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Efficacy of catheter ablation of atrial fibrillation in patients with obstructive sleep apnoea with and without continuous positive airway pressure treatment: a meta-analysis of observational studies.

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资源类型：
Pubmed体系：
作者：
Li Li[1] * ; Wang Zeng-wu[2] ; Li Jie[1] ; Ge Xing[1] ; Guo Li-zhu[1] ; Wang Ying[1] ; Guo Wei-hua[1] ; Jiang Chen-xi[3] ; Ma Chang-sheng[1,3] ;
机构： [1]Cardiovascular Center, Beijing Tong Ren Hospital, Capital Medical University, Beijing, China [2]State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Disease, CAMC and PUMC, Beijing, China [3]Cardiology Department, Atrial Fibrillation Center, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
出处：
DOI： 10.1093/europace/euu066
ISSN：

摘要：
An association between obstructive sleep apnoea (OSA) and atrial fibrillation (AF) has been established. However, studies on the role of OSA in AF recurrence after catheter ablation have yielded conflicting results, and the effect of OSA treatment by continuous positive airway pressure (CPAP) on the success rate of AF catheter ablation is indeterminate. The aim of this meta-analysis was to investigate the rate of AF recurrence after catheter ablation in patients with AF with or without OSA and to evaluate the relationship between CPAP therapy and AF recurrence.We performed an online search and identified five studies involving 3743 patients with AF. Patients with OSA had a 31% greater risk of AF recurrence after catheter ablation than did patients without OSA [relative ratio (RR) = 1.31, P = 0.00], and this risk increased by 57% in patients with OSA not undergoing CPAP therapy (RR = 1.57, P = 0.00). However, CPAP users had a risk of AF recurrence similar to that of patients without OSA (RR = 1.25, P = 0.37), and this similarity was maintained even after the removal of study heterogeneity (RR = 0.99, P = 0.39).Obstructive sleep apnoea was associated with AF recurrence after catheter ablation. The efficacy of catheter ablation for AF was similar between patients without OSA and patients with OSA undergoing CPAP treatment.Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

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外文
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中科院(CAS)分区：
出版当年[2013]版：
大类 | 3 区 医学
小类 | 4 区 心脏和心血管系统
最新[2025]版：
大类 | 1 区 医学
小类 | 2 区 心脏和心血管系统
第一作者：
第一作者机构： [1]Cardiovascular Center, Beijing Tong Ren Hospital, Capital Medical University, Beijing, China
通讯作者：
通讯机构： [1]Cardiovascular Center, Beijing Tong Ren Hospital, Capital Medical University, Beijing, China [3]Cardiology Department, Atrial Fibrillation Center, Beijing An Zhen Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714)：
Li Li,Wang Zeng-wu,Li Jie,et al.Efficacy of catheter ablation of atrial fibrillation in patients with obstructive sleep apnoea with and without continuous positive airway pressure treatment: a meta-analysis of observational studies.[J].Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.2014,16(9):1309-14.doi:10.1093/europace/euu066.
APA：
Li Li,Wang Zeng-wu,Li Jie,Ge Xing,Guo Li-zhu...&Ma Chang-sheng.(2014).Efficacy of catheter ablation of atrial fibrillation in patients with obstructive sleep apnoea with and without continuous positive airway pressure treatment: a meta-analysis of observational studies..Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology,16,(9)
MLA：
Li Li,et al."Efficacy of catheter ablation of atrial fibrillation in patients with obstructive sleep apnoea with and without continuous positive airway pressure treatment: a meta-analysis of observational studies.".Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 16..9(2014):1309-14

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