Sleep-disordered Breathing in Cardiac Rehabilitation: Prevalence, Predictors, and Influence on the Six-Minute Walk Test

Screening for obstructive sleep apnoea in cardiac rehabilitation: A position statement from the Australian Centre for Heart Health and the Australian Cardiovascular Health and Rehabilitation Association

“…Therefore, a screening tool is necessary to stratify patients based on their clinical symptoms, their physical characteristics and their risk factors, in order to ascertain patients at high risk and in urgent need of PSG and/or further treatment such as CPAP and patients at low risk who may not need PSG and immediate treatment. While there are promising indications that unobtrusive portable objective instruments such as the Watch-PAT may be a useful alternative to PSG in cardiac rehabilitation 40 patients, more studies are required to assess the validity of such devices in this population. At present, questionnaires can be appropriate tools for quick prediction of OSA as they can be applied and scored easily as part of routine daily practice.…”

Prevalence, Impact, and Trajectories of Sleep Disturbance in Cardiac Rehabilitation

“…In CR, the first step, applicable to all participants in CR, could involve routine brief assessment of sleep quality, screening for sleep disorders that are highly prevalent in patients in CR, and provision of educational and monitoring materials to promote sleep health. Based on recommendations from a recent systematic review and meta-analysis,67 the Pittsburgh Sleep Quality Index could be administered upon CR enrollment to assess sleep quality (https://www.sleep.pitt.edu/instruments/), the Insomnia Severity Index could be used to screen for insomnia (https://eprovide.mapi-trust.org/instruments/insomnia-severity-index), and the STOP-BANG could be administered to screen for sleep apnea (http://www.stopbang.ca/osa/screening.php). Each of these self-report measures can be relatively quickly and easily completed by patients and scored by providers; measures may also be bypassed if diagnostic information is already known (eg, patient with sleep apnea is using PAP therapy).…”

“…In CR, the first step, applicable to all participants in CR, could involve routine brief assessment of sleep quality, screening for sleep disorders that are highly prevalent in patients in CR, and provision of educational and monitoring materials to promote sleep health. Based on recommendations from a recent systematic review and meta-analysis, 67 the Pittsburgh Sleep Quality Index could be administered upon CR enrollment to assess sleep quality (https://www. sleep.pitt.edu/instruments/), the Insomnia Severity Index could be used to screen for insomnia (https://eprovide.…”

“…Adjusting for sociodemographic and clinical characteristics, individuals at high risk for sleep apnea walked a significantly shorter distance than those at low risk for sleep apnea 51. Loo et al67 compared performance on the 6-min walk test in individuals with and without sleep disordered breathing, enrolled in CR. Individuals without sleep-disordered breathing outperformed those with objectively diagnosed sleep-disordered breathing on the 6-min walk test; however, adjusting for age, sex, and waist circumference, these differences were not statistically significant.…”

Assessment of Human Natriuretic Peptides (B), Human N-Terminal Pro-BNP and Nor-epinephrine as Neurohumoral Markers in Sleep Disordered Breathing among Heart Failure Patients in Upper Egypt

“…In addition to, higher level of (N-terminal proBNP<300 pg/ml) and nor-epinephrine (NE<300 pg/ml), similarly, Loo et al, studied 332 heart failure patients (mean age 62 ± 10 years) to determine possible predictors of sleep disordered breathing and demonstrated that neck circumference (OR=1.09; 95% (CI) 1 were independent predictors of SDB [14].…”