Evidence map›Paper›PMID 30415352›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2019

Cardiac effects of CPAP treatment in patients with obstructive sleep apnea and atrial fibrillation.

Asmaa M Abumuamar, David Newman, Paul Dorian, Colin M Shapiro

Abstract read
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In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Role of sleep disorders in patients with cardiovascular disease: A systematic review.International journal of cardiology. Cardiovascular risk and prevention · 2024
    Review
  4. Adherence of obstructive sleep apnoea syndrome patients to positive airway pressure therapy - 10-year follow-up.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2022
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Arrhythmias and sleep apnea: physiopathologic link and clinical implications.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020
    Review
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

4 authors at 3 institutions in 1 country.

Asmaa M AbumuamarInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. asmaa.abumuamar@mail.utoronto.ca.ORCID http://orcid.org/0000-0002-0994-7976
David NewmanDepartment of Cardiology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Paul DorianDepartment of Cardiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Colin M ShapiroDepartment of Psychiatry, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
University Health Network · CASt. Michael's Hospital · CASunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) has been recognized as an independent risk factor for the development and progression of atrial fibrillation (AF). We aimed to investigate the changes in heart rate and atrial and ventricular ectopy after continuous positive airway pressure (CPAP) treatment in patients with OSA and AF.

methodsConsecutive patients with AF underwent ambulatory sleep monitoring, and OSA was defined as an Apnea-Hypopnea-Index (AHI) ≥ 5/h. Treated patients completed in-laboratory CPAP titration study. A 24-h ECG Holter was performed at baseline and at 3 and 6 months after CPAP treatment.

resultsOne hundred patients (70% males) with AF were included in the final analysis. OSA was diagnosed in 85% of patients. There were no significant changes in mean 24-h heart rate in patients with paroxysmal or permanent AF at 3 and 6 months of treatment compared to baseline. In patients with paroxysmal AF (n = 29), atrial and ventricular ectopy counts/24 h significantly decreased at 3 months compared to baseline (median (IQR) 351 (2049) to 57 (182), P = 0.002; 68 (105) to 16 (133), P = 0.01 respectively). At 6 months follow-up, the atrial ectopy count/24 h significantly decreased in patients with paroxysmal AF compared to baseline (median (IQR) 351 (2049) to 31 (113), P = 0.016, n = 14). In patients with permanent AF (n = 15), there was a significant reduction in ventricular ectopy count/24 h at 3 months compared to baseline (median (IQR) 100 (1116) to 33 (418), P = 0.02).

conclusionsThere is a significant decrease in atrial and ventricular ectopy count/24 h in patients with AF and OSA at 3 and 6 months of CPAP treatment compared to baseline.

Indexed as

Continuous Positive Airway PressureAgedAtrial FibrillationElectrocardiography, AmbulatoryFemaleHeart RateHumansMaleMiddle AgedPolysomnographyProspective StudiesSleep Apnea, ObstructiveAmbulatory sleep monitoringArrhythmiaAtrial ectopyAtrial fibrillationContinuous positive airway pressureCPAP complianceObstructive sleep apneaVentricular ectopy

Identifiers

PMID30415352
OpenAlexW2899635994

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.