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| Name | Class |
|---|---|
| Itamar-Medical, Israel | INDUSTRY |
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The investigators will screen consecutive patients presenting to the atrial fibrillation clinic for sleep apnea using a FDA-approved home sleep testing device, WatchPAT to determine prevalence of sleep apnea in a clinic-based sample.
The investigators will determine the prevalence of sleep apnea among consecutive patients with atrial fibrillation (AF) regardless of symptoms and determine the predictive value of screening tools for sleep apnea in this population. The primary outcome will be the prevalence of sleep apnea among all-comers with AF. Three secondary outcomes will be evaluated in the study. Investigators will determine the efficiency and time-to-diagnosis of sleep apnea using a FDA approved home sleep testing device (i.e. WatchPAT). These analyses will be compared to published studies performed using a traditional home sleep study test (which historically takes approximately 8-10 weeks). There will be no collection of data from a non-intervention group in our study. Second, investigtaors will calculate the predictive value of traditional clinical screening tools in an AF population using the STOP-BANG questionnaire and Epworth Sleepiness Scale. Third, investigators will identify potential risk factors for AF in patients with sleep apnea using a logistic regression model.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WatchPAT | Device | FDA-approved portable home sleep testing device worn on the wrist. |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of sleep apnea | Prevalence of sleep apnea among patients with atrial fibrillation | 2 year study |
| Measure | Description | Time Frame |
|---|---|---|
| Time to diagnosis | We will determine the efficiency and time-to-diagnosis of sleep apnea using a FDA approved home sleep testing device (i.e. WatchPAT) | 2 years |
| Predictive value of typical screening tools |
| Measure | Description | Time Frame |
|---|---|---|
| Autonomic index | Compare autonomic index in patients with AF who have sleep apnea versus those without sleep apnea | 2 years |
| Insomnia Severity Index | Assess prevalence of insomnia among consecutive patients with atrial fibrillation |
Inclusion Criteria:
Exclusion Criteria:
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Patients who are referred to the Atrial Fibrillation Center of Excellence by their primary care provider or primary cardiologist will be screened by eligibility by study staff during their first clinic visit (in-person or virtually).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sogol Javaheri, MD | Contact | 617-983-7280 | sjavaheri@bwh.harvard.edu | |
| Elliott Antman, MD | Contact | eantman@rics.bwh.harvard.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Recruiting | Boston | Massachusetts | 02215 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37019195 | Derived | Mills EW, Cassidy M, Sofer T, Tadros T, Zei P, Sauer W, Romero J, Martin D, Antman EM, Javaheri S. Evaluation of obstructive sleep apnea among consecutive patients with all patterns of atrial fibrillation using WatchPAT home sleep testing. Am Heart J. 2023 Jul;261:95-103. doi: 10.1016/j.ahj.2023.03.014. Epub 2023 Apr 3. |
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| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
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We calculate the predictive value of traditional clinical screening tools in an AF population using the STOP-BANG questionnaire and Epworth Sleepiness Scale
| 2 years |
| Quality of life | We will compare quality of life using the MAFSI in atrial fibrillation patients with and without sleep apnea. | 2 years |
| Risk factors | We will identify potential risk factors for AF in patients with sleep apnea using a logistic regression model | 2 years |
| 2 years |
| D020920 |
| Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |