Management of Sleep Apnea in Heart Failure

Ali Vazir; Varun Sundaram

doi:10.1016/j.hfc.2018.06.008

Management of Sleep Apnea in Heart Failure

Heart Fail Clin. 2018 Oct;14(4):635-642. doi: 10.1016/j.hfc.2018.06.008. Epub 2018 Aug 18.

Authors

Ali Vazir¹, Varun Sundaram²

Affiliations

¹ Department of Cardiology, Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London SW3 6NP, UK; Royal Brompton Hospital, National Heart and Lung Institute, Imperial College London, Dovehouse Street, London SW3 6LR, UK. Electronic address: A.vazir@imperial.ac.uk.
² Department of Cardiology, Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London SW3 6NP, UK; Royal Brompton Hospital, National Heart and Lung Institute, Imperial College London, Dovehouse Street, London SW3 6LR, UK; Case Western Reserve University School of Medicine, 2109 Adelbert Rd, Cleveland, Ohio 44106, USA.

PMID: 30266371
DOI: 10.1016/j.hfc.2018.06.008

Abstract

Sleep-disordered breathing (SDB) is highly prevalent in heart failure (HF). The presence of SDB in patients with HF appears to be associated with increased risk of cardiovascular morbidity and mortality. In this article, we describe the types, pathophysiology, and consequences of SDB and discuss ways in which SDB can be diagnosed. We also lay emphasis on the recent randomized controlled trials that have had a major impact on how SDB is managed and highlight the complex relationship between SDB and outcomes.

Keywords: Adaptive servo-ventilation; CPAP; Heart failure; Sleep apnea.

Publication types

Review

MeSH terms

Continuous Positive Airway Pressure / methods*
Disease Management*
Heart Failure / complications*
Heart Failure / physiopathology
Humans
Polysomnography*
Sleep Apnea Syndromes* / diagnosis
Sleep Apnea Syndromes* / etiology
Sleep Apnea Syndromes* / therapy
Ventricular Function / physiology*