Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison
Abstract Background Sleep apnea (SA) is highly prevalent and should be treated in patients referred for catheter ablation (CA) of atrial fibrillation (AF). Watch‐type peripheral arterial tonometry (WP) for home SA testing has demonstrated a high correlation of the apnea‐hypopnea index (AHI) with Pol...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/joa3.12869 |
| _version_ | 1797752008335163392 |
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| author | Nobuaki Tanaka Masato Okada Koji Tanaka Toshinari Onishi Yuko Hirao Shinichi Harada Masatsugu Kawahira Yasushi Koyama Kenshi Fujii Heitaro Watanabe Atsunori Okamura Yasushi Sakata Katsuomi Iwakura |
| author_facet | Nobuaki Tanaka Masato Okada Koji Tanaka Toshinari Onishi Yuko Hirao Shinichi Harada Masatsugu Kawahira Yasushi Koyama Kenshi Fujii Heitaro Watanabe Atsunori Okamura Yasushi Sakata Katsuomi Iwakura |
| author_sort | Nobuaki Tanaka |
| collection | DOAJ |
| description | Abstract Background Sleep apnea (SA) is highly prevalent and should be treated in patients referred for catheter ablation (CA) of atrial fibrillation (AF). Watch‐type peripheral arterial tonometry (WP) for home SA testing has demonstrated a high correlation of the apnea‐hypopnea index (AHI) with Polysomnography (PSG), but the evidence of its accuracy in AF patients is not adequate. Methods This study was conducted under a retrospective, single‐center, observational design. We included 464 consecutive AF patients (age 65 ± 11 years, 76.5% male, 45.0% paroxysmal‐AF) who received both WP and PSG during the periprocedural period of the CA. We compared the AHI using the WP (WP‐AHI) to that using PSG (PSG‐AHI). Results The WP‐AHI was 25.9 ± 12.7 and PSG‐AHI 31.4 ± 18.9 (r = .48). Among 325 patients with a WP‐AHI < 30, 116 (35.7%) exhibited a PSG‐AHI ≥ 30. Only 12.5% of the patients were indicated for continuous positive airway pressure (CPAP) treatment only by the WP‐AHI, while 70.9% were indicated for CPAP by the PSG‐AHI according to the Japanese health insurance system. The best cut‐off value of the WP‐AHI was 18.1 to predict a PSG‐AHI ≥ 20 with an area under the curve of 0.72 (95% confidence interval, 0.67–0.76). Conclusions The WP‐AHI and PSG‐AHI were weakly correlated in AF patients receiving CA. About one‐third of the patients with moderate SA using the WP was diagnosed with severe SA evaluated by PSG. The majority required PSG for the CPAP indication. |
| first_indexed | 2024-03-12T16:57:01Z |
| format | Article |
| id | doaj.art-a891f1ad20c94903a9bdbbddab1e2db7 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-03-12T16:57:01Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-a891f1ad20c94903a9bdbbddab1e2db72023-08-08T05:03:15ZengWileyJournal of Arrhythmia1880-42761883-21482023-08-0139452353010.1002/joa3.12869Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparisonNobuaki Tanaka0Masato Okada1Koji Tanaka2Toshinari Onishi3Yuko Hirao4Shinichi Harada5Masatsugu Kawahira6Yasushi Koyama7Kenshi Fujii8Heitaro Watanabe9Atsunori Okamura10Yasushi Sakata11Katsuomi Iwakura12Cardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanDepartment of Cardiovascular Medicine Osaka University Graduate School of Medicine Suita JapanCardiovascular Center Sakurabashi‐Watanabe Hospital Osaka JapanAbstract Background Sleep apnea (SA) is highly prevalent and should be treated in patients referred for catheter ablation (CA) of atrial fibrillation (AF). Watch‐type peripheral arterial tonometry (WP) for home SA testing has demonstrated a high correlation of the apnea‐hypopnea index (AHI) with Polysomnography (PSG), but the evidence of its accuracy in AF patients is not adequate. Methods This study was conducted under a retrospective, single‐center, observational design. We included 464 consecutive AF patients (age 65 ± 11 years, 76.5% male, 45.0% paroxysmal‐AF) who received both WP and PSG during the periprocedural period of the CA. We compared the AHI using the WP (WP‐AHI) to that using PSG (PSG‐AHI). Results The WP‐AHI was 25.9 ± 12.7 and PSG‐AHI 31.4 ± 18.9 (r = .48). Among 325 patients with a WP‐AHI < 30, 116 (35.7%) exhibited a PSG‐AHI ≥ 30. Only 12.5% of the patients were indicated for continuous positive airway pressure (CPAP) treatment only by the WP‐AHI, while 70.9% were indicated for CPAP by the PSG‐AHI according to the Japanese health insurance system. The best cut‐off value of the WP‐AHI was 18.1 to predict a PSG‐AHI ≥ 20 with an area under the curve of 0.72 (95% confidence interval, 0.67–0.76). Conclusions The WP‐AHI and PSG‐AHI were weakly correlated in AF patients receiving CA. About one‐third of the patients with moderate SA using the WP was diagnosed with severe SA evaluated by PSG. The majority required PSG for the CPAP indication.https://doi.org/10.1002/joa3.12869atrial fibrillationcatheter ablationhome sleep apnea testpolysomnographysleep apnea |
| spellingShingle | Nobuaki Tanaka Masato Okada Koji Tanaka Toshinari Onishi Yuko Hirao Shinichi Harada Masatsugu Kawahira Yasushi Koyama Kenshi Fujii Heitaro Watanabe Atsunori Okamura Yasushi Sakata Katsuomi Iwakura Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison Journal of Arrhythmia atrial fibrillation catheter ablation home sleep apnea test polysomnography sleep apnea |
| title | Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison |
| title_full | Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison |
| title_fullStr | Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison |
| title_full_unstemmed | Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison |
| title_short | Sleep apnea severity in patients undergoing atrial fibrillation ablation: Home sleep apnea‐test and polysomnography comparison |
| title_sort | sleep apnea severity in patients undergoing atrial fibrillation ablation home sleep apnea test and polysomnography comparison |
| topic | atrial fibrillation catheter ablation home sleep apnea test polysomnography sleep apnea |
| url | https://doi.org/10.1002/joa3.12869 |
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