Clinical Study on the Effect of CPAP on AF Recurrence After Catheter Ablation in Patients with AF and OSA
NCT06542263 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 224
Last updated 2025-01-23
Summary
Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice, significantly increasing the risks of death, stroke, heart failure, cognitive impairment, and dementia, thus severely impacting patients' quality of life. However, for AF patients with concomitant cardiovascular risk factors, particularly those with obstructive sleep apnea (OSA), the success rate of catheter ablation is significantly reduced. Continuous positive airway pressure (CPAP) is currently an effective treatment for OSA, effectively correcting nocturnal intermittent hypoxia and fragmented sleep caused by OSA. However, the effect of CPAP therapy on AF recurrence in patients with OSA undergoing catheter ablation remains controversial. Faced with conflicting research findings, our team recently conducted a meta-analysis (registration number CRD42023398588) to assess the impact of CPAP on AF recurrence post catheter ablation in patients with AF and OSA, suggesting that CPAP significantly reduces AF recurrence post catheter ablation (RR = 0.58, P \< 0.01). However, considering the limited number of included studies, potential bias risks, and confounding factors, our meta-analysis results await further confirmation through real-world studies by our team. Therefore, our team plans to conduct further research on the impact of CPAP on AF recurrence post catheter ablation in patients with moderate to severe OSA, aiming to provide clinical guidance for the treatment of AF in patients with moderate to severe OSA.
Conditions
- Atrial Fibrillation
- Continuous Positive Airway Pressure
- Obstructive Sleep Apnea
- Recurrence
- Observational Study
Interventions
- DEVICE
-
CPAP
For the non-CPAP group, the intervention includes catheter ablation and conventional treatment for AF combined with OSA; For the CPAP group, the intervention includes catheter ablation and CPAP treatment for AF combined with OSA
Sponsors & Collaborators
-
Second Affiliated Hospital of Soochow University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-09
- Primary Completion
- 2026-08-01
- Completion
- 2026-08-01
Countries
- China
Study Locations
More Related Trials
-
Influence of Sleep Apnea on Risk of Atrial Fibrillation
NCT02576587 ·Status: COMPLETED ·Phase: NA
-
CPAP Treatment and Postoperative Outcomes in Patients With Rheumatic Valvular Heart Disease
NCT03398733 ·Status: COMPLETED ·Phase: NA
-
Effects of Continous Positive Airway Pressure (CPAP) in Hypertrophic Cardiomyopathy
NCT01631006 ·Status: COMPLETED ·Phase: NA
-
Feasibility Evaluation of CPAP in the Treatment of Obstructive Sleep Apnea Synchrone in the Acute Phase of Stroke
NCT02522819 ·Status: COMPLETED ·Phase: NA
-
the Pathophysiology of the Onset of Atrial Fibrillation in Obstructive Sleep Apnea
NCT06246825 ·Status: ENROLLING_BY_INVITATION
-
Sleep Apnea in Heart Failure With Preserved Ejection Fraction
NCT05008432 ·Status: COMPLETED
-
The Impact of Sleep Apnea Treatment on Physiology Traits in Chinese Patients With Obstructive Sleep Apnea
NCT02696629 ·Status: UNKNOWN
-
Continuous Positive Airway Pressure Treatment of Obstructive Sleep Apnea to Prevent Cardiovascular Disease
NCT00738179 ·Status: UNKNOWN ·Phase: PHASE3
-
Prospective Observational Registry for Obstructive Sleep Apnea in Patients With Acute Myocardial Infarction
NCT03600246 ·Status: COMPLETED
-
Evaluation of Breathing, Sleep and the Effects of Continuous Positive Airway Pressure During Wakefulness in Children With Heart Failure
NCT02414126 ·Status: COMPLETED ·Phase: NA
-
Risk Factors for Post-Operative Respiratory Complications in Patients at Risk for OSA
NCT02729077 ·Status: COMPLETED
-
Early Signs of Atherosclerosis in Obstructive Sleep Apnea: Effects of Treatment
NCT00400543 ·Status: COMPLETED ·Phase: PHASE4
-
Attentional Capacity and Working Memory in Coronary Artery Disease Patients: Impact of the Presence of a Sleep Apnea Syndrome and Chronic Effects of Treatment With CPAP
NCT02533050 ·Status: TERMINATED ·Phase: NA
-
The Influence of Mandibular Advancement Device Treating OSAHS on Primary Prevention of Ischemic Stroke
NCT03665818 ·Status: COMPLETED ·Phase: NA
-
Sleep Apnea in TIA/Stroke: Reducing Cardiovascular Risk With Positive Airway Pressure
NCT01446913 ·Status: COMPLETED ·Phase: NA
-
Effect of CPAP on Myocardial Dysfunction in Type 2 Diabetes Mellitus and Obstructive Sleep Apnea Patients
NCT03221205 ·Status: COMPLETED ·Phase: NA
-
The Correlation Between Sleep Quality and Atrial Fibrillation Undergoing High-flow Nasal Cannula Oxygen (HFNC)
NCT02713737 ·Status: UNKNOWN ·Phase: PHASE4
-
Mechanisms for Atrial Fibrillation in Obstructive Sleep Apnea
NCT06465134 ·Status: RECRUITING
-
Comparison of CPAP With SOMNOventCR in Patients With Underlying Heart Disease, Combined OSA and CSR
NCT00811668 ·Status: COMPLETED ·Phase: NA
-
Benefit of Cheyne-Stokes Respiration Remote Monitoring in CPAP-treated Patients With Obstructive Sleep Apnea to Detect Early Events of Heart Failure.
NCT03592108 ·Status: COMPLETED ·Phase: NA
-
The Effects of Obstructive Sleep Apnea and Its Intervention on Coronary Heart Disease
NCT02059993 ·Status: COMPLETED ·Phase: NA
-
Obstructive Sleep Apnea in the Absence of Metabolic Syndrome
NCT01635010 ·Status: COMPLETED ·Phase: PHASE4
-
Chronic Evaluation of Respicardia Therapy
NCT01124370 ·Status: COMPLETED ·Phase: PHASE2
-
Sleep Apnea-hypopnea Syndrome (SAHS) and Ventricular Arrhythmias
NCT00765713 ·Status: COMPLETED ·Phase: PHASE4
-
Risk Prediction of Difficult Tracheal Intubation in OSAHS Patient
NCT04506346 ·Status: UNKNOWN