Genta Pedro R, Drager Luciano F, Lorenzi Filho Geraldo
Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, University of São Paulo School of Medicine, Av Dr. Eneas de Carvalho Aguiar, 44, 8th Floor, São Paulo, São Paulo 05403-000, Brasil.
Hypertension Unit of the Renal Division and Heart Institute (InCor), Hospital das Clínicas, University of São Paulo School of Medicine, Av Dr. Eneas de Carvalho Aguiar, 44, 8th Floor, São Paulo, São Paulo 05403-000, Brasil.
Sleep Med Clin. 2017 Mar;12(1):99-105. doi: 10.1016/j.jsmc.2016.10.009. Epub 2016 Dec 20.
Obstructive sleep apnea (OSA) and atrial fibrillation (AF) are common conditions in the adult population and independently associated with increased morbidity and mortality. There is evidence, although not definitive, that OSA independently contributes to AF incidence and recurrence. Full polysomnography is expensive and may not be readily available to diagnose all patients with OSA and AF. Several patients with OSA do not present the classical signs and symptoms of OSA, impairing the accuracy of screening questionnaires for OSA. In this context, home sleep test is a promising alternative to screen and diagnose OSA in AF patients. However, the cost-effectiveness of such approach need to be studied.
阻塞性睡眠呼吸暂停（OSA）和心房颤动（AF）是成人中的常见病症，且各自与发病率和死亡率增加相关。有证据表明，尽管并非确凿无疑，但OSA会独立导致AF的发生和复发。全面的多导睡眠图检查费用高昂，而且可能无法随时用于诊断所有患有OSA和AF的患者。一些OSA患者并未表现出OSA的典型体征和症状，这会影响OSA筛查问卷的准确性。在此背景下，家庭睡眠测试是筛查和诊断AF患者OSA的一种有前景的替代方法。然而，这种方法的成本效益需要进行研究。
