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Editorial
. 2025 May 20;14(10):e041947.
doi: 10.1161/JAHA.125.041947. Epub 2025 May 15.

Why Is Sleep Apnea Treatment Success Driven by Patient Choice, Not Randomization?

Scarlett Konecny  1   2   3 , Hiroko Beck-Fernandez  2 , Thomas Konecny  1   2
Affiliations
Editorial

Why Is Sleep Apnea Treatment Success Driven by Patient Choice, Not Randomization?

Scarlett Konecny et al. J Am Heart Assoc. .
No abstract available

Keywords: Editorials; patient preference; sleep apnea syndromes; treatment outcome.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1. Graphical representation of follow‐up durations and participant numbers in randomized (circles) and nonrandomized (diamonds) studies examining the impact of CPAP on atrial fibrillation recurrence following ablation.
Studies demonstrating benefit are depicted in blue and those showing no benefit in red. A majority of the trials (and all negative ones) encompassed follow‐up durations of 12 months or less. The included studies are all those listed in the meta‐analysis by Deng et al., and we also added data published since the publication of this meta‐analysis by Hunt et al. AF indicates atrial fibrillation; and CPAP, continuous positive airway pressure therapy.
See this image and copyright information in PMC

Comment on

References

    1. Lloyd‐Jones DM, Wang TJ, Leip EP, Larson MG, Levy D, Vasan RS, D'Agostino RB, Massaro JM, Beiser A, Wolf PA, et al. Lifetime risk for development of atrial fibrillation: the Framingham Heart Study. Circulation. 2004;110:1042–1046. doi: 10.1161/01.CIR.0000140263.20897.42 - DOI - PubMed
    1. Bunch TJ, May HT, Bair TL, Jacobs V, Crandall BG, Cutler M, Weiss JP, Mallender C, Osborn JS, Anderson JL, et al. The impact of age on 5‐year outcomes after atrial fibrillation catheter ablation. J Cardiovasc Electrophysiol. 2016;27:141–146. doi: 10.1111/jce.12849 - DOI - PubMed
    1. Tanaka N, Okada M, Tanaka K, Hirao Y, Miyazaki N, Iwasa K, Koyama Y, Iwanaga Y, Watanabe H, Fujii K, et al. Impact of long‐term CPAP adherence on recurrence after atrial fibrillation ablation in patients with severe sleep apnea. J Am Heart Assoc. 2025;14:e038742. doi: 10.1161/JAHA.124.038742 - DOI - PMC - PubMed
    1. Norup Hertel J, Isaksen JL, Jerltorp K, Dalgas Nissen S, Hansen M, Saljic A, Linz B, Sattler S, Ye C, Overgaard Larsen J, et al. Catheter‐based pulmonary vein isolation fails to prevent transient atrial arrhythmogenic changes related to acute obstructive respiratory events in a porcine model. Europace. 2024;26:26. doi: 10.1093/europace/euae132 - DOI - PMC - PubMed
    1. Anter E, Di Biase L, Contreras‐Valdes FM, Gianni C, Mohanty S, Tschabrunn CM, Viles‐Gonzalez JF, Leshem E, Buxton AE, Kulbak G, et al. Atrial substrate and triggers of paroxysmal atrial fibrillation in patients with obstructive sleep apnea. Circ Arrhythm Electrophysiol. 2017;10:e005407. doi: 10.1161/CIRCEP.117.005407 - DOI - PMC - PubMed

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