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Session Schedule

Find a specific presentation in the course by navigating to the timestamp indicated below.

0:00:00
Introduction

0:01:10
Interplay between obstructive sleep apnea and AF
Ronald Lee (Singapore)

0:16:00
OSA and impaired sleep as risk factors of AF and other heart rhythm disorders
Chih-Chieh Yu (Taiwan)

0:31:40
Device-detected sleep apnea events and its link to cardiac arrhythmia and cardiovascular outcomes
Seung-Jung Park (Korea, Republic of)

0:48:30
Sleep apnea and sudden cardiac death: Quo Vadis?
Virend Somers (United States)

1:06:25
Wearable sleep and cardiac rhythm monitoring to address sleep heart health
Younghoon Kwon (United States)

1:24:25
Question and answer

Summary

Sleep impairment, including sleep apnea, is associated with overall increased cardiovascular risks and impaired quality of life. The importance of sleep impairment in the pathogenesis and management of cardiac arrhythmia is increasingly recognized. Sleep apnea is highly prevalent in patients with atrial fibrillation (AF) and other heart rhythm disorders. AF is the most common cardiac arrhythmia and is associated with significant morbidity and mortality. An increasing number of investigations in recent years have linked sleep apnea to AF. A limited number of studies have also linked sleep apnea with the risk of sudden cardiac death. However, significant gaps exist between perception and evidence in this area. Despite the notion that treating sleep apnea would improve AF outcomes, no benefit was observed in recent randomized clinical trials. With the emergence of sleep wearable technologies that detect heart rate and rhythm, abnormal heart rhythm in sleep is increasingly detected. The clinical implications of such findings in the context of sleep and underlying cardiac conditions are not clear.

The session will feature several international authorities in the field, including heart rhythm specialists and cardiologists with sleep expertise to discuss the latest research and their own experience in the interface of sleep apnea and arrhythmia with emphasis on practical tips to incorporate sleep apnea and sleep health into clinical practice to improve patients' outcomes. The session will include the following specific topics: Interplay between sleep apnea and AF; OSA and impaired sleep as risk factors of AF and other heart rhythm disorders; Cardiac implantable device-detected sleep apnea events and its link to cardiac arrhythmia and cardiovascular outcomes; Sleep apnea and sudden cardiac death; Wearable sleep and cardiac rhythm monitoring to address sleep heart health.

Through the carefully prepared talks and an interactive panel discussion, this session aims to effectively inform participants of updated latest evidence and gaps in the topic of sleep and heart rhythm disorder.

Learning Objectives:

Upon completion of this CME activity, participants will be able to:
• Recognize the prevalence of OSA in AF patients and the effects of OSA on AF outcomes
• Describe how sleep insufficiency, including OSA, are related to atrial fibrillation and other heart rhythm disorders, including cardiac conduction abnormalities and ventricular arrhythmia
• Describe the implications of implantable cardiac device-detected sleep apnea in cardiac arrhythmia and cardiovascular outcomes in patients with either cardiac conduction abnormalities or heart failure
• Review evidence and gaps in understanding the sudden cardiac death risk in patients with sleep disordered breathing with and without heart dysfunction
• Describe how wearable sleep and cardiac rhythm monitoring technologies can be leveraged to better understand the underlying sleep and heart health