Positional Apnea in a 73-Year Old Male with Atrial Fibrillation

This is the case of a 73-year old male who was diagnosed by the local heart institute with atrial fibrillation. The patient was under outpatient care of both a cardiologist and family doctor.

Bedpartner interview did not report a history of snor- ing nor any history of breathing difficulties during the night. However, the patient reported awakening nightly around 0300 to 0400 with the inability to return to sleep because of height- ened arousal. The patient underwent a procedure at the heart in- stitute which induced normal cardiac sinus rhythm, but atrial fibrillation returned within two weeks. The patient is currently taking Coumadine (warfarin). Based on this history, and the known association between obstructive sleep apnea and atrial fibrillation,1 the patient agreed to a simple home sleep apnea screening test.

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1. Positional Apnea in a 73-Year Old Male with Atrial Fibrillation
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