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March 2022 Br J Cardiol 2022;29:40 doi:10.5837/bjc.2022.010

Correspondence – Obstructive sleep apnoea and atrial fibrillation: a key omission in guidelines

Natalia Shafiqa, Ari Manuel, Gregory Y H Lip, Sriram Iyer

Abstract

AF is the most common cardiac arrhythmia in clinical practice,2 while OSA had an estimated UK prevalence of 1.5 million adults in 2014.3 With the obesity epidemic and demographic changes with an ageing population, the prevalence of both conditions is likely to increase with OSA and AF sharing common independent risk factors, such as age, obesity, smoking status and alcohol intake.4-7 Although the pathophysiological processes for the associated interplay between AF and OSA are complex, and continue to be debated by the scientific community, studies have demonstrated increased prevalence of AF in OSA patients and vice versa.8,9 The Sleep Heart

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