Evidence map›Paper›PMID 40371580›Full record

ArticleJournal of the American Heart Association2025

Impact of Long-Term CPAP Adherence on Recurrence After Atrial Fibrillation Ablation in Patients With Severe Sleep Apnea.

Nobuaki Tanaka, Masato Okada, Koji Tanaka, Yuko Hirao, Naoko Miyazaki, Kohei Iwasa, Yasushi Koyama, Yoshitaka Iwanaga, Heitaro Watanabe, Kenshi Fujii and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. 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
–field-weighted citation impact
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.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Mechanisms Linking Sleep-Disordered Breathing and Cardiometabolic Disease Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Nobuaki TanakaCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.ORCID 0000-0002-8324-1728
Masato OkadaCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.ORCID 0000-0002-3190-7313
Koji TanakaCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.
Yuko HiraoCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.ORCID 0000-0002-2628-5601
Naoko MiyazakiCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.
Kohei IwasaCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.ORCID 0000-0001-7766-6896
Yasushi KoyamaCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.
Yoshitaka IwanagaCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.ORCID 0000-0002-1391-2864
Heitaro WatanabeCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.
Kenshi FujiiCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.
Katsuomi IwakuraCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.ORCID 0000-0001-6617-1521
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine Suita Japan.
Atsunori OkamuraCardiovascular Center, Sakurabashi Watanabe Advanced Healthcare Hospital Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive sleep apnea represents an arrhythmia recurrence risk following catheter ablation of atrial fibrillation (AF). Continuous positive airway pressure (CPAP) therapy may reduce recurrence, but individual adherence to CPAP varies, potentially leading to inconsistent results across studies. METHODS AND

resultsWe analyzed the impact of CPAP adherence on AF recurrence after catheter ablation in patients with severe obstructive sleep apnea (apnea-hypopnea index ≥30). Of 1864 consecutive patients undergoing an index catheter ablation of AF, those with severe obstructive sleep apnea were enrolled in this study. Recurrence rates were compared between patients with and without long-term CPAP adherence (>1-year use). CPAP use was monitored via telemonitoring and outpatient follow-ups. Among 466 patients, 157 (33.7%) adhered to CPAP long-term, reducing apnea-hypopnea index from 37.7±15.3 to 3.9±3.1 (

conclusionsIn patients with severe obstructive sleep apnea at baseline, AF recurrence rates within 1-year postablation were similar regardless of CPAP adherence. However, long-term CPAP therapy was associated with a reduced AF recurrence rate in the subsequent period.

Indexed as

Atrial FibrillationCatheter AblationContinuous Positive Airway PressurePatient ComplianceSleep Apnea, ObstructiveAgedFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsSeverity of Illness IndexTime FactorsTreatment Outcomeatrial fibrillationcatheter ablationCPAPobstructive sleep apnea

Identifiers

PMID40371580
PMCPMC12184603

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Registered trials

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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.