Mechanisms for Incident and Recurrent Atrial Fibrillation in Patients With Obstructive Sleep Apnea; AF - Milano Trieste Stockholm

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

Atrial fibrillation (AF) is the most common rhythm disorder and involves an increased risk of cardiovascular disease and death, impaired quality of life and a high proportion of healthcare consumption. An important risk factor is obstructive sleep apnea (OSA). However, it is not fully understood why OSA induces AF. It may be due to a proinflammatory state, sympathetic activation and acute changes in blood pressure during apnéas, but few studies are performed. Hypertension with its coherent arterial stiffness is related to all these factors, is common in OSA, and is the most common cause of AF. The cause of AF in hypertensive subjects is believed due to a pressure overloaded left heart, with dilation and fibrosis of the left atrium, promoting the development of AF. Hypertension and arterial stiffness can thus be important triggering factors for AF in OSA. In this project, teh investigators investigate the occurrence of OSA in AF patients. Furthermore, underlying mechanisms for the development and recurrence of AF after intervention in OSA patients are investigated. 300 patients scheduled for AF ablation or cardioversion are invited and examined with sleep registration, 24h blood pressure, aortic stiffness measurement, test of autonomic function, echocardiography, ECG and labs. The patients are followed at months 3, 6 and 12 with 7 days ECG for recurrence. The aim is to give insights into the need for screening for OSA in patients with AF. The study also aim at enabling preventive treatment through better understanding of underlying treatable mechanisms. The results are believed to lead to fewer new AFs, as well as fewer AF recurrences in patients with OSA.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patients \>18 years scheduled for AF ablation or cardioversion

Locations
Other Locations
Italy
San Luca Hospital
RECRUITING
Milan
Cattinara Hospital
NOT_YET_RECRUITING
Trieste
Sweden
Danderyd Hospital
RECRUITING
Stockholm
Contact Information
Primary
Kristina Lundwall, MD PhD
kristina.lundwall@regionstockholm.se
+46731589999
Backup
Gianfranco Parati, Professor
parati@auxologico.it
Time Frame
Start Date: 2023-11-01
Estimated Completion Date: 2026-05
Participants
Target number of participants: 300
Treatments
Group 1
Patients scheduled for AF ablation or cardioversion
Sponsors
Collaborators: University of Trieste, Istituto Auxologico Italiano
Leads: Danderyd Hospital

This content was sourced from clinicaltrials.gov