{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:08:11Z","timestamp":1790662091536,"version":"4.1.0"},"reference-count":24,"publisher":"European Respiratory Society (ERS)","issue":"5","content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2014,12,10]]},"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p>Recurrence of atrial fibrillation (AF) after electrical cardioversion (ECV) is increased in patients with obstructive sleep apnoea (OSA).<\/jats:p><jats:p>In patients with persistent AF, with (n=40) and without (n=32) obstructive respiratory events (OREs) during sedation for ECV, we determined the occurrence of premature atrial contractions (PACs) before and after insertion of a nasopharyngeal tube. The influence of acute obstructive respiratory events on atrial electrophysiology after termination of AF was studied in pigs.<\/jats:p><jats:p>Incidence of PACs directly after ECV was higher in patients with OREs compared to those without OREs (7\u00b12<jats:italic>versus<\/jats:italic>1\u00b11 per 10\u2005s, respectively; p&lt;0.01). Occurrence of PACs could be reduced by 79% by insertion of a nasopharyngeal tube. In a subsequent sleeping study, patients with OREs had higher apnoea\u2013hypopnoea indices and more PACs during night. 16 patient with and four patients without OREs had a relapse of AF during 1\u2005week after ECV (p&lt;0.01). In pigs, acute OREs after 30\u2005min of AF increased occurrence of PACs and vulnerability for reinduction of AF, which could be attenuated by atropine, beta-blockers and renal denervation.<\/jats:p><jats:p>OREs are associated with increased occurrence of PACs and more early relapse of AF. OREs increase occurrence of PACs and vulnerability for reinduction of AF by sympathovagal imbalance.<\/jats:p>","DOI":"10.1183\/09031936.00175714","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T02:42:56Z","timestamp":1425609776000},"page":"1332-1340","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":39,"title":["Obstructive respiratory events and premature atrial contractions after 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