Evidence map›Paper›PMID 28291376›Full record

Observational studyUpsala journal of medical sciences2017

Cardioversion of atrial fibrillation does not affect obstructive sleep apnea.

Niklas Höglund, Carin Sahlin, Milos Kesek, Steen M Jensen, Karl A Franklin

Registry-linked trialOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Upsala journal of medical sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00429884 (Studies of Disorders and Mechanisms Related to Atrial Fibrillation Before and After DC-Conversion), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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.

NCT00429884 unknown statusnot on this map

Studies of Disorders and Mechanisms Related to Atrial Fibrillation Before and After DC-Conversion: Polysomnography, Heart Rate Variability and 24h Holter.

TypeobservationalSponsorUmeå UniversityRan2007ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Niklas Höglunda Public Health and Clinical Medicine , Heart Centre, Umeå University , Umeå , Sweden.
Carin Sahlinb Public Health and Clinical Medicine, Medicine , Umeå University , Umeå , Sweden.
Milos Keseka Public Health and Clinical Medicine , Heart Centre, Umeå University , Umeå , Sweden.
Steen M Jensena Public Health and Clinical Medicine , Heart Centre, Umeå University , Umeå , Sweden.
Karl A Franklinc Surgical and Perioperative Sciences, Surgery , Umeå University , Umeå , Sweden.
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleep apnea is common in patients with atrial fibrillation, but the effect of the cardioversion of atrial fibrillation to sinus rhythm on central and obstructive apneas is mainly unknown. The primary aim of the study was to analyze the association between cardioversion of atrial fibrillation and sleep apneas, to investigate whether obstructive or central sleep apneas are reduced following cardioversion. A secondary objective was to study the effect on sleep quality.

methodsTwenty-three patients with atrial fibrillation were investigated using overnight polysomnography, including esophagus pressure monitoring and ECG, before and after the cardioversion of persistent atrial fibrillation.

resultsObstructive sleep apnea occurred in 17/23 patients (74%), and central sleep apnea in 6/23 patients (26%). Five patients had both obstructive and central sleep apnea. Sinus rhythm at follow-up was achieved in 16 patients. The obstructive apnea-hypopnea index, central apnea-hypopnea index, and the number of patients with obstructive or central sleep apnea did not differ before and after restoration of sinus rhythm. Sleep time, sleep efficiency, time in different sleep stages, and subjective daytime sleepiness were normal and unaffected by cardioversion.

conclusionsBoth obstructive and central sleep apneas are highly prevalent in patients with persistent atrial fibrillation. Obstructive sleep apneas are unaffected by the cardioversion of atrial fibrillation to sinus rhythm. The sleep pattern is normal and unaffected by cardioversion in patients with atrial fibrillation. CLINICAL

trial registrationTrial number NCT00429884.

Indexed as

AgedAtrial FibrillationElectric CountershockElectrocardiographyFemaleHumansMaleMiddle AgedPolysomnographyPrevalenceSleepSleep Apnea, ObstructiveSleep Apnea SyndromesAtrial fibrillationcardioversionpolysomnographysleep apnea

Identifiers

PMID28291376
PMCPMC5441371
OpenAlexW2615582162

What OpenQuestion holds

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LicenceCC BY
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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.