Evidence map›Paper›PMID 25515104›Full record

ArticleSleep2015

Coronary heart disease incidence in sleep disordered breathing: the Wisconsin Sleep Cohort Study.

Khin Mae Hla, Terry Young, Erika W Hagen, James H Stein, Laurel A Finn, F Javier Nieto, Paul E Peppard

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Sleep, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 96 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 5 pooled it
9.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03793582 completednot on this mapstarted 2017, after this paper: background citation

Impact of Obstructive Sleep Apnea on Outcomes in Acute Coronary Syndrome

TypeobservationalSponsorMetroHealth Medical CenterRan2017 to 2019Enrolled128ConditionsOSA, ACS - Acute Coronary Syndrome, Major Adverse Cardiac EventsArmsApneaLink Type III portable sleep study
NCT05127720 recruitingnot on this mapstarted 2021, after this paper: background citation

Schrittmacher-basiertes Schlafapnoe Langzeit-Monitoring

Typeobservational_patient_registrySponsorMedical University InnsbruckRan2021 to 2041Enrolled1,000ConditionsBradycardia
NCT06454318 completednot on this mapstarted 2023, after this paper: background citation

Screening Moderate to Severe Obstructive Sleep Apnea With Wearable Device

TypeobservationalSponsorThammasat University HospitalRan2023 to 2024Enrolled192ConditionsObstructive Sleep Apnea, Polysomnography, Pulse OximetryArmsWellue O2 ring
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 5 syntheses or guidelines pooled it, 187 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Sleep Disturbances in Patients With Coronary Heart Disease: A Systematic Review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Impact of Philips device recall on adults with obstructive sleep apnea treated with PAP therapy: Results of a cross-national patient survey.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  13. Review
  14. Article
  15. Article
  16. Association of nocturnal hypoxemia and white blood cell count in a multicenter cohort.Sleep advances : a journal of the Sleep Research Society · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Khin Mae HlaDepartments of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Terry YoungPopulation Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Erika W HagenPopulation Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI.
James H SteinDepartments of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Laurel A FinnPopulation Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI.
F Javier NietoPopulation Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Paul E PeppardPopulation Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI.
University of Wisconsin–Madison · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
EPIDEMIOLOGY OF SLEEP-DISORDERED BREATHING IN ADULTSR01HL062252 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI PEPPARD, PAUL E · 1999 to 2013
$14.1M
The REST Study: A Longitudinal, Bidirectional Examination of Retirement And SleepR01AG036838 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI PEPPARD, PAUL E · 2010 to 2014
$2.5M
MENOPAUSE AND MIDLIFE AGING EFFECTS ON SLEEP DISORDERSR01AG014124 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI YOUNG, TERRY B · 1997 to 2006
$2.5M
NCATS NIH HHS UL1 TR000427NCRR NIH HHS 1UL1RR025011NHLBI NIH HHS R01HL62252NIA NIH HHS 1R01AG036838NIA NIH HHS R01 AG036838NIA NIH HHS R01AG14124
6 · The paper itself

Abstract

STUDY

objectivesThe aim of the study was to determine the association of objectively measured sleep disordered breathing (SDB) with incident coronary heart disease (CHD) or heart failure (HF) in a nonclinical population.

designLongitudinal analysis of a community-dwelling cohort followed up to 24 y.

settingSleep laboratory at the Clinical Research Unit of the University of Wisconsin Hospital and Clinics.

participantsThere were 1,131 adults who completed one or more overnight polysomnography studies, were free of CHD or HF at baseline, were not treated by continuous positive airway pressure (CPAP), and followed over 24 y.

interventionsNone. MEASUREMENTS AND

resultsIn-laboratory overnight polysomnography was used to assess SDB, defined by the apnea-hypopnea index (AHI) using apnea and hypopnea events per hour of sleep. Incident CHD or HF was defined by new reports of myocardial infarction, coronary revascularization procedures, congestive heart failure, and cardiovascular deaths. We used baseline AHI as the predictor variable in survival analysis models predicting CHD or HF incidence adjusted for traditional confounders. The incidence of CHD or HF was 10.9/1,000 person-years. The mean time to event was 11.2 ± 5.8 y. After adjusting for age, sex, body mass index, and smoking, estimated hazard ratios (95% confidence interval) of incident CHD or HF were 1.5 (0.9-2.6) for AHI > 0-5, 1.9 (1.05-3.5) for AHI 5 ≤ 15, 1.8 (0.85-4.0) for AHI 15 ≤ 30, and 2.6 (1.1-6.1) for AHI > 30 compared to AHI = 0 (P trend = 0.02).

conclusionsParticipants with untreated severe sleep disordered breathing (AHI > 30) were 2.6 times more likely to have an incident coronary heart disease or heart failure compared to those without sleep disordered breathing. Our findings support the postulated adverse effects of sleep disordered breathing on coronary heart disease and heart failure.

Indexed as

Cohort StudiesComorbidityCoronary DiseaseFemaleFollow-Up StudiesHeart FailureHumansIncidenceMaleMiddle AgedMyocardial InfarctionPolysomnographyResidence CharacteristicsSleep Apnea SyndromesSurvival AnalysisWisconsincoronary heart diseaseheart failuresleep disordered breathing

Identifiers

PMID25515104
PMCPMC4402672
OpenAlexW1989619415

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.