Sleep and Heart Failure

Crit Care Nurs Clin North Am. 2015 Dec;27(4):511-22. doi: 10.1016/j.cnc.2015.07.008. Epub 2015 Sep 11.

Abstract

Sleep deprivation occurs for many reasons but, when chronic in nature, has many consequences for optimal health and performance. Despite its high prevalence, sleep-disordered breathing is underrecognized and undertreated. This is especially true in the setting of heart failure, where sleep-disordered breathing affects more than 50% of patients. Although the optimal strategy to best identify patients is currently unknown, concerted and consistent efforts to support early recognition, diagnosis, and subsequent treatment should be encouraged. Optimization of guideline-directed medical therapy and concurrent treatment of sleep-disordered breathing are necessary to improve outcomes in this complex high-risk population.

Keywords: Central sleep apnea; Heart failure; Noninvasive ventilator support; Obstructive sleep apnea; Sleep-disordered breathing.

Publication types

  • Review

MeSH terms

  • Continuous Positive Airway Pressure / methods
  • Heart Failure / complications*
  • Heart Failure / physiopathology
  • Humans
  • Polysomnography / methods
  • Sleep Apnea, Obstructive / diagnosis*
  • Sleep Apnea, Obstructive / physiopathology*