{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T14:28:17Z","timestamp":1768832897931,"version":"3.49.0"},"reference-count":22,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T00:00:00Z","timestamp":1717891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Government of Moscow","award":["0702-2\/22"],"award-info":[{"award-number":["0702-2\/22"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Introduction: Obstructive sleep apnea (OSA) is associated with an increased risk of hypertension, coronary artery disease, heart failure (HF), and atrial fibrillation (AF). Materials and methods: A total of 179 patients aged 34\u201381 years were included in the study. The median age was 63 years (interquartile range: 56\u201369 years). Of these patients, 105 (58.7%) were men, and 74 (41.3%) were women; there were cases of paroxysmal (n = 99), persistent (n = 64), and permanent AF (n = 16). All patients underwent investigations including respiratory sleep monitoring, echocardiography, and 24 h Holter electrocardiography monitoring. Statistical analyses were performed using IBM SPSS Statistics 26.0. Results: OSA was detected in 131 (73.2%) patients. In patients with OSA, paroxysmal AF was commonest (n = 65), followed by persistent AF (n = 51) and permanent AF (n = 15). The patients with sleep apnea had increased body mass index (33.6 kg\/m2; p = 0.02), waist circumference (114 cm; p &lt; 0.001), and neck circumference (42 cm; p &lt; 0.001) values. HF (OR 2.9; 95% CI: 1.4\u20135.9; p = 0.004) and type 2 diabetes (OR 3.6; 95% CI: 1.5\u20138.3; p = 0.001) were more common in patients with AF and OSA. The STOP-BANG scale (AUC = 0.706 \u00b1 0.044; 95% CI: 0.619\u20130.792; p &lt; 0.001) and the Berlin questionnaire (AUC = 0.699 \u00b1 0.044; 95% CI: 0.614\u20130.785) had a higher predictive ability for identifying sleep apnea. Conclusions: Patients with AF demonstrate a high prevalence of OSA and an increased association with cardiovascular comorbidities. The STOP-BANG scale and the Berlin questionnaire can be used to screen for OSA in patients with AF.<\/jats:p>","DOI":"10.3390\/jpm14060618","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T10:08:43Z","timestamp":1718014123000},"page":"618","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sleep Apnea and Atrial Fibrillation: Clinical Features and Screening Diagnostic Options"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0438-8981","authenticated-orcid":false,"given":"Azamat Maratovich","family":"Baymukanov","sequence":"first","affiliation":[{"name":"Moscow City Clinical Hospital after V.M. Buyanov, Moscow 115516, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-4984","authenticated-orcid":false,"given":"Yuliya Dmitrievna","family":"Weissman","sequence":"additional","affiliation":[{"name":"Moscow City Clinical Hospital after V.M. Buyanov, Moscow 115516, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina Andreevna","family":"Bulavina","sequence":"additional","affiliation":[{"name":"Moscow City Clinical Hospital after V.M. Buyanov, Moscow 115516, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilya Leonidovich","family":"Ilyich","sequence":"additional","affiliation":[{"name":"Moscow City Clinical Hospital after V.M. Buyanov, Moscow 115516, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergey Arturovich","family":"Termosesov","sequence":"additional","affiliation":[{"name":"Moscow City Clinical Hospital after V.M. Buyanov, Moscow 115516, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","article-title":"Estimation of the global prevalence and burden of obstructive sleep apnoea: A literature-based analysis","volume":"7","author":"Benjafield","year":"2019","journal-title":"Lancet Respir. Med."},{"key":"ref_2","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 Cardiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"14","DOI":"10.15420\/aer.2015.4.1.14","article-title":"Obstructive Sleep Apnoea and Atrial Fibrillation","volume":"4","author":"Zhang","year":"2015","journal-title":"Arrhythmia Electrophysiol. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"AHAS Update (2017). Heart Disease and Stroke Statistics\u20142021 Update: A Report from the American Heart Association. Circulation, 135, e146\u2013e603.","DOI":"10.1161\/CIR.0000000000000491"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1164\/ajrccm.159.2.9804051","article-title":"Relation of Sleepiness to Respiratory Disturbance Index the Sleep Heart Health Study","volume":"159","author":"Gottlieb","year":"1999","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.18565\/therapy.2022.7.141-146","article-title":"Obesity and atrial fibrillation: Mechanisms of occurence and current treatment guidelines","volume":"8","author":"Tarzimanova","year":"2022","journal-title":"Therapy"},{"key":"ref_7","first-page":"889","article-title":"Myocardial Tissue-Level Characteristics of Adults with Metabolically Healthy Obesity","volume":"16","author":"Zhao","year":"2023","journal-title":"Cardiovasc. Imaging"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.jacc.2006.08.060","article-title":"Obstructive Sleep Apnea, Obesity, and the Risk of Incident Atrial Fibrillation","volume":"49","author":"Gami","year":"2007","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1001\/archinternmed.2009.138","article-title":"Nocturnal arrhythmias across a spectrum of obstructive and central sleep-disordered breathing in older men: Outcomes of sleep disorders in older men (MrOS sleep) study","volume":"169","author":"Mehra","year":"2009","journal-title":"Arch. Intern. Med."},{"key":"ref_10","first-page":"915","article-title":"Obstructive Sleep Apnea and Kidney Disease: A Potential Bidirectional Relationship? Journal of Clinical Sleep Medicine","volume":"11","author":"Abuyassin","year":"2015","journal-title":"Am. Acad. Sleep Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1097\/HJH.0000000000003480","article-title":"2023 ESH Guidelines for the Management of Arterial Hypertension The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA)","volume":"41","author":"Mancia","year":"2023","journal-title":"J. Hypertens."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"101568","DOI":"10.1016\/j.smrv.2021.101568","article-title":"Obstructive sleep apnea and stroke: The mechanisms, the randomized trials, and the road ahead","volume":"61","author":"Javaheri","year":"2022","journal-title":"Sleep Med. Rev."},{"key":"ref_13","first-page":"52","article-title":"Obesity, obstructive sleep apnea and type 2 diabetes mellitus: Epidemiology and pathophysiologic insights","volume":"2","year":"2018","journal-title":"Sleep Med. Disord. Int. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.chest.2019.02.407","article-title":"Apneas of Heart Failure and Phenotype-Guided Treatments: Part One: OSA","volume":"157","author":"Javaheri","year":"2020","journal-title":"Chest"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Polecka, A., Olszewska, N., Danielski, \u0141., and Olszewska, E. (2023). Association between Obstructive Sleep Apnea and Heart Failure in Adults\u2014A Systematic Review. J. Clin. Med., 12.","DOI":"10.3390\/jcm12196139"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e008684","DOI":"10.1161\/JAHA.118.008684","article-title":"Sleep apnea, the risk of developing heart failure, and potential benefits of continuous positive airway pressure (CPAP) therapy","volume":"7","author":"Holt","year":"2018","journal-title":"J. Am. Heart Assoc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"108035","DOI":"10.1016\/j.diabres.2020.108035","article-title":"The association between sleep and diabetes outcomes\u2014A systematic review","volume":"161","author":"Khalil","year":"2020","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/1753-0407.13017","article-title":"Obstructive sleep apnea and risk of type 2 diabetes mellitus: A systematic review and dose-response meta-analysis of cohort studies","volume":"12","author":"Qie","year":"2020","journal-title":"J. Diabetes"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"184","DOI":"10.5001\/omj.2018.36","article-title":"Screening questionnaires for obstructive sleep apnea: An updated systematic review","volume":"33","author":"Amra","year":"2018","journal-title":"Oman Med. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"100447","DOI":"10.1016\/j.ijcha.2019.100447","article-title":"Prevalence, risk factors, and type of sleep apnea in patients with paroxysmal atrial fibrillation","volume":"26","author":"Traaen","year":"2020","journal-title":"IJC Heart Vasc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1378\/chest.11-0975","article-title":"Sleep-disordered breathing and excessive daytime sleepiness in patients with atrial fibrillation","volume":"141","author":"Albuquerque","year":"2012","journal-title":"Chest"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1016\/j.cjca.2019.07.627","article-title":"Self-Reported Daytime Sleepiness and Sleep-Disordered Breathing in Patients with Atrial Fibrillation: SNOozE-AF","volume":"35","author":"Kadhim","year":"2019","journal-title":"Can. J. Cardiol."}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/14\/6\/618\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:56:06Z","timestamp":1760108166000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/14\/6\/618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,9]]},"references-count":22,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["jpm14060618"],"URL":"https:\/\/doi.org\/10.3390\/jpm14060618","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,9]]}}}