Evidence map›Paper›PMID 41085179›Full record

ArticleJournal of the American Heart Association2025

Impact of Obstructive Sleep Apnea on Arrhythmia and Quality-of-Life Outcomes After Catheter Ablation of Atrial Fibrillation.

Lorenzo Braghieri, Arwa Younis, Chadi Tabaja, Pasquale Santangeli, Tyler Taigen, John Rickard, Thomas Callahan, David O Martin, Shady Nakhla, Mohamed Kanj and 5 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Rare TruncatingGenes · 2026
    Article
  5. 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

15 authors.

Lorenzo BraghieriDepartment of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-5225-8252
Arwa YounisSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-2485-5025
Chadi TabajaDepartment of Internal Medicine Cleveland Clinic Foundation Cleveland OH USA.ORCID 0000-0001-5537-9458
Pasquale SantangeliSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-0023-9666
Tyler TaigenSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-1258-8118
John RickardSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-1559-0803
Thomas CallahanSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0001-5281-7598
David O MartinSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.
Shady NakhlaSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-4495-3845
Mohamed KanjSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.
Jakub SroubekSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0003-2490-5106
Justin LeeSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0003-2823-9243
Walid I SalibaSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0003-3324-8611
Oussama M WazniSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0001-7115-7716
Ayman A HusseinSection of Clinical Cardiac Electrophysiology, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA.ORCID 0000-0002-8359-1525

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCatheter ablation is a first-line therapy for atrial fibrillation (AF). We evaluated the impact of obstructive sleep apnea (OSA) on arrhythmia and postablation quality-of-life outcomes among AF subtypes.

methodsConsecutive patients undergoing AF ablation (2013-2022) at a tertiary center were enrolled and assessed for arrhythmia recurrence over 3-year follow-up. A subset of patients enrolled in an automated patient-reported outcomes platform were assessed for quality of life, including Atrial Fibrillation Severity Score and AF burden (AF duration and frequency scores).

resultsA total of 7020 patients were included: 3380 with paroxysmal AF (PAF) and 3640 with persistent AF (PersAF), of whom 729 and 943 had OSA, respectively (PAF: age, 66.5±10 years [69% men]; PersAF: age, 66.1±9 years [76% men]). Unlike patients with PersAF, those with PAF and OSA had higher AF recurrence (PAF: no OSA=70% versus OSA=64% [

conclusionsBaseline OSA was associated with an increased AF recurrence risk in patients with PAF, but not in those with PersAF. Catheter ablation resulted in improvement of quality-of-life metrics irrespective of baseline OSA among AF subtypes.

Indexed as

Atrial FibrillationCatheter AblationQuality of LifeSleep Apnea, ObstructiveAgedFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsTime FactorsTreatment Outcomeablationapneafibrillationsleep

Identifiers

PMID41085179
PMCPMC12684598

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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.