Should I evaluate my patient with atrial fibrillation for sleep apnea?

Mirna B. Ayache; Reena Mehra; Kenneth A. Mayuga

doi:10.3949/ccjm.86a.19033

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Should I evaluate my patient with atrial fibrillation for sleep apnea?

Mirna B. Ayache, MD, MPH, Reena Mehra, MD, MS, FCCP, FAASM and Kenneth A. Mayuga, MD, FACC, FHRS

Cleveland Clinic Journal of Medicine November 2019, 86 (11) 709-712; DOI: https://doi.org/10.3949/ccjm.86a.19033

Mirna B. Ayache

Department of Pulmonary, Sleep, and Critical Care Medicine, MetroHealth Medical Center; Assistant Professor of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH

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Reena Mehra

Director of Sleep Disorders Research, Sleep Neurologic Institute and Staff, Respiratory Institute, Heart and Vascular Institute, and Department of Molecular Cardiology of the Lerner Research Institute, Cleveland Clinic; Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

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Kenneth A. Mayuga

Section of Cardiac Electrophysiology and Pacing, Department of Cardiovascular Medicine, Cleveland Clinic; Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

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For correspondence: [email protected]

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TABLE 1

Screening tools to identify increased risk of obstructive sleep apnea

Screening tool	Factors assessed
Berlin questionnaire²⁵	Snoring, waketime sleepiness or fatigue, obesity, hypertension
STOP-Bang²⁶	Snoring, tiredness, observed apnea, high blood pressure, body mass index, age, neck circumference, male sex
NoSAS²⁷	Neck circumference, obesity, snoring, age, male sex

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Cleveland Clinic Journal of Medicine

Vol. 86, Issue 11

1 Nov 2019

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