1486 Hypoglossal Neuropraxia Following Electrical Cardioversion for Atrial Fibrillation Article Swipe
Robert G. Young
,
Kassandra Olgers
,
Anam Sabzwari
,
Edward Rojas
,
John D. Armstrong
,
Sandeep Arora
,
Robert Stansbury
,
Sunil Sharma
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/sleep/zsaf090.1486
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/sleep/zsaf090.1486
Introduction Hypoglossal nerve stimulation (HNS) is an alternative therapy for moderate-to-severe obstructive sleep apnea (OSA). Atrial fibrillation (AF) frequently co-occurs with OSA due to their interrelationship. Report of case A 71-year-old male with AF and moderate OSA (AHI 26.9) intolerant to positive airway pressure (PAP) therapy underwent HNS implantation in 2021. He was admitted for dofetilide loading and electrical cardioversion (CV). CV was performed using a single 360 J shock with anterior-posterior pad placement. Following CV, the patient activated his HNS and immediately experienced a “shock-like” sensation on the right side of his tongue and buccal mucosa with concomitant worsening of right tongue deviation. Reducing HNS voltage did not did not alleviate symptoms; however, turning off the device resolved them. The voltage was well tolerated prior to admission. Chest and soft tissue neck x-rays demonstrated stable device and electrode positions. He was advised to defer HNS use for two weeks and re-attempt activation at the lowest voltage. At four-week follow up, he reported resuming HNS therapy without recurrence of symptoms, and tongue deviation had resolved. Device interrogation confirmed normal function. Conclusion Patients with OSA and HNS may require CV for AF. Newer generation HNS have less risk of device malfunction following CV. If neuropraxia occurs, it is typically self-limited and no treatment is required. Those managing care for AF and OSA patients should be cognizant of potential post CV issues with HNS and counsel patients accordingly. Current generation HNS may need additional design updates in the future to help prevent neuropraxia following CV. Support (if any)
Related Topics
Concepts
Atrial fibrillation
Medicine
Electrical cardioversion
Cardiology
Internal medicine
Anesthesia
Cardioversion
Metadata
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- Language
- en
- Landing Page
- https://doi.org/10.1093/sleep/zsaf090.1486
- https://academic.oup.com/sleep/article-pdf/48/Supplement_1/A636/63222287/zsaf090.1486.pdf
- OA Status
- bronze
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410501968Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/sleep/zsaf090.1486Digital Object Identifier
- Title
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1486 Hypoglossal Neuropraxia Following Electrical Cardioversion for Atrial FibrillationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-05-01Full publication date if available
- Authors
-
Robert G. Young, Kassandra Olgers, Anam Sabzwari, Edward Rojas, John D. Armstrong, Sandeep Arora, Robert Stansbury, Sunil SharmaList of authors in order
- Landing page
-
https://doi.org/10.1093/sleep/zsaf090.1486Publisher landing page
- PDF URL
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https://academic.oup.com/sleep/article-pdf/48/Supplement_1/A636/63222287/zsaf090.1486.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/sleep/article-pdf/48/Supplement_1/A636/63222287/zsaf090.1486.pdfDirect OA link when available
- Concepts
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Atrial fibrillation, Medicine, Electrical cardioversion, Cardiology, Internal medicine, Anesthesia, CardioversionTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.he | 162 |
| abstract_inverted_index.in | 50, 245 |
| abstract_inverted_index.is | 6, 207, 213 |
| abstract_inverted_index.it | 206 |
| abstract_inverted_index.no | 211 |
| abstract_inverted_index.of | 28, 92, 101, 169, 198, 226 |
| abstract_inverted_index.on | 88 |
| abstract_inverted_index.to | 24, 41, 127, 144, 248 |
| abstract_inverted_index.(if | 255 |
| abstract_inverted_index.360 | 68 |
| abstract_inverted_index.AF. | 191 |
| abstract_inverted_index.CV, | 76 |
| abstract_inverted_index.CV. | 202, 253 |
| abstract_inverted_index.HNS | 48, 81, 106, 146, 165, 186, 194, 232, 239 |
| abstract_inverted_index.OSA | 22, 37, 184, 221 |
| abstract_inverted_index.The | 121 |
| abstract_inverted_index.and | 35, 58, 82, 95, 130, 138, 151, 171, 185, 210, 220, 233 |
| abstract_inverted_index.did | 108, 110 |
| abstract_inverted_index.due | 23 |
| abstract_inverted_index.for | 10, 55, 148, 190, 218 |
| abstract_inverted_index.had | 174 |
| abstract_inverted_index.his | 80, 93 |
| abstract_inverted_index.may | 187, 240 |
| abstract_inverted_index.not | 109, 111 |
| abstract_inverted_index.off | 116 |
| abstract_inverted_index.pad | 73 |
| abstract_inverted_index.the | 77, 89, 117, 155, 246 |
| abstract_inverted_index.two | 149 |
| abstract_inverted_index.up, | 161 |
| abstract_inverted_index.use | 147 |
| abstract_inverted_index.was | 53, 63, 123, 142 |
| abstract_inverted_index.(AF) | 18 |
| abstract_inverted_index.(AHI | 38 |
| abstract_inverted_index.any) | 256 |
| abstract_inverted_index.care | 217 |
| abstract_inverted_index.case | 29 |
| abstract_inverted_index.have | 195 |
| abstract_inverted_index.help | 249 |
| abstract_inverted_index.less | 196 |
| abstract_inverted_index.male | 32 |
| abstract_inverted_index.neck | 133 |
| abstract_inverted_index.need | 241 |
| abstract_inverted_index.post | 228 |
| abstract_inverted_index.risk | 197 |
| abstract_inverted_index.side | 91 |
| abstract_inverted_index.soft | 131 |
| abstract_inverted_index.well | 124 |
| abstract_inverted_index.with | 21, 33, 71, 98, 183, 231 |
| abstract_inverted_index.(CV). | 61 |
| abstract_inverted_index.(HNS) | 5 |
| abstract_inverted_index.(PAP) | 45 |
| abstract_inverted_index.2021. | 51 |
| abstract_inverted_index.26.9) | 39 |
| abstract_inverted_index.Chest | 129 |
| abstract_inverted_index.Newer | 192 |
| abstract_inverted_index.Those | 215 |
| abstract_inverted_index.apnea | 14 |
| abstract_inverted_index.defer | 145 |
| abstract_inverted_index.nerve | 3 |
| abstract_inverted_index.prior | 126 |
| abstract_inverted_index.right | 90, 102 |
| abstract_inverted_index.shock | 70 |
| abstract_inverted_index.sleep | 13 |
| abstract_inverted_index.their | 25 |
| abstract_inverted_index.them. | 120 |
| abstract_inverted_index.using | 65 |
| abstract_inverted_index.weeks | 150 |
| abstract_inverted_index.(OSA). | 15 |
| abstract_inverted_index.Atrial | 16 |
| abstract_inverted_index.Device | 176 |
| abstract_inverted_index.Report | 27 |
| abstract_inverted_index.airway | 43 |
| abstract_inverted_index.buccal | 96 |
| abstract_inverted_index.design | 243 |
| abstract_inverted_index.device | 118, 137, 199 |
| abstract_inverted_index.follow | 160 |
| abstract_inverted_index.future | 247 |
| abstract_inverted_index.issues | 230 |
| abstract_inverted_index.lowest | 156 |
| abstract_inverted_index.mucosa | 97 |
| abstract_inverted_index.normal | 179 |
| abstract_inverted_index.should | 223 |
| abstract_inverted_index.single | 67 |
| abstract_inverted_index.stable | 136 |
| abstract_inverted_index.tissue | 132 |
| abstract_inverted_index.tongue | 94, 103, 172 |
| abstract_inverted_index.x-rays | 134 |
| abstract_inverted_index.Current | 237 |
| abstract_inverted_index.Support | 254 |
| abstract_inverted_index.advised | 143 |
| abstract_inverted_index.counsel | 234 |
| abstract_inverted_index.loading | 57 |
| abstract_inverted_index.occurs, | 205 |
| abstract_inverted_index.patient | 78 |
| abstract_inverted_index.prevent | 250 |
| abstract_inverted_index.require | 188 |
| abstract_inverted_index.therapy | 9, 46, 166 |
| abstract_inverted_index.turning | 115 |
| abstract_inverted_index.updates | 244 |
| abstract_inverted_index.voltage | 107, 122 |
| abstract_inverted_index.without | 167 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Patients | 182 |
| abstract_inverted_index.Reducing | 105 |
| abstract_inverted_index.admitted | 54 |
| abstract_inverted_index.however, | 114 |
| abstract_inverted_index.managing | 216 |
| abstract_inverted_index.moderate | 36 |
| abstract_inverted_index.patients | 222, 235 |
| abstract_inverted_index.positive | 42 |
| abstract_inverted_index.pressure | 44 |
| abstract_inverted_index.reported | 163 |
| abstract_inverted_index.resolved | 119 |
| abstract_inverted_index.resuming | 164 |
| abstract_inverted_index.voltage. | 157 |
| abstract_inverted_index.Following | 75 |
| abstract_inverted_index.activated | 79 |
| abstract_inverted_index.alleviate | 112 |
| abstract_inverted_index.co-occurs | 20 |
| abstract_inverted_index.cognizant | 225 |
| abstract_inverted_index.confirmed | 178 |
| abstract_inverted_index.deviation | 173 |
| abstract_inverted_index.electrode | 139 |
| abstract_inverted_index.following | 201, 252 |
| abstract_inverted_index.four-week | 159 |
| abstract_inverted_index.function. | 180 |
| abstract_inverted_index.performed | 64 |
| abstract_inverted_index.potential | 227 |
| abstract_inverted_index.required. | 214 |
| abstract_inverted_index.resolved. | 175 |
| abstract_inverted_index.sensation | 87 |
| abstract_inverted_index.symptoms, | 170 |
| abstract_inverted_index.symptoms; | 113 |
| abstract_inverted_index.tolerated | 125 |
| abstract_inverted_index.treatment | 212 |
| abstract_inverted_index.typically | 208 |
| abstract_inverted_index.underwent | 47 |
| abstract_inverted_index.worsening | 100 |
| abstract_inverted_index.Conclusion | 181 |
| abstract_inverted_index.activation | 153 |
| abstract_inverted_index.additional | 242 |
| abstract_inverted_index.admission. | 128 |
| abstract_inverted_index.deviation. | 104 |
| abstract_inverted_index.dofetilide | 56 |
| abstract_inverted_index.electrical | 59 |
| abstract_inverted_index.frequently | 19 |
| abstract_inverted_index.generation | 193, 238 |
| abstract_inverted_index.intolerant | 40 |
| abstract_inverted_index.placement. | 74 |
| abstract_inverted_index.positions. | 140 |
| abstract_inverted_index.re-attempt | 152 |
| abstract_inverted_index.recurrence | 168 |
| abstract_inverted_index.71-year-old | 31 |
| abstract_inverted_index.Hypoglossal | 2 |
| abstract_inverted_index.alternative | 8 |
| abstract_inverted_index.concomitant | 99 |
| abstract_inverted_index.experienced | 84 |
| abstract_inverted_index.immediately | 83 |
| abstract_inverted_index.malfunction | 200 |
| abstract_inverted_index.neuropraxia | 204, 251 |
| abstract_inverted_index.obstructive | 12 |
| abstract_inverted_index.stimulation | 4 |
| abstract_inverted_index.Introduction | 1 |
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| abstract_inverted_index.demonstrated | 135 |
| abstract_inverted_index.fibrillation | 17 |
| abstract_inverted_index.implantation | 49 |
| abstract_inverted_index.self-limited | 209 |
| abstract_inverted_index.cardioversion | 60 |
| abstract_inverted_index.interrogation | 177 |
| abstract_inverted_index.“shock-like” | 86 |
| abstract_inverted_index.anterior-posterior | 72 |
| abstract_inverted_index.interrelationship. | 26 |
| abstract_inverted_index.moderate-to-severe | 11 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| citation_normalized_percentile.value | 0.29300164 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |