Page 117 - GTM-3-4

Global Translational Medicine

BRIEF REPORT
Capability of questionnaires to screen for sleep

apnea in patients with tachyarrhythmias

Yuliya Dmitrievna Weissman 1,2† * , Azamat Maratovich Baymukanov 1† ,
Irina Andreevna Bulavina 1 , Maria Vladimirovna Yunayeva 1 ,
Artem Anatolievich Evmenenko 1 , Ilya Leonidovich Ilyich 1 ,
and Sergey Arturovich Termosesov 1

1 Department of Electrophysiology and Cardiac Pacing, Moscow City Clinical Hospital after V.M.
Buyanov, Moscow, Russian Federation
2 World-Class Research Center “Digital Biodesign and Personalized Healthcare”, Sechenov First
Moscow State Medical University, Moscow, Russian Federation
(This article belongs to the Special Issue: Special Issue of Global Translational Medicine in the
Fourth RCCCDT-2024)

Abstract

Early screening for sleep apnea in patients with tachyarrhythmia is particularly
relevant for managing their treatment. Herein, we aimed to assess the screening
capabilities of the Berlin Questionnaire, STOP-BANG Sleep Apnea Risk Scale, and
Epworth Sleepiness Scale in patients with atrial fibrillation (AF) and atrial flutter.
† These authors contributed equally This study included 207 patients with tachyarrhythmia. The patients were asked to
to this work.
fill the three questionnaires. Respiratory monitoring was performed, and the cohort
*Corresponding author: was divided into two groups: those with sleep apnea (Group I) and those without
Yuliya Dmitrievna Weissman
(judy50@mail.ru) sleep apnea (Group II). Sleep apnea was identified in 155 patients. The remaining
52 patients did not have sleep apnea. Patients in Group I were older (64 vs. 57 years;
Citation: Weissman YD, P = 0.001) and had a higher body mass index (34 vs. 31.65 kg/m²; P = 0.027), waist
Baymukanov AM, Bulavina IA, et al.
Capability of questionnaires to circumference (114 vs. 108 cm; P = 0.001), and neck circumference (43 cm vs. 41 cm;
screen for sleep apnea in patients P = 0.001) than patients in Group II. Type-2 diabetes (59 vs. 8; P = 0.004), heart failure
with tachyarrhythmias. Global (OR 0.797 [95% CI:0.683–0.929]; P = 0.004), and AF (OR 1.252 [95% CI:1.088–1.441];
Transl Med. 2024:3(4):5059.
doi: 10.36922/gtm.5059 P = 0.013) were more common in Group I than in Group II. Eighty-seven patients
exhibited paroxysmal AF. The Berlin (area under the curve [AUC] 0.709; sensitivity
Received: October 7, 2024
80%; specificity 54%) and STOP-BANG (AUC 0.708; sensitivity 79%; specificity 46%)
Accepted: December 10, 2024 Questionnaires effectively identified sleep apnea. The Epworth Sleepiness Scale had
Published Online: December 27, a low predictive ability for sleep apnea (sensitivity 15%; specificity 87%; AUC 0.543).
2024 Thus, the Berlin Questionnaire and STOP-BANG Scale may be used to assess the risk
Copyright: © 2024 Author(s). of sleep apnea in patients with AF.
This is an Open Access article
distributed under the terms of the
Creative Commons Attribution Keywords: Sleep apnea syndromes; Mass screening; Atrial fibrillation; Radiofrequency
License, permitting distribution, ablation
and reproduction in any medium,
provided the original work is
properly cited.
Publisher’s Note: AccScience
Publishing remains neutral with 1. Introduction
regard to jurisdictional claims in
published maps and institutional According to the EPOCH-CHF study, the prevalence of atrial fibrillation (AF) in
affiliations. the European part of the Russian Federation is 2.04% or 2,040 patients per 100,000

Volume 3 Issue 4 (2024) 1 doi: 10.36922/gtm.5059