Night-time Elevation Angle in Heart Failure Patients Indicates Orthopnea and Paroxysmal Nocturnal Dyspnea

Abstract

self care domains to aid in preventing readmissions: reliable sources of information regarding heart failure, nutrition guidance, and exercise guidance. Older patients were resistant to the idea of telehealth as a platform to deliver information, while many younger patients were aware of telehealth and mobile technologies for disease management, but none had used these previously. Overall, 72% of patients reported having access to a smart phone or computer, while 100% of patients reported using the internet at least weekly. Conclusions: Patients in observation units for heart failure identified concerns with self care such as nutrition and exercise., Most patients did not report physician access or medication management as significant problems. Although patients report awareness and interest of telehealth, none had used mobile technology in their self care. This study provides data to create a mobile-technology based intervention for patients after an observation stay for acute heart failure.

Examining Chronic Insomnia and Cardiac Symptom Experience in the Cardiovascular Population

“…In reviewing previous studies, dyspnea has been found to have a positive relationship with disturbed sleep; participants with CVD reported that the experience of insomnia is associated with difficulty breathing and shortness of breath during the night as sleep is attempted, particularly when lying flat (Broström et al, 2001). Dyspnea has also been described as a cardinal sign of heart failure (Rials et al, 2017). Discrepancy in the result found in this study may be due to the adaptive behaviours of individuals with CVD.…”

“…Discrepancy in the result found in this study may be due to the adaptive behaviours of individuals with CVD. Rials et al (2017) suggest that individuals with worsening HF compensate for orthopnea and paroxysmal nocturnal dyspnea by increasing the angle with which they attempt to sleep (i.e. increasing the number of pillows behind them).…”

Sensors for rate‐adaptive pacing: How they work, strengths, and limitations

“…When the Sleep Incline measurement exceeded 14.8° there was a two in three chance that the patient was experiencing symptoms of orthopnea or PND. If the measurement was below 14.8°, there was nearly a nine in ten chance that the patient was not experiencing symptoms of orthopnea or paroxysmal nocturnal dyspnea 64,65 …”