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

作者信息

Konecny Scarlett, Beck-Fernandez Hiroko, Konecny Thomas

机构信息

Division of Cardiovascular Medicine in the Department of Medicine University of Florida Medical Center Gainesville FL USA.

Division of Cardiovascular Medicine in the Department of Medicine Malcolm Randal VA Medical Center Gainesville FL USA.

出版信息

J Am Heart Assoc. 2025 May 20;14(10):e041947. doi: 10.1161/JAHA.125.041947. Epub 2025 May 15.

DOI:10.1161/JAHA.125.041947
PMID:40371602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12184615/
Abstract
摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f433/12184615/5bad2138a280/JAH3-14-e041947-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f433/12184615/5bad2138a280/JAH3-14-e041947-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f433/12184615/5bad2138a280/JAH3-14-e041947-g001.jpg

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本文引用的文献

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J Am Heart Assoc. 2025 May 20;14(10):e038742. doi: 10.1161/JAHA.124.038742. Epub 2025 May 15.
2
Catheter-based pulmonary vein isolation fails to prevent transient atrial arrhythmogenic changes related to acute obstructive respiratory events in a porcine model.经导管肺静脉隔离未能预防猪模型中与急性阻塞性呼吸事件相关的短暂性心房致心律失常变化。
Europace. 2024 Jun 3;26(6). doi: 10.1093/europace/euae132.
3
Improving outcomes of AF ablation by integrated personalized lifestyle interventions: rationale and design of the prevention to improve outcomes of PVI (POP) trial.
通过综合个性化生活方式干预改善 AF 消融的结局：预防改善 PVI（POP）试验结局的个性化生活方式干预研究的原理和设计。
Clin Res Cardiol. 2023 Jun;112(6):716-723. doi: 10.1007/s00392-023-02185-5. Epub 2023 Mar 31.
4
Treating Obstructive Sleep Apnea and Atrial Fibrillation: Focus on Substrate, Triggers, and Those Evasive Outcomes.治疗阻塞性睡眠呼吸暂停与心房颤动：关注基质、触发因素及难以捉摸的结局。
JACC Clin Electrophysiol. 2022 Jul;8(7):878-881. doi: 10.1016/j.jacep.2022.06.001.
5
Continuous Positive Airway Pressure Treatment Decreases the Risk of Atrial Fibrillation Recurrence in Patients with Obstructive Sleep Apnea after Radiofrequency Ablation.持续气道正压通气治疗可降低射频消融术后合并阻塞性睡眠呼吸暂停患者心房颤动复发风险。
Int Heart J. 2022 Jul 30;63(4):716-721. doi: 10.1536/ihj.22-129. Epub 2022 Jul 14.
6
Effect of continuous positive airway pressure therapy on recurrence of atrial fibrillation after pulmonary vein isolation in patients with obstructive sleep apnea: A randomized controlled trial.持续气道正压通气治疗对阻塞性睡眠呼吸暂停患者肺静脉隔离术后心房颤动复发的影响：一项随机对照试验。
Heart Rhythm. 2022 Sep;19(9):1433-1441. doi: 10.1016/j.hrthm.2022.06.016. Epub 2022 Jun 16.
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Treating obstructive sleep apnea with continuous positive airway pressure reduces risk of recurrent atrial fibrillation after catheter ablation: a meta-analysis.经持续气道正压通气治疗阻塞性睡眠呼吸暂停可降低导管消融后复发性心房颤动的风险：一项荟萃分析。
Sleep Med. 2018 Jun;46:5-11. doi: 10.1016/j.sleep.2018.02.013. Epub 2018 Mar 22.
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N Engl J Med. 2016 Sep 8;375(10):919-31. doi: 10.1056/NEJMoa1606599. Epub 2016 Aug 28.
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The Impact of Age on 5-Year Outcomes After Atrial Fibrillation Catheter Ablation.年龄对心房颤动导管消融术后5年结局的影响。
J Cardiovasc Electrophysiol. 2016 Feb;27(2):141-6. doi: 10.1111/jce.12849. Epub 2015 Nov 20.