Evidence map›Paper›PMID 31763438›Full record

ReviewInternational journal of cardiology. Heart & vasculature2019

Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring.

Dominik Linz, Mathias Baumert, Lien Desteghe, Kadhim Kadhim, Kevin Vernooy, Jonathan M Kalman, Dobromir Dobrev, Michael Arzt, Manu Sastry, Harry J G M Crijns and 7 more

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

Review in International journal of cardiology. Heart & vasculature, 2019. 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.7field-weighted citation impact, top 4% 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.

NCT04778748 completednot on this mapstarted 2021, after this paper: background citation

Evaluating an Under-mattress Sleep Monitor Compared to a Peripheral Arterial Tonometry Home Sleep Apnea Test Device in the Diagnosis of Obstructive Sleep Apnea

TypeobservationalSponsorMayo ClinicRan2021 to 2021Enrolled60ConditionsSleep Apnea, ObstructiveArmsUnder-mattress sleep monitor
NCT07259200 recruitingnot on this mapstarted 2025, after this paper: background citation

Assessment of Sleep Parameters Using Polygraphy in Patients With Paroxysmal Atrial Fibrillation Qualified for Pulmonary Vein Isolation - A Prospective Observational Study (AAHI Study)

TypeobservationalSponsorPrimula ClinicsRan2025 to 2026Enrolled100ConditionsAtrial Fibrillation (AF), OSA - Obstructive Sleep Apnea, Pulmonary Vein Isolation
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Modifiable Risk Factors in Atrial Fibrillation: Clinical Implications and Pathophysiological Insights.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Review
  3. Article
  4. Article
  5. Sleeping Beauty unravelled - Detection of sleep apnoea in patients with atrial fibrillation.International journal of cardiology. Heart & vasculature · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Obstructive Sleep Apnea and Atrial Fibrillation.Journal of clinical medicine · 2022
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Sleep apnea and atrial fibrillation: Update 2020.International journal of cardiology. Heart & vasculature · 2020
    Article
  20. 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

17 authors at 12 institutions in 5 countries.

Dominik LinzCentre for Heart Rhythm Disorders (CHRD), South Australian Health and Medical Research Institute (SAHMRI), University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
Mathias BaumertUniversity of Adelaide, School of Electrical and Electronic Engineering, Adelaide, Australia.
Lien DestegheFaculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.
Kadhim KadhimCentre for Heart Rhythm Disorders (CHRD), South Australian Health and Medical Research Institute (SAHMRI), University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
Kevin VernooyDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Jonathan M KalmanDepartment of Cardiology, Royal Melbourne Hospital and Department of Medicine, University of Melbourne, Melbourne, Australia.
Dobromir DobrevInstitute of Pharmacology, West German Heart and Vascular Centre, University Duisburg-Essen, Essen, Germany.
Michael ArztDepartment of Internal Medicine II, University Medical Centre Regensburg, Regensburg, Germany.
Manu SastryAcademic Sleep Centre (CIRO+), Horn, the Netherlands.
Harry J G M CrijnsDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Ulrich SchottenDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Martin R CowieNational Heart and Lung Institute, Imperial College London (Royal Brompton Hospital), London, England, UK.
R Doug McEvoyAdelaide Institute for Sleep Health (AISH), College of Medicine and Public Health, Flinders University and Sleep Health Service, Respiratory and Sleep Services, Southern Adelaide Local Health Network, Adelaide, Australia.
Hein HeidbuchelFaculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.
Jeroen HendriksCentre for Heart Rhythm Disorders (CHRD), South Australian Health and Medical Research Institute (SAHMRI), University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
Prashanthan SandersCentre for Heart Rhythm Disorders (CHRD), South Australian Health and Medical Research Institute (SAHMRI), University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
Dennis H LauCentre for Heart Rhythm Disorders (CHRD), South Australian Health and Medical Research Institute (SAHMRI), University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
University of Adelaide · AUMaastricht University · NLMaastricht University Medical Centre · NLSouth Australian Health and Medical Research Institute · AUAdelaide Institute for Sleep Health · AUCiro · NLHasselt University · BERoyal Brompton Hospital · GBUniversity Hospital Regensburg · DEUniversity of Antwerp · BEUniversity of Melbourne · AUWest German Heart and Vascular Center Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with atrial fibrillation (AF), the prevalence of moderate-to-severe sleep-disordered breathing (SDB) ranges between 21% and 72% and observational studies have demonstrated that SDB reduces the efficacy of rhythm control strategies, while treatment with continuous positive airway pressure lowers the rate of AF recurrence. Currently, the number of apneas and hypopneas per hour (apnea-hypopnea-index, AHI) determined during a single overnight sleep study is clinically used to assess the severity of SDB. However, recent studies suggest that SDB-severity in an individual patient is not stable over time but exhibits a considerable night-to-night variability which cannot be detected by only one overnight sleep assessment. Nightly SDB-severity assessment rather than the single-night diagnosis by one overnight sleep study may better reflect the exposure to SDB-related factors and yield a superior metric to determine SDB-severity in the management of AF. In this review we discuss mechanisms of night-to-night SDB variability, arrhythmogenic consequences of night-to-night SDB variability, strategies for longitudinal assessment of nightly SDB-severity and clinical implications for screening and management of SDB in AF patients.

Identifiers

PMID31763438
PMCPMC6859526
OpenAlexW2980672259

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.