with an automated AHI algorithm can be used as OSA screening tools in AF patients. Based on an appropriate AHI cut-off value for each PG, the device can guide referral for definite PSG diagnosis.Michiel DelesieMichiel DelesieMichiel DelesieLieselotte KnaepenLieselotte KnaepenLieselotte KnaepenLieselotte KnaepenJohan VerbraeckenKarolien WeytjensPaul DendalePaul DendaleHein HeidbuchelHein HeidbuchelHein HeidbuchelLien DestegheLien DestegheLien DestegheLien DestegheFrontiers Media S.A.articleatrial fibrillationsleep apneapolygraphyscreeningapnea–hypopnea index (AHI)Diseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021) |
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DOAJ |
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EN |
| topic |
atrial fibrillation sleep apnea polygraphy screening apnea–hypopnea index (AHI) Diseases of the circulatory (Cardiovascular) system RC666-701 |
| spellingShingle |
atrial fibrillation sleep apnea polygraphy screening apnea–hypopnea index (AHI) Diseases of the circulatory (Cardiovascular) system RC666-701 Michiel Delesie Michiel Delesie Michiel Delesie Lieselotte Knaepen Lieselotte Knaepen Lieselotte Knaepen Lieselotte Knaepen Johan Verbraecken Karolien Weytjens Paul Dendale Paul Dendale Hein Heidbuchel Hein Heidbuchel Hein Heidbuchel Lien Desteghe Lien Desteghe Lien Desteghe Lien Desteghe Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation |
| description |
Background: Obstructive sleep apnea (OSA) is a modifiable risk factor of atrial fibrillation (AF) but is underdiagnosed in these patients due to absence of good OSA screening pathways. Polysomnography (PSG) is the gold standard for diagnosing OSA but too resource-intensive as a screening tool. We explored whether cardiorespiratory polygraphy (PG) devices using an automated algorithm for Apnea-Hypopnea Index (AHI) determination can meet the requirements of a good screening tool in AF patients.Methods: This prospective study validated the performance of three PGs [ApneaLink Air (ALA), SOMNOtouch RESP (STR) and SpiderSAS (SpS)] in consecutive AF patients who were referred for PSG evaluation. Patients wore one of the three PGs simultaneously with PSG, and a different PG during each of three consecutive nights at home. Severity of OSA was classified according to the AHI during PSG (<5 = no OSA, 5–14 = mild, 15–30 = moderate, >30 = severe).Results: Of the 100 included AF patients, PSG diagnosed at least moderate in 69% and severe OSA in 33%. Successful PG execution at home was obtained in 79.1, 80.2 and 86.8% of patients with the ALA, STR and SpS, respectively. For the detection of clinically relevant OSA (AHI ≥ 15), an area under the curve of 0.802, 0.772 and 0.803 was calculated for the ALA, STR and SpS, respectively.Conclusions: This study indicates that home-worn PGs with an automated AHI algorithm can be used as OSA screening tools in AF patients. Based on an appropriate AHI cut-off value for each PG, the device can guide referral for definite PSG diagnosis. |
| format |
article |
| author |
Michiel Delesie Michiel Delesie Michiel Delesie Lieselotte Knaepen Lieselotte Knaepen Lieselotte Knaepen Lieselotte Knaepen Johan Verbraecken Karolien Weytjens Paul Dendale Paul Dendale Hein Heidbuchel Hein Heidbuchel Hein Heidbuchel Lien Desteghe Lien Desteghe Lien Desteghe Lien Desteghe |
| author_facet |
Michiel Delesie Michiel Delesie Michiel Delesie Lieselotte Knaepen Lieselotte Knaepen Lieselotte Knaepen Lieselotte Knaepen Johan Verbraecken Karolien Weytjens Paul Dendale Paul Dendale Hein Heidbuchel Hein Heidbuchel Hein Heidbuchel Lien Desteghe Lien Desteghe Lien Desteghe Lien Desteghe |
| author_sort |
Michiel Delesie |
| title |
Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation |
| title_short |
Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation |
| title_full |
Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation |
| title_fullStr |
Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation |
| title_full_unstemmed |
Cardiorespiratory Polygraphy for Detection of Obstructive Sleep Apnea in Patients With Atrial Fibrillation |
| title_sort |
cardiorespiratory polygraphy for detection of obstructive sleep apnea in patients with atrial fibrillation |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/be885ef574a44d9f83f8003eb68be1da |
| work_keys_str_mv |
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