Evidence map›Paper›PMID 28209226›Full record

ReviewJournal of the American College of Cardiology2017

Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences.

Shahrokh Javaheri, Ferran Barbe, Francisco Campos-Rodriguez, Jerome A Dempsey, Rami Khayat, Sogol Javaheri, Atul Malhotra, Miguel A Martinez-Garcia, Reena Mehra, Allan I Pack and 3 more

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 695 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
695citing papers in PubMed, 12 pooled it
56.9field-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.

NCT03866148 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Obstructive Sleep Apnoea and Cardiac Arrhythmias and the Impact of an Implantable Loop Recorder

TypeinterventionalSponsorUniversity Hospitals Coventry and Warwickshire NHS TrustRan2019 to 2025Enrolled200ConditionsObstructive Sleep Apnea, Cardiovascular Diseases, Arrhythmia, Atrial Fibrillation New OnsetArmsReveal LINQ
NCT04399200 recruitingnot on this mapstarted 2020, after this paper: background citation

Sleep Apnea Syndrome and Incidence of Major Adverse Cardiac and Cerebrovascular Events (MACCEs) After a First Stroke

TypeobservationalSponsorUniversity Hospital, GrenobleRan2020 to 2035Enrolled1,620ConditionsStroke, Sleep-disordered Breathing, Sleep Apnea Syndromes, Sleep Apnea, ObstructiveArmsTreatment according to standard care recommandation
3 · Its place in the literature

Who cites it

695 citing papers in PubMed, 12 syntheses or guidelines pooled it, 1,316 citations in OpenAlex.

  1. Oral appliances for obstructive sleep apnoea in adults.The Cochrane database of systematic reviews · 2026
    Pooled it
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  3. Maximizing outcomes by multimodal treatment in obstructive sleep apnea: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  4. Pooled it
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  7. Systematic review of changes in extracellular vesicles associated with obstructive sleep apnoea: implications for diagnosis and treatment.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  8. Pooled it
  9. Dentoskeletal changes of long-term oral appliance treatment in patients with obstructive sleep apnea: A systematic review and meta-analysis.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
    Pooled it
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  15. Bilateral hypoglossal nerve stimulation for obstructive sleep apnea: a nonrandomized clinical trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Trial
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  18. Article
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635 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 2 countries.

Shahrokh JavaheriPulmonary and Sleep Division, Bethesda North Hospital, Cincinnati, Ohio. Electronic address: shahrokhjavaheri@icloud.com.
Ferran BarbeRespiratory Department, Institut Ricerca Biomèdica de Lleida, Hospital Universitari Arnau de Vilanova, Lleida, Spain.
Francisco Campos-RodriguezRespiratory Department, Hospital Universitario de Valme, Sevilla, Spain.
Jerome A DempseyDepartment of Population Health Sciences and John Rankin Laboratory of Pulmonary Medicine, University of Wisconsin-Madison, Madison, Wisconsin.
Rami KhayatSleep Heart Program, the Ohio State University, Columbus, Ohio.
Sogol JavaheriHarvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Atul MalhotraPulmonary, Critical Care and Sleep Medicine, University of California, San Diego, California.
Miguel A Martinez-GarciaRespiratory Department, Hospital Universitario de Politecnico La Fe, Valencia, Spain.
Reena MehraCleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio.
Allan I PackDivision of Sleep Medicine/Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Vsevolod Y PolotskyDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Susan RedlineHarvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Virend K SomersDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
Brigham and Women's Hospital · USCleveland Clinic Lerner College of Medicine · USHospital Universitari Arnau de Vilanova · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de Valme · ESJohns Hopkins University · USMayo Clinic · USThe Ohio State University · USUniversity of California System · USUniversity of Pennsylvania · USUniversity of Wisconsin–Madison · US

Funding

Melanocortin 4 signaling in the carotid body in obesityR01HL133100 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Vsevolod Y Polotsky, Wan-yee Tang · 2016 to 2026
$7.1M
Treatment of Sleep Apnea by Targeting Leptin SignalingR01HL128970 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MENDELOWITZ, DAVID, POLOTSKY, VSEVOLOD Y · 2015 to 2023
$5.4M
The role of obesity in biological responses to particulate matter in miceP50ES018176 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI HANSEL, NADIA N · 2015 to 2019
$4.8M
Single Motor Unit Genioglossus Recordings to Understand Sleep Apnea PathogenesisR01HL085188 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2008 to 2018
$3.5M
Training in the Next Generation in Respiratory ScienceT32HL134632 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, POWELL, FRANK L. · 2017 to 2021
$2.1M
Assessment of Upper Airway Mechanics Using Newer Electromyographic TechniquesK24HL132105 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2016 to 2020
$611k
NHLBI NIH HHS K24 HL132105NHLBI NIH HHS R01 HL085188NHLBI NIH HHS R01 HL128970NHLBI NIH HHS R01 HL133100NHLBI NIH HHS T32 HL134632NIEHS NIH HHS P50 ES018176
6 · The paper itself

Abstract

Sleep apnea is highly prevalent in patients with cardiovascular disease. These disordered breathing events are associated with a profile of perturbations that include intermittent hypoxia, oxidative stress, sympathetic activation, and endothelial dysfunction, all of which are critical mediators of cardiovascular disease. Evidence supports a causal association of sleep apnea with the incidence and morbidity of hypertension, coronary heart disease, arrhythmia, heart failure, and stroke. Several discoveries in the pathogenesis, along with developments in the treatment of sleep apnea, have accumulated in recent years. In this review, we discuss the mechanisms of sleep apnea, the evidence that addresses the links between sleep apnea and cardiovascular disease, and research that has addressed the effect of sleep apnea treatment on cardiovascular disease and clinical endpoints. Finally, we review the recent development in sleep apnea treatment options, with special consideration of treating patients with heart disease. Future directions for selective areas are suggested.

Indexed as

Cardiovascular DiseasesHumansSleep Apnea Syndromescentral sleep apneahypertensionobstructive sleep apnea

Identifiers

PMID28209226
PMCPMC5393905
OpenAlexW2592857683

What OpenQuestion holds

Textmetadata
LicenceTDM
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.