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Review
. 2009 Sep;14(3):183-93.
doi: 10.1007/s10741-008-9103-0. Epub 2008 Aug 29.

Sleep-disordered breathing in patients with decompensated heart failure

Martin A Valdivia-Arenas  1 , Michael Powers, Rami N Khayat
Affiliations
Review

Sleep-disordered breathing in patients with decompensated heart failure

Martin A Valdivia-Arenas et al. Heart Fail Rev. 2009 Sep.

Abstract

Sleep-disordered breathing (SDB) has a higher prevalence in patients with heart failure than in the general middle-aged population. Obstructive sleep apnea (OSA), one of the forms of SBD, promotes poorly controlled hypertension, coronary events, and atrial fibrillation events that can lead to acutely decompensated heart failure (ADHF), and evidence suggests that untreated OSA increases mortality in patients with heart failure. Cheyne-Stokes respiration and central sleep apnea (CSA) have long been associated with heart failure and, in many patients, can coexist with OSA. In this article, we propose a systematic approach to diagnose and treat OSA in patients with ADHF based on current evidence.

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Figures

Fig. 1
Fig. 1
The reciprocal relationship between SDB and acute heart failure syndrome. OSA: obstructive sleep apnea; CSA: central sleep apnea; RV: right ventricle; LV: left ventricle; ↑: increased; ↓: decreased
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