{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:19:34Z","timestamp":1787008774604,"version":"build-2736575974"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Scientific Initiatives Committee of the European Heart Rhythm Association"},{"name":"Association of Cardiovascular Nursing and Allied Professions"},{"name":"Future Leader Fellowship"},{"DOI":"10.13039\/501100001030","name":"Heart Foundation of Australia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Obstructive sleep apnoea (OSA) is highly prevalent in atrial fibrillation (AF) patients and associated with reduced response to rhythm control strategies. However, there is no practical guidance on testing for OSA in AF patients and for OSA treatment implementation. We sought to evaluate current practices and identify challenges of OSA management in AF. A descriptive cross-sectional study was performed with a content-validated survey to evaluate OSA management in AF by healthcare practitioners. Survey review, editing, and dissemination occurred via the European Heart Rhythm Association and the Association of Cardiovascular Nursing and Allied Professions and direct contact with arrhythmia centres. In total, 186 responses were collected. OSA-related symptoms were ranked as the most important reason to test for OSA in AF patients. The majority (67.7%) indicated that cardiologists perform \u2018ad-hoc\u2019 referrals. Only 11.3% initiated systematic testing by home sleep test or respiratory polygraphy and in addition, 10.8% had a structured OSA assessment pathway in place at the cardiology department. Only 6.7% of the respondents indicated that they test &amp;gt;70% of their AF patients for OSA as a component of rhythm control therapy. Various barriers were reported: no established collaboration between cardiology and sleep clinic (35.6%); lack in skills and knowledge (23.6%); lack of financial (23.6%) and personnel-related resources (21.3%). Structured testing for OSA occurs in the minority of AF patients. Centres apply varying methods. There is an urgent need for increased awareness and standardized pathways to allow OSA testing and treatment integration in the management of AF.<\/jats:p>","DOI":"10.1093\/europace\/euab109","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T15:09:55Z","timestamp":1617376195000},"page":"1677-1684","source":"Crossref","is-referenced-by-count":34,"title":["Obstructive sleep apnoea testing and management in atrial fibrillation patients: a joint survey by the European Heart Rhythm Association (EHRA) and the Association of Cardiovascular Nurses and Allied Professions (ACNAP)"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8641-4658","authenticated-orcid":false,"given":"Lien","family":"Desteghe","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium"},{"name":"Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium"},{"name":"Research Group Cardiovascular Diseases, University of Antwerp, Antwerp, Belgium"},{"name":"Department of Cardiology, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen M L","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia"},{"name":"Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hein","family":"Heidbuchel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium"},{"name":"Research Group Cardiovascular Diseases, University of Antwerp, Antwerp, Belgium"},{"name":"Department of Cardiology, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana S","family":"Potpara","sequence":"additional","affiliation":[{"name":"Cardiology Clinic, Clinical Centre of Serbia, Belgrade, Serbia"},{"name":"School of Medicine, Belgrade University, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldine A","family":"Lee","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, Kings College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Linz","sequence":"additional","affiliation":[{"name":"Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia"},{"name":"Department of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands"},{"name":"Department of Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands"},{"name":"Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"2021101018225855100_euab109-B1","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s00392-018-1248-9","article-title":"The why, when and how to test for obstructive sleep apnea in patients with atrial fibrillation","volume":"107","author":"Desteghe","year":"2018","journal-title":"Clin Res Cardiol"},{"key":"2021101018225855100_euab109-B2","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1001\/jamacardio.2018.0095","article-title":"Associations of obstructive sleep apnea with atrial fibrillation and continuous positive airway pressure treatment: a review","volume":"3","author":"Linz","year":"2018","journal-title":"JAMA 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