Heart Failure Reviews

, Volume 14, Issue 3, pp 183-193

First online:

Sleep-disordered breathing in patients with decompensated heart failure

  • Martin A. Valdivia-ArenasAffiliated withBlanchard Valley Health System
  • , Michael PowersAffiliated withOSU Sleep Heart Program, The Ohio State University
  • , Rami N. KhayatAffiliated withPulmonary, Allergy, Critical Care and Sleep Medicine, The Ohio State University Email author 

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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.


Acutely decompensated heart failure Obstructive sleep apnea Central sleep apnea Sleep-disordered breathing Cheyne–Stokes respiration