# The Impact of Transcatheter or Surgical Defect Closure on Self-Reported Sleep Quality in Adults with Atrial Septal Defect

## TL;DR

This study found that closing atrial septal defects in adults improves sleep quality, with faster benefits seen with transcatheter methods.

## Contribution

The study compares sleep quality improvements after transcatheter and surgical ASD closure in adults.

## Key findings

- Transcatheter closure significantly improved sleep quality six months post-procedure.
- Surgical closure also improved sleep quality, but with delayed effects compared to transcatheter closure.
- PSQI scores were better after transcatheter closure than after surgical closure at six months.

## Abstract

Sleep quality in those with cardiovascular disease is significantly lower
than in the general population. This study aimed to explore the effect of
transcatheter or surgical closure of atrial septal defect (ASD) on sleep
quality.

One hundred nineteen adult patients with ASD who underwent transcatheter or
surgical closure were included in the study. Sleep quality was investigated
prospectively just before defect closure and six months after defect
closure. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep
quality of these patients.

PSQI scores were similar in both groups before the procedure in patients who
underwent both transcatheter and surgical closure. The PSQI scores six
months after transcatheter closure was significantly improved compared to
the PSQI score before transcatheter ASD closure (3.5 ± 2.0
vs. 6.9 ± 3.4, respectively;
P<0.001). The PSQI scores six months after surgical ASD
closure was significantly improved compared to the PSQI score before
surgical closure (4.8 ± 2.1 vs. 7.1 ± 2.0,
respectively; P<0.001). Total PSQI scores were also
statistically different at six months after transcatheter and surgical
closure (3.5 ± 2.0 vs. 4.8 ± 2.1,
P=0.014). However, six months after both transcatheter
and surgical closure, PSQI scores were significantly decreased in both
groups which was more pronounced in patients who underwent transcatheter
closure.

Transcatheter or surgical closure of the defect may be beneficial in
improving the sleep quality of adult patients with ASD. Delayed improvement
of sleep quality after surgical closure may be an important advantage for
transcatheter closure.