Heart Failure Reviews

, Volume 14, Issue 3, pp 183–193

Sleep-disordered breathing in patients with decompensated heart failure

  • Martin A. Valdivia-Arenas
  • Michael Powers
  • Rami N. Khayat

DOI: 10.1007/s10741-008-9103-0

Cite this article as:
Valdivia-Arenas, M.A., Powers, M. & Khayat, R.N. Heart Fail Rev (2009) 14: 183. doi:10.1007/s10741-008-9103-0


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.


Acutely decompensated heart failureObstructive sleep apneaCentral sleep apneaSleep-disordered breathingCheyne–Stokes respiration

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Martin A. Valdivia-Arenas
    • 1
  • Michael Powers
    • 2
  • Rami N. Khayat
    • 3
  1. 1.Blanchard Valley Health SystemFindlayUSA
  2. 2.OSU Sleep Heart ProgramThe Ohio State UniversityColumbusUSA
  3. 3.Pulmonary, Allergy, Critical Care and Sleep MedicineThe Ohio State UniversityColumbusUSA