Sleep Apnea and Atrial Fibrillation: Role of the Cardiac Autonomic Nervous System

Methodist Debakey Cardiovasc J. 2021 Apr 5;17(1):49-52. doi: 10.14797/ZYUT2951. Epub 2021 Mar 25.

Abstract

Sleep apnea is highly associated with atrial fibrillation (AF), and both diseases are highly prevalent in the United States. The mechanistic underpinnings that contribute to their association remain uncertain, but numerous possible mechanisms have been proposed, including dysfunction of the cardiac autonomic nervous system (ANS). Studies have reported that apnea induces hyperactivity of the ANS, leading to increases in AF susceptibility. This review compiles the latest evidence on the role of the ANS in sleep-apnea-induced AF.

Keywords: atrial fibrillation; autonomic nervous system; central sleep apnea; obstructive sleep apnea; sensory neurons; sleep apnea.

Publication types

  • Review

MeSH terms

  • Animals
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / epidemiology
  • Atrial Fibrillation / physiopathology*
  • Autonomic Nervous System / physiopathology*
  • Heart / innervation*
  • Humans
  • Prevalence
  • Respiration
  • Sleep
  • Sleep Apnea Syndromes / diagnosis
  • Sleep Apnea Syndromes / epidemiology
  • Sleep Apnea Syndromes / physiopathology*