Schlaf 2014; 03(01): 16-21
DOI: 10.1055/s-0038-1626081
Review
Schattauer GmbH

Schlaf & Vorhofflimmern

Henrik Fox
,
Thomas Bitter
,
Dieter Horstkotte
,
Olaf Oldenburg
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
10. Februar 2018 (online)

Vorhofflimmern tritt bei vielen Patienten vermehrt im Schlaf und in den frühen Morgenstunden auf. Hier gibt es eine Assoziation zu schlafbezogenen Atmungsstörungen (SBAS). SBAS treten bei kardiologischen Patienten gehäuft auf, bei strukturellen Herzerkrankungen vermehrt als zentrale SBAS. Über unterschiedliche Mechanismen und Trigger können SBAS Vorhofflimmern auslösen und unterhalten, eine Therapie der SBAS reduziert die Wahrscheinlichkeit für das Wiederauftreten von Vorhofflimmern.

 
  • Literatur

  • 1 Wilke T, Groth A, Mueller S, Pfannkuche M, Verheyen F, Linder R, Maywald U, Bauersachs R, Breithardt G. Incidence and prevalence of atrial fibrillation: an analysis based on 8.3 million patients. Europace 2013; Apr; 15 (04) 486-493.
  • 2 Camm AJ, Lip GY, De Caterina R, Savelieva I, Atar D, Hohnloser SH, Hindricks G, Kirchhof P. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation. An update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. European Heart Journal 2012; 33: 2719-2747.
  • 3 Redfield MM, Kay GN, Jenkins LS, Mianulli M, Jensen DN, Ellenbogen KA. Tachycardia-related cardiomyopathy: a common cause of ventricular dysfunction in patients with atrial fibrillation referred for atrioventricular ablation. Mayo Clin Proc 2000; Aug; 75 (08) 790-795.
  • 4 Man J, Marchlinski FE. Atrial fibrillation ablation and heart failure. Curr Cardiol Rep 2012; Oct; 14 (05) 571-576.
  • 5 Healey JS, Connolly SJ, Gold MR, Israel CW, Van Gelder IC, Capucci A, Lau CP, Fain E, Yang S, Bailleul C, Morillo CA, Carlson M, Themeles E, Kaufman ES, Hohnloser SH. ASSERT Investigators. Subclinical atrial fibrillation and the risk of stroke. N Engl J Med 2012; Jan 12; 366 (02) 120-129.
  • 6 Stokes W. The diseases of the heart and the aorta. Dublin: Hodges and Smith; 1854: 323-324.
  • 7 Cheyne J. A case of apoplexy in which the fleshy part of the heart was converted into fat. Dublin Hospital Reports 1818; 2: 216-223.
  • 8 Oldenburg O. Cheyne-stokes respiration in chronic heart failure. Circ J 2012; 76: 2305-2317.
  • 9 Prinz C, Bitter T, Oldenburg O, Faber L, Horstkotte D, Piper C. Central Sleep Apnea in Patients due to Severe Aortic Stenosis. Case Rep Med 2010; 95: 2634.
  • 10 Bitter T, Faber L, Hering D, Langer C, Horstkotte D, Oldenburg O. et al. Sleep-disordered breathing in heart failure with normal left ventricular ejection fraction. Eur J Hear Fail 2009; 11: 602-608.
  • 11 Ulrich S, Fischler M, Speich R, Bloch KE. Sleep-related breathing disorders in patients with pulmonary hypertension. Chest 2008; 133: 1375-1380.
  • 12 Bitter T, Langer C, Vogt J, Lange M, Horstkotte D, Oldenburg O. Sleep-disordered breathing in patients with atrial fibrillation and normal systolic left ventricular function. Dtsch Arztebl Int 2009; 106: 164-170.
  • 13 Levy P, Ryan S, Oldenburg O, Parati G. Sleep apnoea and the heart. Eur Respir Rev 2013; 22: 333-352.
  • 14 Bradley T, Floras J. Sleep apnea and heart failure: part II: central sleep apnea. Circulation 2003; 107: 1822-1826.
  • 15 Oldenburg O, Bitter T, Wiemer M, Langer C, Horstkotte D, Piper C. Pulmonary capillary wedge pressure and pulmonary artery pressure in heart failure patients with sleep-disordered breathing. Sleep Med 2009; 10: 726-730.
  • 16 Oldenburg O. Cheyne-Stokes respiration in chronic heart failure. Treatment by adaptive servoventilation. Circ J 2012; 76: 2305-2317.
  • 17 Yumino D, Redolfi S, Ruttanaumpawan P, Su MC, Smith S, Newton GE, Mak S, Bradley TD. Nocturnal rostal fluid shift. A unifying concept for the pathogenesis of obstructive and central sleep apnea in men with heart failure. Circulation 2010; 121: 1598-1605.
  • 18 Arzt M, Young T, Finn L, Skatrud JB, Ryan CM, Newton GE, Mak S, Parker JD, Floras JS, Bradley TD. Sleepiness and sleep in patients with both systolic heart failure and obstructive sleep apnea. Arch Intern Med 2006; Sep 18; 166 (16) 1716-1722.
  • 19 Bitter T, Westerheide N, Hossain MS, Prinz C, Horstkotte D, Oldenburg O. Symptoms of sleep apnoea in chronic heart failure – results from a prospective cohort study in 1,500 patients. Sleep Breath. epub ahead of print. 2011
  • 20 Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328: 1230-1235.
  • 21 Pankow W, Nabe B, Lies A, Becker H, Köhler U, Kohl FV, Lohmann FW. Influence of sleep apnea on 24-hour blood pressure. Chest 1997; Nov 5; 112 (05) 1253-1258.
  • 22 Pedrosa RP, Drager LF, de Paula LlKG, Amaro ACS, Bortolotto LA, Lorenzi-Filho G. Effects of osa treatment on bp in patients with resistant hypertension: A randomized trial. Chest 2013; November 1; 144 (05) 1487-1494.
  • 23 Bitter T, Langer C, Vogt J, Lange M, Horstkotte D, Oldenburg O. Schlafbezogene Atemstörungen. Charakteristika bei Vorhofflimmern und erhaltener linksventrikulärer Funktion. Dtsch Arztebl Int 2009; 106: 164-170.
  • 24 Oldenburg O, Lamp B, Faber L, Teschler H, Horstkotte D, Töpfer V. Sleep disordered breathing in patients with symptomatic heart failure. Eur J Heart Failure 2007; 9: 251-257.
  • 25 Bitter T, Faber L, Hering D, Langer C, Horstkotte D, Oldenburg O. Sleep-disordered breathing in heart failure with normal ejection fraction. Eur J Heart Failure 2009; 11: 602-608.
  • 26 Solin P, Bergin P, Richardson M, Kaye D, Walters E, Naughton M. Influence of pulmonary capillary wedge pressure on central apnea in heart failure. Circulation 1999; 99: 1574-1579.
  • 27 Efken C, Bitter T, Prib N, Horstkotte D, Oldenburg O. Obstructive sleep apnoea: longer respiratory event lengths in patients with heart failure. European Respiratory Journal 2012; September 27; 41: 1340-1346.
  • 28 Wedewardt J, Bitter T, Prinz C, Faber L, Horstkotte D, Oldenburg O. Cheyne-Stokes respiration in heart failure: cycle length is dependent on left ventricular ejection fraction. Sleep Med 2010; 11: 137-142.
  • 29 Gami AS, Hodge DO, Herges RM, Olson EJ, Nykodym J, Kara T, Somers VK. Obstructive sleep apnea, obesity, and the risk of incident atrial fibrillation. J Am Coll Cardiol. 2007; Feb 6; 49 (05) 565-571.
  • 30 Gami AS, Pressman G, Caples SM, Kanagala R, Gard JJ, Davison DE, Malouf JF, Ammash NM, Friedman PA, Somers VK. Association of atrial fibrillation and obstructive sleep apnea. Circulation. 2004; Jul 27; 110 (04) 364-367.
  • 31 Drager LF, Bortolotto LA, Pedrosa RP, Krieger EM, Lorenzi-Filho G. Left atrial diameter is independently associated with arterial stiffness in patients with obstructive sleep apnea: potential implications for atrial fibrillation. Int J Cardiol 2010; Oct 8; 144 (02) 257-259.
  • 32 Caples SM, Somers VK. Sleep-disordered breathing and atrial fibrillation. Prog Cardiovasc Dis 2009; Mar-Apr; 51 (05) 411-415.
  • 33 Orban M, Bruce CJ, Pressman GS, Leinveber P, Romero-Corral A, Korinek J, Konecny T, Villarraga HR, Kara T, Caples SM, Somers VK. Dynamic changes of left ventricular performance and left atrial volume induced by the mueller maneuver in healthy young adults and implications for obstructive sleep apnea, atrial fibrillation, and heart failure. Am J Cardiol 2008; Dec 1; 102 (11) 1557-1561.
  • 34 Drager LF, Bortolotto LA, Figueiredo AC, Silva BC, Krieger EM, Lorenzi-Filho G. Obstructive sleep apnea, hypertension, and their interaction on arterial stiffness and heart remodeling. Chest 2007; May; 131 (05) 1379-1386.
  • 35 Daccarett M, Badger TJ, Akoum N, Burgon NS, Mahnkopf C, Vergara G, Kholmovski E, McGann CJ, Parker D, Brachmann J, Macleod RS, Marrouche NF. Association of left atrial fibrosis detected by delayed-enhancement magnetic resonance imaging and the risk of stroke in patients with atrial fibrillation. J Am Coll Cardiol 2011; Feb 15; 57 (07) 831-838.
  • 36 Dimitri H, Ng M, Brooks AG, Kuklik P, Stiles MK, Lau DH, Antic N, Thornton A, Saint DA, McEvoy D, Antic R, Kalman JM, Sanders P. Atrial remodeling in obstructive sleep apnea: implications for atrial fibrillation. Heart Rhythm 2012; Mar; 9 (03) 321-327.
  • 37 Kanagala R, Murali NS, Friedman PA, Ammash NM, Gersh BJ, Ballman KV, Shamsuzzaman AS, Somers VK. Obstructive sleep apnea and the recurrence of atrial fibrillation. Circulation 2003; May 27; 107 (20) 2589-2594.
  • 38 Bitter T, Nölker G, Vogt J, Prinz C, Horstkotte D, Oldenburg O. Predictors of recurrence in patients undergoing cryoballoon ablation for treatment of atrial fibrillation: the independent role of sleep-disordered breathing. J Cardiovasc Electrophysiol 2012; Jan; 23 (01) 18-25.
  • 39 Matiello M, Nadal M, Tamborero D, Berruezo A, Montserrat J, Embid C, Rios J, Villacastín J, Brugada J, Mont L. Low efficacy of atrial fibrillation ablation in severe obstructive sleep apnoea patients. Europace 2010; Aug; 12 (08) 1084-1089.
  • 40 Ng AC, Davis GM, Chow CM, Coats AJ, Sindone AP, Freedman B. Impact of sleep disordered breathing severity on hemodynamics, autonomic balance and cardiopulmonary functional status in chronic heart failure. Int J Cardiol 2010; Jun 11; 141 (03) 227-235.
  • 41 Bitter T, Westerheide N, Hossain SM, Prinz C, Horstkotte D, Oldenburg O. Symptoms of sleep apnoea in chronic heart failure--results from a prospective cohort study in 1,500 patients. Sleep Breath 2012; Sep; 16 (03) 781-791.
  • 42 S3-Leitlinie Nicht-erholsamer Schlaf. Somnologie – Schlafforschung und Schlafmedizin. 2009; November 1; 13: 1-160.
  • 43 Argod J, Pépin JL, Lévy P. Differentiating obstructive and central sleep respiratory events through pulse transit time. Am J Respir Crit Care Med 1998; Dec; 158 (06) 1778-1783.
  • 44 Defaye P, Pépin JL, Poezevara Y, Mabo P, Murgatroyd F, Lévy P, Garrigue S. Automatic recognition of abnormal respiratory events during sleep by a pacemaker transthoracic impedance sensor. J Cardiovasc Electrophysiol 2004; Sep; 15 (09) 1034-1040.
  • 45 Dingli K, Coleman EL, Vennelle M, Finch SP, Wraith PK, Mackay TW, Douglas NJ. Evaluation of a portable device for diagnosing the sleep apnoea/hypopnoea syndrome. Eur Respir J 2003; Feb; 21 (02) 253-259.
  • 46 Freimark D, Adler Y, Sheffy J, Schechter D, Schwammenthal E, Wiser I, Motro M, Lavie P. Oscillations in peripheral arterial tone in congestive heart failure patients: a new marker for Cheyne-Stokes breathing. Cardiology 2002; 98 (1–2): 21-24.
  • 47 García-Díaz E, Quintana-Gallego E, Ruiz A, Carmona-Bernal C, Sánchez-Armengol A, Botebol-Benhamou G, Capote F. Respiratory polygraphy with actigraphy in the diagnosis of sleep apnea-hypopnea syndrome. Chest 2007; Mar; 131 (03) 725-732.
  • 48 Golpe R, Jiménez A, Carpizo R. Home sleep studies in the assessment of sleep apnea/hypopnea syndrome. Chest 2002; Oct; 122 (04) 1156-1161.
  • 49 Nigro CA, Dibur E, Rhodius E. Accuracy of the clinical parameters and oximetry to initiate CPAP in patients with suspected obstructive sleep apnea. Sleep Breath 2012; Dec; 16 (04) 1073-1079.
  • 50 Quintana-Gallego E, Villa-Gil M, Carmona-Bernal C, Botebol-Benhamou G, Martínez-Martínez A, Sánchez-Armengol A, Polo-Padillo J, Capote F. Home respiratory polygraphy for diagnosis of sleep-disordered breathing in heart failure. Eur Respir J 2004; Sep; 24 (03) 443-448.
  • 51 Stevenson IH, Cunnington D, Teichtahl H, Mond HG. Pacemaker diagnosis of sleep disordered breathing. Pacing Clin Electrophysiol 2006; Oct; 29 (10) 1033-1035.
  • 52 Vazir A, Hastings PC, Dayer M, McIntyre HF, Henein MY, Poole-Wilson PA, Cowie MR, Morrell MJ, Simonds AK. A high prevalence of sleep disordered breathing in men with mild symptomatic chronic heart failure due to left ventricular systolic dysfunction. Eur J Heart Fail 2007; Mar; 9 (03) 243-250.
  • 53 Weinreich G, Armitstead J, Töpfer V, Wang YM, Wang Y, Teschler H. Validation of ApneaLink as screening device for Cheyne-Stokes respiration. Sleep 2009; Apr; 32 (04) 553-557.
  • 54 Mehra R, Benjamin EJ, Shahar E, Gottlieb DJ, Nawabit R, Kirchner HL, Sahadevan J, Redline S. Sleep Heart Health Study. Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. Am J Respir Crit Care Med 2006; Apr 15; 173 (08) 910-916.
  • 55 Lissel C, Hennigs S, Hoffmann-Castendiek B, Gardiwal A, Oswald H, Welte T, Klein G. Effect of restoring sinus rhythm on sleep apnea in patients with atrial fibrillation or flutter. Am J Cardiol 2008; Sep 15; 102 (06) 709-711.
  • 56 Naruse Y, Tada H, Satoh M, Yanagihara M, Tsuneoka H, Hirata Y, Machino T, Yamasaki H, Igarashi M, Kuroki K, Ito Y, Sekiguchi Y, Aonuma K. Radiofrequency catheter ablation of persistent atrial fibrillation decreases a sleep-disordered breathing parameter during a short follow-up period. Circ J 2012; 76 (09) 2096-2103.
  • 57 Naruse Y, Tada H, Satoh M, Yanagihara M, Tsuneoka H, Hirata Y, Ito Y, Kuroki K, Machino T, Yamasaki H, Igarashi M, Sekiguchi Y, Sato A, Aonuma K. Concomitant obstructive sleep apnea increases the recurrence of atrial fibrillation following radiofrequency catheter ablation of atrial fibrillation: clinical impact of continuous positive airway pressure therapy. Heart Rhythm 2013; Mar; 10 (03) 331-337.
  • 58 Ng CY, Liu T, Shehata M, Stevens S, Chugh SS, Wang X. Meta-analysis of obstructive sleep apnea as predictor of atrial fibrillation recurrence after catheter ablation. Am J Cardiol 2011; Jul 1; 108 (01) 47-51.
  • 59 Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, Crijns HJ, Damiano Jr. RJ, Davies DW, DiMarco J, Edgerton J, Ellenbogen K, Ezekowitz MD, Haines DE, Haissaguerre M, Hindricks G, Iesaka Y, Jackman W, Jalife J, Jais P, Kalman J, Keane D, Kim YH, Kirchhof P, Klein G, Kottkamp H, Kumagai K, Lindsay BD, Mansour M, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Nakagawa H, Natale A, Nattel S, Packer DL, Pappone C, Prystowsky E, Raviele A, Reddy V, Ruskin JN, Shemin RJ, Tsao HM, Wilber D. Heart Rhythm Society Task Force on Catheter and Surgical Ablation of Atrial Fibrillation.
  • 60 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design: a report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Heart Rhythm 2012; Apr; 9 (04) 632-696. e21.
  • 61 Leung RS, Huber MA, Rogge T, Maimon N, Chiu KL, Bradley TD. Association between atrial fibrillation and central sleep apnea. Sleep 2005; Dec; 28 (12) 1543-1546.
  • 62 Cowie MR, Woehrle H, Wegscheider K, Angermann C, d’Ortho MP, Erdmann E, Levy P, Simonds A, Somers VK, Zannad F, Teschler H. Rationale and design of the SERVEHF study: treatment of sleep-disordered breathing with predominant central sleep apnoea with adaptive servoventilation in patients with chronic heart failure. Eur J Heart Fail 2013; Aug; 15 (08) 937-943.
  • 63 Otto ME, Belohlavek M, Romero-Corral A, Gami AS, Gilman G, Svatikova A, Amin RS, Lopez-Jimenez F, Khandheria BK, Somers VK. Comparison of cardiac structural and functional changes in obese otherwise healthy adults with versus without obstructive sleep apnea. Am J Cardiol 2007; May 1; 99 (09) 1298-1302.
  • 64 Romero-Corral A, Somers VK, Pellikka PA, Olson EJ, Bailey KR, Korinek J, Orban M, Sierra-Johnson J, Kato M, Amin RS, Lopez-Jimenez F. Decreased right and left ventricular myocardial performance in obstructive sleep apnea. Chest 2007; Dec; 132 (06) 1863-1870.
  • 65 Somers VK, Dyken ME, Clary MP, Abboud FM. Sympathetic neural mechanisms in obstructive sleep apnea. J Clin Invest 1995; Oct; 96 (04) 1897-1904.
  • 66 Monahan K, Storfer-Isser A, Mehra R, Shahar E, Mittleman M, Rottman J, Punjabi N, Sanders M, Quan SF, Resnick H, Redline S. Triggering of nocturnal arrhythmias by sleep-disordered breathing events. J Am Coll Cardiol 2009; Nov 3; 54 (19) 1797-1804.
  • 67 Fein AS, Shvilkin A, Shah D, Haffajee CI, Das S, Kumar K, Kramer DB, Zimetbaum PJ, Buxton AE, Josephson ME, Anter E. Treatment of obstructive sleep apnea reduces the risk of atrial fibrillation recurrence after catheter ablation. J Am Coll Cardiol 2013; Jul 23; 62 (04) 300-305.
  • 68 Fuster V, Rydén LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Kay GN, Le Huezey JY, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann LS. 2011 ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines developed in partnership with the European Society of Cardiology and in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. J Am Coll Cardiol 2011; Mar 15; 57 (11) e101-98.
  • 69 Wachter R, Lüthje L, Klemmstein D, Lüers C, Stahrenberg R, Edelmann F, Holzendorf V, Hasenfuß G, Andreas S, Pieske B. Impact of obstructive sleep apnoea on diastolic function. Eur Respir J 2013; Feb; 41 (02) 376-383.