Cautions and Strategy for Treating Chronic Heart Failure by Using Adaptive Servo-Ventilation

Shiomi, Toshiaki; Sasanabe, Ryujiro; Watanabe, Yuko; Tokunaga, Yutaka

doi:10.1253/circj.cj-11-1331

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Thus, comparative studies are warranted to specify short-and long-term efficacy, advantages and disadvantages. 74 …”

Section: Long-term Effects Of Asv In Hf Patientsmentioning

confidence: 99%

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Cheyne-Stokes Respiration in Chronic Heart Failure

Oldenburg

2012

Circ J

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Sleep-disordered breathing (SDB) with predominant obstructive or central sleep apnea (OSA/CSA) with CheyneStokes respiration (CSR) is a common, but underestimated and underappreciated, comorbidity in patients with heart failure (HF). Regardless of the type of HF (systolic or diastolic) or its etiology (ischemic, non-ischemic, valvular etc), the prevalence of SDB is remarkably high in this patient group, at 70-76%. Even more so in HF than in the general population, OSA and CSA in particular are independently associated with an impaired prognosis. This review details the pathophysiology of CSA-CSR in HF, highlights the challenges and tools available for diagnosis, explains the concept of adaptive servoventilation (ASV) therapy, and summarizes the existing literature on the use of ASV therapy in HF patients in general and HF with reduced ejection fraction in particular. (Circ J 2012; 76: 2305 -2317 Key Words: Adaptive servoventilation; Cheyne-Stokes respiration; Heart failure; Sleep-disordered breathing Figure 1. Scheme of the relative prevalence and importance of obstructive (OSA) and central sleep apnea (CSA) according to heart failure severity. With increasing impairment in cardiac function there is an increase in CSA prevalence. NYHA, New York Heart Association class.

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“…Thus, comparative studies are warranted to specify short-and long-term efficacy, advantages and disadvantages. 74 …”

Section: Long-term Effects Of Asv In Hf Patientsmentioning

confidence: 99%

“…26, 112 In this context, national guidelines vary on the preferred mode of therapy, but the most recent include ASV. 26, 74 …”

Section: -85mentioning

confidence: 99%

Cheyne-Stokes Respiration in Chronic Heart Failure

Oldenburg

2012

Circ J

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Advanced positive airway pressure modes: adaptive servo ventilation and volume assured pressure support

Selim

Ramar

2016

Expert Review of Medical Devices

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One hundred twenty relevant articles were identified by Scopus, PubMed, and Embase databases from January 2010 to 2016, using a combination of MeSH terms and keywords. Articles were further supplemented by pearling. Recommendations were based on the literature review and the authors' expertise in this area. Expert commentary: ASV and VAPS differ in their respiratory targets and response to a respiratory fluctuation. The VAPS mode targets a more consistent minute ventilation, being recommended in the treatment of sleep related hypoventilation disorders, while ASV mode attempts to provide a more steady breathing airflow pattern, treating successfully most central sleep apnea syndromes.

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Cautions and Strategy for Treating Chronic Heart Failure by Using Adaptive Servo-Ventilation

Cited by 2 publications

References 14 publications

Cheyne-Stokes Respiration in Chronic Heart Failure

Cheyne-Stokes Respiration in Chronic Heart Failure

Advanced positive airway pressure modes: adaptive servo ventilation and volume assured pressure support

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