Tuesday, April 21, 2015

Stroke Rounds: Sleep Apnea Tx May Cut Afib Recurrence - MedPage Today

Action Points



  • Note that this meta-analysis found that treatment of sleep apnea with continuous positive airway pressure significantly reduced the risk of recurrent atrial fibrillation.
  • Be aware that adherence to CPAP therapy remains an issue; though improvements in mask technology may improve adherence in the future.


In patients with atrial fibrillation (Afib) and sleep apnea, continuous positive airway pressure (CPAP) treatment was associated with a 42% relative risk reduction of Afib recurrence, and the reduction was independent of other treatments, researchers reported.


CPAP users showed significant reductions in Afib recurrence compared with nonusers, with 33.3% of users experiencing recurrences compared with 58.1% of nonusers (relative risk=0.58, 95% CI 0.51-0.67, P


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