Evidence map›Paper›PMID 36052740›Full record

ArticleESC heart failure2022

Prevalence and predictors of sleep-disordered breathing in chronic heart failure: the SchlaHF-XT registry.

Michael Arzt, Olaf Oldenburg, Andrea Graml, Jürgen Schnepf, Erland Erdmann, Helmut Teschler, Christoph Schoebel, Holger Woehrle, SchlaHF-XT investigators

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. MyocardialAntioxidants (Basel, Switzerland) · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. The Role of Sleep in Cardiovascular Disease.Current atherosclerosis reports · 2024
    Review
  15. Article
  16. Central sleep apnoea: not just one phenotype.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. 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

9 authors at 6 institutions in 2 countries.

Michael ArztDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.ORCID 0000-0002-4408-722X
Olaf OldenburgLudgerus-Kliniken Münster, Clemenshospital, Münster, Germany.
Andrea GramlResMed Science Center, Martinsried, Germany.
Jürgen SchnepfResMed Science Center, Martinsried, Germany.
Erland ErdmannClinic III for Internal Medicine, Heart Center University Hospital Cologne, Cologne, Germany.ORCID 0000-0002-9887-3736
Helmut TeschlerDepartment of Pneumology, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Christoph SchoebelDepartment of Pneumology, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Holger WoehrleSleep and Ventilation Center Blaubeuren, Lung Center Ulm, Ulm, Germany.ORCID 0000-0001-6588-5039
SchlaHF-XT investigators
Ospedale Martini · ITRuhrlandklinik · DEClemenshospital Münster · DEUniversität Ulm · DEUniversity Hospital Cologne · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHeart failure with preserved ejection fraction (HFpEF) is a condition with increasing prevalence. Sleep-disordered breathing (SDB) is an important co-morbidity in HFpEF. The SchlaHF-XT registry evaluated the sex-specific prevalence and predictors of SDB, including obstructive (OSA) and central sleep apnoea, in patients with HFpEF compared with heart failure with mildly reduced (HFmrEF) or reduced (HFrEF) ejection fraction. METHODS AND

resultsConsecutive adults with chronic heart failure treated according to current guidelines were enrolled. The presence of moderate-to-severe SDB (apnoea-hypopnoea index ≥15/h) was determined using Type 3 polygraphic devices. Of 3289 patients included, 2032 had HFpEF, 559 had HFmrEF, and 698 had HFrEF, of whom 34, 21, 23, and 42%, respectively, were female. Prevalence of SDB in HFpEF was high, but significantly lower than in HFmrEF or HFrEF (36% vs. 41 and 48%, respectively). Rates of SDB in males and females were 41 and 28% in HFpEF, 44 and 30% in HFmrEF, and 50 and 40% in HFrEF. The proportion of males and females with SDB who had OSA was significantly greater in those with HFpEF vs. HFrEF. Male sex, older age, higher body mass index, and New York Heart Association functional Class III/IV were significant predictors of moderate-to-severe SDB in HFpEF patients.

conclusionsPrevalence of SDB in HFpEF was high, but lower than in patients with HFmrEF or HFrEF. Moderate-to-severe SDB occurred more frequently in males than in females across the whole spectrum of heart failure. In both sexes, the proportion of OSA in SDB patients with HFpEF was higher than in those with HFrEF.

Indexed as

Heart FailureSleep Apnea, ObstructiveSleep Apnea SyndromesAdultChronic DiseaseFemaleHumansMalePrevalencePrognosisRegistriesRisk FactorsStroke VolumeCentral sleep apnoeaHeart failureHeart failure with preserved ejection fractionObstructive sleep apnoeaPredictorsPrevalence

Identifiers

PMID36052740
PMCPMC9773760
OpenAlexW4294219261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.