Sleep apnoea screening in heart failure? Not until benefit is proven!

Franklin, Karl A.

doi:10.1183/09031936.00030507

Cited by 9 publications

(6 citation statements)

References 20 publications

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“…A systematic approach to the diagnosis and treatment of SDB, particularly OSA, may be an important contribution to the management of heart failure. However, such an approach is not part of the current standard of practice (24, 25)…”

Section: Introductionmentioning

confidence: 99%

In-hospital Testing for Sleep-disordered Breathing in Hospitalized Patients With Decompensated Heart Failure: Report of Prevalence and Patient Characteristics

Khayat

Jarjoura

Patt

et al. 2009

Journal of Cardiac Failure

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Section: Introductionmentioning

confidence: 99%

In-hospital Testing for Sleep-disordered Breathing in Hospitalized Patients With Decompensated Heart Failure: Report of Prevalence and Patient Characteristics

Khayat

Jarjoura

Patt

et al. 2009

Journal of Cardiac Failure

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“…Schulz and colleagues 40 recommended sleep studies in all HFrEF patients with LVEF <0.40; however, this idea has not been generally accepted, because of uncertainty about whether and how to treat OSA in this population and the need for treatment goals. 75 Currently, because of no guidelines, the indications for sleep studies to evaluate OSA in patients without HF apply equally to patients with HF: obesity, habitual snoring, witnessed apnea, unrefreshing sleep, excessive daytime sleepiness, and hypertension. Second, subjective excessive daytime sleepiness may be absent in patients with OSA and HF, so do they need CPAP treatment?…”

Section: Remaining Questions and Challengesmentioning

confidence: 99%

Obstructive Sleep Apnea in Heart Failure: Review of Prevalence, Treatment with Continuous Positive Airway Pressure, and Prognosis

Khattak¹,

Hayat²,

Pamboukian³

et al. 2018

Texas Heart Institute Journal

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Obstructive sleep apnea is a sleep-related breathing disorder that has a major impact on cardiovascular function. It has been associated with hypertension, coronary artery disease, cardiac arrhythmias, sudden cardiac death, and heart failure. This review focuses on the relationship between obstructive sleep apnea and heart failure with either reduced or preserved ejection fraction. We discuss the pathophysiology of obstructive sleep apnea, as well as its prevalence, treatment outcomes with continuous positive airway pressure, and prognosis in these 2 distinct types of heart failure. We also identify areas in which further work is needed to improve our understanding of this association in heart failure patients.

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“…Given the new evidence of increased mortality in patients with heart failure and untreated OSA [19], it is critical to establish a systematic approach to diagnose and treat OSA in patients with ADHF. However, such an approach is not part of the current standard of care [20, 21]. In the subsequent portion of this review, we will first discuss the effect of decompensated heart failure on SDB, followed by the role of SDB in worsening existing cardiac dysfunction.…”

Section: Sleep Disordered Breathing: a New Component In The Managemenmentioning

confidence: 99%

Sleep-disordered breathing in patients with decompensated heart failure

2008

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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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Sleep apnoea screening in heart failure? Not until benefit is proven!

Cited by 9 publications

References 20 publications

In-hospital Testing for Sleep-disordered Breathing in Hospitalized Patients With Decompensated Heart Failure: Report of Prevalence and Patient Characteristics

In-hospital Testing for Sleep-disordered Breathing in Hospitalized Patients With Decompensated Heart Failure: Report of Prevalence and Patient Characteristics

Obstructive Sleep Apnea in Heart Failure: Review of Prevalence, Treatment with Continuous Positive Airway Pressure, and Prognosis

Sleep-disordered breathing in patients with decompensated heart failure

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