Quality of life in patients with congestive heart failure and central sleep apnea

Carmona-Bernal, Carmen; Ruiz-García, A.; Villa-Gil, Manuel; Sánchez‐Armengol, Ángeles; Quintana‐Gallego, Esther; Ruiz, Francisco Órtega; Barón-Esquivias, Gonzalo; Capote, Francisco

doi:10.1016/j.sleep.2007.11.008

Cited by 49 publications

(27 citation statements)

References 25 publications

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“…Carmona-Bernal et al [32] evaluated patients with and without CSR with two QoL questionnaires. The Minnesota Living with Heart Failure questionnaire focuses on domains such as physical activity, fatigue, social relations and mood, which are typically affected by CHF.…”

Section: Consequences Of Csrmentioning

confidence: 99%

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Cheyne-Stokes Respiration in Patients with Heart Failure: Prevalence, Causes, Consequences and Treatments

Brack¹,

Randerath

Bloch

2011

Respiration

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Cheyne-Stokes respiration (CSR) is characterized by a pattern of cyclic oscillations of tidal volume and respiratory rate with periods of hyperpnea alternating with hypopnea or apnea in patients with heart failure. CSR harms the failing heart through intermittent hypoxia brought about by apnea and hypopnea and recurrent sympathetic surges. CSR impairs the quality of life and increases cardiac mortality in patients with heart failure. Thus, CSR should actively be pursued in patients with severe heart failure. When CSR persists despite optimal therapy of heart failure, noninvasive adaptive servoventilation is currently the most promising treatment.

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Section: Consequences Of Csrmentioning

confidence: 99%

“…The Functional Outcome of Sleep Questionnaire evaluates domains affected by sleep disorders such as productivity, activity and vigilance. Both questionnaires revealed impaired QoL in patients with CSR, highlighting the clinical relevance of CSR [32]. …”

Section: Consequences Of Csrmentioning

confidence: 99%

Cheyne-Stokes Respiration in Patients with Heart Failure: Prevalence, Causes, Consequences and Treatments

Brack¹,

Randerath

Bloch

2011

Respiration

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“…31 QOL is substantially impaired by SDB, and HF patients with CSR-CSA have a worse QOL than those with CHF alone. 32 In Japanese studies of HF, the Specific Activity Scale is frequently used as a measure of QOL because it has been shown to reliably predict exercise capacity and physical activity in daily life. 23 The present study confirmed in the setting of a randomized trial that sustained treatment with nocturnal oxygen over 12 months produced a continuous rise in the Specific Activity Scale in patients with CHF and CSR-CSA, in conjunction with an improvement in sleep quality.…”

Section: Discussionmentioning

confidence: 99%

Improvement of Quality of Life With Nocturnal Oxygen Therapy in Heart Failure Patients With Central Sleep Apnea

Sasayama

Izumi

Matsuzaki

et al. 2009

Circ J

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“…In addition, Cheyne-Stokes respiration with central sleep apnea (CSR-CSA) that includes central apnea and hyperventilation has been reported to be an important prognostic factor of chronic HF [2], and closely related to worsening quality of life (QOL) in HF patients [3]. Here we report the case of an elderly patient with severe CSR-CSA that was associated with chronic HF for whom one of the interventions, adaptive-servo ventilation (ASV; HEART PAP TM , Respironics, Inc., Murrysville, PA, USA), was markedly effective.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of adaptive-servo ventilation (HEART PAP™) for an elderly patient with chronic heart failure who had Cheyne–Stokes respiration with central sleep apnea

Usui

Takata

Asano

et al. 2010

Journal of Cardiology Cases

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An 82-year-old male patient, who had been diagnosed with chronic heart failure due to dilated cardiomyopathy and combined valvular disease and who had atrial fibrillation with complete atrioventricular block, was admitted to our hospital owing to the exacerbation of chronic heart failure. During admission, the patient became aware of drowsiness during daytime hours and had periodic apnea during sleep. Polysomnography (PSG) revealed Cheyne-Stokes respiration with severe central sleep apnea as evidenced by an apnea-hypopnea index (AHI) of 93.5/h. Nocturnal oxygen therapy failed to sufficiently suppress apnea, and arousal reactions occurred frequently. Therefore, we conducted titration by adaptive-servo ventilation (ASV; HEART PAP TM ). Consequently, subjective symptoms and respiratory sleep parameters improved. The patient showed excellent adherence to loading the device at home. PSG at 3 months after implementation of HEART PAP TM indicated improvement in the AHI to 13.5/h, and the patient exhibited marked improvements in breathlessness and awareness of drowsiness during daytime hours. HEART PAP TM was found to be a useful device for Cheyne-Stokes respiration with central sleep apnea that is associated with chronic heart failure even for very elderly patients.

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Quality of life in patients with congestive heart failure and central sleep apnea

Cited by 49 publications

References 25 publications

Cheyne-Stokes Respiration in Patients with Heart Failure: Prevalence, Causes, Consequences and Treatments

Cheyne-Stokes Respiration in Patients with Heart Failure: Prevalence, Causes, Consequences and Treatments

Improvement of Quality of Life With Nocturnal Oxygen Therapy in Heart Failure Patients With Central Sleep Apnea

Efficacy of adaptive-servo ventilation (HEART PAP™) for an elderly patient with chronic heart failure who had Cheyne–Stokes respiration with central sleep apnea

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