Sleep-Disordered Breathing Occurs Frequently in Stable Outpatients With Congestive Heart Failure

Ferrier, Katherine; Campbell, Angela; Yee, Brendon J.; Richards, Mark; O’Meeghan, T.; Weatherall, Mark; Neill, Alister

doi:10.1378/chest.128.4.2116

Cited by 197 publications

(171 citation statements)

References 49 publications

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“…There were, however, large differences in the frequency of obstructive versus central apnoeas in these studies, which cannot be explained by differences in age, ethnicity, sex or medication, including angiotensin-converting enzyme inhibitors or b-blockers. The use of b-blockers, for example, was similar in the study by MARED et al [18] and FERRIER et al [19], but the frequency of central apnoeas and Cheyne-Stokes respiration differed considerably. All of these studies used different criteria to define central sleep apnoea in CheyneStokes respiration.…”

supporting

confidence: 54%

“…MARED et al [18] observed that 66% of Swedish males and females with CHF had Cheyne-Stokes respiration and only 4% had OSA. In a study from New Zealand, however, FERRIER et al [19] observed that only 15% of patients had central sleep apnoea and as many as 52% of patients had OSA. Taken together, these studies report sleep-disordered breathing in 50-70% of patients with CHF.…”

mentioning

confidence: 93%

See 1 more Smart Citation

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

Franklin¹

2007

European Respiratory Journal

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supporting

confidence: 54%

mentioning

confidence: 93%

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

Franklin¹

2007

European Respiratory Journal

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“…Also, Ferrier et al measured urinary catecholamines, and NT-BNP in 87 HF patients with left ventricular ejection fraction (LVEF<45%) and reported a significant increase in norepinephrine (NE) (P=0.013) and (NT-pro BNP) (P=0.001 * ) among HF with SDB [7]. Another study by Paulino et al who evaluated the prevalence of sleep apnea and measured plasma concentration level of BNP among 316 French patients with stable heart failure and demonstrated a significant increase in plasma concentration level of BNP in OSA patients as compared with CSA and No-SDB (501 ± 244 vs. 406 ± 50 pg/ml in CSA) and (501 ± 244 vs. 205 ± 44 pg/ml in CSA) [8].…”

Section: Discussionmentioning

confidence: 99%

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

Salama¹,

Omar²,

Sabour³

et al. 2017

J Clin Trials

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“…An a‐priori apnea‐hypopnea index (AHI) threshold of 10 events/h was used to determine the presence of OSA (Ferrier et al. 2005; Schulz et al. 2007).…”

Section: Methodsmentioning

confidence: 99%

Investigation of the link between fluid shift and airway collapsibility as a mechanism for obstructive sleep apnea in congestive heart failure

et al. 2017

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The increased prevalence of obstructive sleep apnea (OSA) in congestive heart failure (CHF) may be associated with rostral fluid shift. We investigated the effect of overnight rostral fluid shift on pharyngeal collapsibility (Pcrit), pharyngeal caliber (APmean), and apnea‐hypopnea index (AHI) in CHF patients. Twenty‐three optimally treated systolic CHF patients were studied. Neck circumference was measured immediately prior to sleep in the evening and immediately after waking in the morning as a marker of rostral fluid shift. Pcrit was measured during sleep, early and late in the night. APmean was measured using acoustic reflection at the same times as neck circumference measurements. 15/23 CHF patients experienced an overnight increase in neck circumference; overall neck circumference significantly increased overnight (mean±SD, evening: 41.7 ± 3.2 cm; morning: 42.3 ± 3.1 cm; P = 0.03). Pcrit increased significantly overnight (early‐night: −3.8 ± 3.3 cmH2O; late‐night: −2.6 ± 3.0 cmH2O; P = 0.03) and APmean decreased (evening: 4.2 ± 1.3 cm2; morning: 3.7 ± 1.3 cm2; P = 0.006). The total AHI correlated with neck circumference (r = 0.4; P = 0.04) and Pcrit (r = 0.5; P = 0.01). APmean correlated with neck circumference (r = −0.47; P = 0.02). There was no significant change in AHI between the first and second half of the night (first‐half: 12.9 ± 12.4/h; second‐half: 13.7 ± 13.3/h; P = 0.6). Overnight rostral fluid shift was associated with increased pharyngeal collapsibility and decreased pharyngeal caliber during sleep in CHF patients. Rostral fluid shift may be an important mechanism of OSA in this patient group.

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Sleep-Disordered Breathing Occurs Frequently in Stable Outpatients With Congestive Heart Failure

Cited by 197 publications

References 49 publications

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

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

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

Investigation of the link between fluid shift and airway collapsibility as a mechanism for obstructive sleep apnea in congestive heart failure

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