Evidence map›Paper›PMID 35533628›Full record

ArticleSleep medicine2022

Markers of ventricular repolarization and overall mortality in sleep disordered breathing.

Salma I Patel, Wojciech Zareba, Bonnie LaFleur, Jean-Phillipe Couderc, Xiaojuan Xia, Raymond Woosley, Imran Y Patel, Daniel Combs, Saif Mashaqi, Stuart F Quan and 1 more

Open access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Genetic QT score as a predictor of sudden cardiac death in participants with sleep-disordered breathing in the UK Biobank.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  3. Article
  4. Sleep-Disordered Breathing Destabilizes Ventricular Repolarization.medRxiv : the preprint server for health sciences · 2024
    Article
  5. 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

11 authors at 3 institutions in 2 countries.

Salma I PatelUAHS Center for Sleep and Circadian Sciences, University of Arizona, USA; Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona College of Medicine, Tucson, USA. Electronic address: salmapatel@email.arizona.edu.
Wojciech ZarebaClinical Cardiovascular Research Center, University of Rochester Medical Center, USA.
Bonnie LaFleurUAHS Center for Biomedical Informatics and Biostatistics, University of Arizona, USA; BIO5, University of Arizona, USA; R. Ken Coit College of Pharmacy University of Arizona, USA.
Jean-Phillipe CoudercClinical Cardiovascular Research Center, University of Rochester Medical Center, USA.
Xiaojuan XiaClinical Cardiovascular Research Center, University of Rochester Medical Center, USA.
Raymond WoosleyDivision of Clinical Data Analytics and Decision Support, University of Arizona College of Medicine, Phoenix, USA.
Imran Y PatelUAHS Center for Sleep and Circadian Sciences, University of Arizona, USA; Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona College of Medicine, Tucson, USA.
Daniel CombsUAHS Center for Sleep and Circadian Sciences, University of Arizona, USA; Department of Pediatrics, University of Arizona College of Medicine, Tucson, USA.
Saif MashaqiUAHS Center for Sleep and Circadian Sciences, University of Arizona, USA; Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona College of Medicine, Tucson, USA.
Stuart F QuanUAHS Center for Sleep and Circadian Sciences, University of Arizona, USA; Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona College of Medicine, Tucson, USA; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Harvard Medical School, USA.
Sairam ParthasarathyUAHS Center for Sleep and Circadian Sciences, University of Arizona, USA; Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona College of Medicine, Tucson, USA.
University of Arizona · USUniversity of Rochester Medical Center · USBrigham and Women's Hospital · US

Funding

Impact of Low Flow Nocturnal Oxygen Therapy On Hospital Readmission/Mortalityin Patients with Heart Failure and Central Sleep Apneal (LOFT-HF)UH3HL140144 · NHLBI · OHIO STATE UNIVERSITY · PI ABRAHAM, WILLIAM TOBER · 2019 to 2020
$5.5M
UAHS Sleep Research Center Construction GrantC06OD028307 · OD · UNIVERSITY OF ARIZONA · PI DAKE, MICHAEL D · 2019 to 2019
$5.0M
Translational Approaches to Health Disparities in Lung, Sleep, and PandemicsR25HL126140 · NHLBI · UNIVERSITY OF ARIZONA · PI FRANCISCO A MORENO, JANKO Z. NIKOLICH · 2014 to 2026
$4.6M
Time-efficient inspiratory muscle strength training for improving blood pressure and vascular function in older adults with sleep-disordered breathingR01AG065346 · NIA · UNIVERSITY OF ARIZONA · PI BAILEY, E. FIONA · 2020 to 2025
$3.4M
The Sleep Heart Health Study (SHHS)U01HL053938 · NHLBI · UNIVERSITY OF ARIZONA · PI QUAN, STUART F. · 1994 to 2007
$2.0M
Medications for Obstructive Sleep Apnea to Improve Cognition in Children with Down Syndrome (MOSAIC DS)R33HL151254 · NHLBI · UNIVERSITY OF ARIZONA · PI COMBS, DANIEL · 2022 to 2025
$1.3M
Improving the Health of EMS professionals through Sleep Health Education and Sleep Disorder ScreeningR56HL151637 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI WEAVER, MATTHEW DAVID · 2020 to 2020
$793k
Predictive Analytics and Peer-Driven Intervention for Guideline-based Care for Sleep ApneaR56HL138377 · NHLBI · UNIVERSITY OF ARIZONA · PI PARTHASARATHY, SAIRAM · 2017 to 2017
$763k
Impact of Low Flow Nocturnal Oxygen Therapy On Hospital Readmission/Mortalityin Patients with Heart Failure and Central Sleep Apneal (LOFT-HF)UG3HL140144 · NHLBI · OHIO STATE UNIVERSITY · PI ABRAHAM, WILLIAM TOBER · 2018 to 2018
$742k
Medications for Obstructive Sleep Apnea to Improve Cognition in Children with Down Syndrome (MOSAIC DS)R61HL151254 · NHLBI · UNIVERSITY OF ARIZONA · PI COMBS, DANIEL · 2019 to 2021
$465k
Functional Capacity Assessment in Hospitalized Bed-bound COPD Patients; Predicting OutcomesR21AG059202 · NIA · UNIVERSITY OF ARIZONA · PI MOHLER, MARTHA JANE, TOOSIZADEH, NIMA · 2019 to 2020
$410k
NHLBI NIH HHS L30 HL154400NHLBI NIH HHS R25 HL126140NHLBI NIH HHS R33 HL151254NHLBI NIH HHS R56 HL138377NHLBI NIH HHS R56 HL151637NHLBI NIH HHS R61 HL151254NHLBI NIH HHS U01 HL053938NHLBI NIH HHS UG3 HL140144NHLBI NIH HHS UH3 HL140144NIA NIH HHS R01 AG065346NIA NIH HHS R21 AG059202NIH HHS C06 OD028307
6 · The paper itself

Abstract

introductionVariability and prolongation of ventricular repolarization - measured by changes in QT interval and QT variability are independently associated with ventricular arrhythmias, sudden death, and mortality but such studies did not examine the role of sleep-disordered breathing. We aimed to determine whether sleep-disordered breathing moderated the association between measures of ventricular repolarization and overall mortality.

methodsEight hundred participants were randomly selected from each of the following four groups in the Sleep Heart Health Study: mild, moderate, severe or no sleep disordered breathing (n = 200 each). Overnight electrocardiograms were analyzed for QTc duration and QT variability (standard deviation of QT intervals, normalized QT interval variance and the short-term interval beat-to-beat QT variability). Cox proportional hazards penalized regression modeling was used to identify predictors of mortality.

resultsEight hundred of 5600 participants were randomly selected. The participants (68 ± 10 years; 56.8% male) were followed for an average of 8.2 years during which time 222 (28.4%) died. QTc, SDQT, and QTVN were associated with the presence of SDB (p = 0.002, p = 0.014, and p = 0.024, respectively). After adjusting for covariates, the presence of sleep-disordered breathing did not moderate the association between QTc length, QT variability and mortality (p > 0.05).

conclusionSleep-disordered breathing was associated with some measures of ventricular repolarization. However, sleep-disordered breathing was not an effect modifier for the relationship between QTc and QT variability and mortality.

Indexed as

Arrhythmias, CardiacSleep Apnea SyndromesAgedElectrocardiographyFemaleHeart RateHumansMaleMiddle AgedPolysomnographyMortalityQT intervalQT variabilitySleep apneaSleep disordered breathingVentricular repolarization

Identifiers

PMID35533628
PMCPMC10563794
OpenAlexW4224260941

What OpenQuestion holds

Textmetadata
LicenceTDM
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.