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        <title>A Better Predictor of Atrial Fibrillation?</title>
        <description> Sleep-related hypoxemia is a better indicator of atrial fibrillation (AF) risk than the commonly-used apnea-hypopnea index (AHI), new research suggests.

&amp;quot;Our findings suggest the importance of looking more at hypoxia when doing a sleep study and trying to stratify cardiovascular risk,&amp;quot; co-investigator Catherine Heinzinger, DO, of the Cleveland Clinic, Ohio, told Medscape Medical News.

&amp;quot;There have been multiple studies showing that higher AHI, indicating more severe sleep apnea, is associated with atrial fibrillation. But pathologically, it makes a lot more sense that it would be the hypoxia or the gas exchange issues that are a result of sleep apnea that would be affecting the cardiovascular system,&amp;quot; Heinzinger said.

Full article -  [www.medscape.com]</description>
        <link>https://www.afibbers.org/forum/read.php?9,185805,185805#msg-185805</link>
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            <title>Re: A Better Predictor of Atrial Fibrillation?</title>
            <link>https://www.afibbers.org/forum/read.php?9,185805,185809#msg-185809</link>
            <description><![CDATA[ Great posts George!  <br />
<br />
Dominik Linz has many papers on AF and OSA.<br />
<br />
[<a href="https://pubmed.ncbi.nlm.nih.gov/?term=dominik+linz"  rel="nofollow">pubmed.ncbi.nlm.nih.gov</a>]<br />
<br />
As does Prash Sanders<br />
<br />
[<a href="https://pubmed.ncbi.nlm.nih.gov/?term=+sanders+OSA"  rel="nofollow">pubmed.ncbi.nlm.nih.gov</a>]<br />
<br />
Mike Mutzel is solid on mouth taping <br />
<br />
[<a href="https://highintensityhealth.com/tag/mouth-tape/"  rel="nofollow">highintensityhealth.com</a>]]]></description>
            <dc:creator>PavanPharter</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Thu, 09 Jun 2022 17:54:33 +0000</pubDate>
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            <guid>https://www.afibbers.org/forum/read.php?9,185805,185806#msg-185806</guid>
            <title>Re: A Better Predictor of Atrial Fibrillation?</title>
            <link>https://www.afibbers.org/forum/read.php?9,185805,185806#msg-185806</link>
            <description><![CDATA[ I should note for those who live at higher elevations, it is normal to see lower saturations.  I live at 5500&#039; (1676m), but travel to sea level and also sleep at elevations as high as 10500&#039; (3200m).  I wear a ring that records SpO2 (and heart rate) every 4 seconds overnight.  At home, it is common to see an average saturation around 94 or 95% with maybe 1 drop per hour of 4% and a few minutes under 90%. Average heart rate 50 BPM.  At sea level, average SpO2 is 96 or 97 with 0 drops per hour and 0 minutes under 90%.Average heart rate 51 BPM.  At 7500&#039; (2286m), average is 91 or 92%.  Drops per hour might be 2, but time under 90% is 84 minutes with the lowest at 82%.  Even with these numbers, my average heart rate was 52 BPM.  As I routinely do extended exhaled breath holds dropping my SpO2 to 70% or below, none of this is worrying.  <br />
<br />
I specifically train CO2 tolerance through slow breathing and breath holds. Because of the <a href="https://thebumblingbiochemist.com/365-days-of-science/the-bohr-effect-hemoglobin-oxygen-carrying-molecular-magic/"  rel="nofollow">Bohr effect</a>, when CO2 levels are higher, hemoglobin releases O2 into the cells more readily.  One of the ways I train is to keep my lips taped during sleep.  This insures nasal breathing and lower probability of hyperventilation, which would lead to reduced serum CO2 levels.  In this <a href="https://www.afibbers.org/forum/read.php?9,177299,177494#msg-177494"  rel="nofollow">post</a>, you can see the impact on beat to beat heart rate in me with and without mouth tape.]]></description>
            <dc:creator>GeorgeN</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Thu, 09 Jun 2022 16:21:20 +0000</pubDate>
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            <guid>https://www.afibbers.org/forum/read.php?9,185805,185805#msg-185805</guid>
            <title>A Better Predictor of Atrial Fibrillation?</title>
            <link>https://www.afibbers.org/forum/read.php?9,185805,185805#msg-185805</link>
            <description><![CDATA[ Sleep-related hypoxemia is a better indicator of atrial fibrillation (AF) risk than the commonly-used apnea-hypopnea index (AHI), new research suggests.<br />
<br />
&quot;Our findings suggest the importance of looking more at hypoxia when doing a sleep study and trying to stratify cardiovascular risk,&quot; co-investigator Catherine Heinzinger, DO, of the Cleveland Clinic, Ohio, told Medscape Medical News.<br />
<br />
&quot;There have been multiple studies showing that higher AHI, indicating more severe sleep apnea, is associated with atrial fibrillation. But pathologically, it makes a lot more sense that it would be the hypoxia or the gas exchange issues that are a result of sleep apnea that would be affecting the cardiovascular system,&quot; Heinzinger said.<br />
<br />
Full article -  [<a href="https://www.medscape.com/viewarticle/975172"  rel="nofollow">www.medscape.com</a>]]]></description>
            <dc:creator>PavanPharter</dc:creator>
            <category>AFIBBERS FORUM</category>
            <pubDate>Thu, 09 Jun 2022 14:19:03 +0000</pubDate>
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