Abstract
Sleep apnea (SA) is a common comorbidity contributing to the progression of heart failure (HF) and is independently associated with increased morbidity, mortality, and hospital readmissions. The literature supports that effective treatment of SA (both obstructive and central) in HF improves cardiac function, morbidity, readmission rates, and mortality. Adaptive servo-ventilation (ASV) is the most advanced form of positive airway pressure therapy equipped with sophisticated algorithms providing automatic anti-cyclic variable inspiratory pressure support, automatic end expiratory positive airway pressure, and a backup rate. ASV effectively treats hybrid sleep-related breathing disorders consisting of both central and obstructive events and adapts to the changing and dynamic phenotype of the SA disorders observed in HF. This chapter reviews the algorithms and use of ASV devices in treatment of comorbid SA and HF.
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Javaheri, S., Javaheri, S. (2015). Nocturnal Noninvasive Ventilation in Heart Failure. In: Basner, R., Parthasarathy, S. (eds) Nocturnal Non-Invasive Ventilation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7624-6_3
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DOI: https://doi.org/10.1007/978-1-4899-7624-6_3
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