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Sleep-disordered breathing in patients with decompensated heart failure

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Abstract

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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Authors and Affiliations

  1. Blanchard Valley Health System, Findlay, OH, USA

    Martin A. Valdivia-Arenas

  2. OSU Sleep Heart Program, The Ohio State University, Columbus, OH, USA

    Michael Powers

  3. Pulmonary, Allergy, Critical Care and Sleep Medicine, The Ohio State University, Columbus, OH, USA

    Rami N. Khayat

Authors
  1. Martin A. Valdivia-Arenas
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  2. Michael Powers
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  3. Rami N. Khayat
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Correspondence to Rami N. Khayat.

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Valdivia-Arenas, M.A., Powers, M. & Khayat, R.N. Sleep-disordered breathing in patients with decompensated heart failure. Heart Fail Rev 14, 183–193 (2009). https://doi.org/10.1007/s10741-008-9103-0

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  • DOI: https://doi.org/10.1007/s10741-008-9103-0

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