Why the study?
Obstructive sleep apnea worsens AF ablation outcomes and is often screened using the STOP-BANG questionnaire, but its validation in this population is lacking.
Does a home sleep apnea test device improve diagnostic accuracy for obstructive sleep apnea compared to the STOP-BANG questionnaire in patients referred for atrial fibrillation ablation?
Population
67 patients referred for their first AF ablation without prior OSA diagnosis
Comparison
STOP-BANG questionnaire vs peripheral arterial tonometry-based HSAT device
Design
Diagnostic accuracy study
Key result
A home sleep apnea test demonstrated superior diagnostic accuracy (97%) for detecting obstructive sleep apnea compared to the STOP-BANG questionnaire (84%) in atrial fibrillation ablation candidates.
Authors
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May favor HSAT for OSA screening in AF ablation candidates; leaves open whether accuracy gains improve outcomes.
Observational (n=67)
No
Does a home sleep apnea test device improve diagnostic accuracy for obstructive sleep apnea compared to the STOP-BANG questionnaire in patients referred for atrial fibrillation ablation?
Absolute Event Rate: 97% vs 84%
p-value: p=<0.002
A home sleep apnea test device provides superior diagnostic accuracy for obstructive sleep apnea compared to the STOP-BANG questionnaire in patients undergoing atrial fibrillation ablation.
Vermeer et al. (2025) conducted an observational in Atrial fibrillation (n=67). Home sleep apnea test (HSAT) vs. STOP-BANG questionnaire was evaluated on Diagnostic accuracy for obstructive sleep apnea (p=<0.002). A home sleep apnea test demonstrated superior diagnostic accuracy (97%) for detecting obstructive sleep apnea compared to the STOP-BANG questionnaire (84%) in atrial fibrillation ablation candidates.