Abstract
The normal sleep cycle is defined by variations in blood pressure, heart rate, and cardiac events. While these variations may be cardioprotective in a normal pattern of sleep, sleep apnea disrupts the normal sleep-cardiovascular interaction. Sleep-disordered breathing is common in people with heart failure, increasing the cardiovascular morbidity and mortality of these patients. In addition, obstructive and central sleep apnea can happen in the same patient, increasing the difficulty of diagnosis and treatment. Due to the increased risk of cardiovascular events, the correct diagnosis and approach are crucial in these patients. The authors intend to present the most recent data about the treatment of these conditions.
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References
Pearse SG, Cowie MR, Sharma R, Vazir A. Sleep-disordered breathing in heart failure. Eur Cardiol Rev. 2015;10(2):89–94. https://doi.org/10.15420/ecr.2015.10.2.89.
Jaarsma T, Hill L, Bayes-Genis A, et al. Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23(1):157–74. https://doi.org/10.1002/Ejhf.2008.
Cowie MR, Linz D, Redline S, Somers VK, Simonds AK. Sleep disordered breathing and cardiovascular disease: JACC state-of-the-art review. J Am Coll Cardiol. 2021;78(6):608–24. https://doi.org/10.1016/J.Jacc.2021.05.048.
Mehra R. Sleep apnea and the heart. Cleve Clin J Med. 2019;86:10–8. https://doi.org/10.3949/CCJM.86.S1.03.
Haruki N, Floras JS. Sleep-disordered breathing in heart failure: a therapeutic dilemma. Circ J. 2017;81(7):903–12. https://doi.org/10.1253/Circj.CJ-17-0440.
Javaheri S, Javaheri S. Obstructive sleep apnea in heart failure: current knowledge and future directions. J Clin Med. 2022;11(12):4–9. https://doi.org/10.3390/jcm11123458.
Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. J Clin Sleep Med. 2012;8(5):597–619. https://doi.org/10.5664/Jcsm.2172.
Javaheri S, Brown LK, Khayat RN. Update on apneas of heart failure with reduced ejection fraction: emphasis on the physiology of treatment: Part 2: central sleep apnea. Chest. 2020;157(6):1637–46. https://doi.org/10.1016/j.chest.2019.12.020.
Khattak HK, Hayat F, Pamboukian SV, Hahn HS, Schwartz BP, Stein PK. Obstructive sleep apnea in heart failure: review of prevalence, treatment with continuous positive airway pressure, and prognosis. Texas Hear Inst J. 2018;45(3):151–61. https://doi.org/10.14503/THIJ-15-5678.
Javaheri S, Brown LK, Abraham WT, Khayat R. Apneas of heart failure and phenotype-guided treatments: Part one: OSA. Chest. 2020;157(2):394–402. https://doi.org/10.1016/J.Chest.2019.02.407.
Wang T, Eskandari D, Zou D, Grote L, Hedner J. Increased carbonic anhydrase activity is associated with sleep apnea severity and related hypoxemia. Sleep. 2015;38(7):1067–1073B. https://doi.org/10.5665/Sleep.4814.
Terziyski K, Draganova A. Central sleep apnea with cheyne-stokes breathing in heart failure—from research to clinical practice and beyond. Adv Exp Med Biol. 2018;(1067):327–51. https://doi.org/10.1007/5584_2018_146.
Fudim M, Shahid I, Emani S, et al. Evaluation and treatment of central sleep apnea in patients with heart failure. Curr Probl Cardiol. 2022;47(12):101364. https://doi.org/10.1016/j.cpcardiol.2022.101364.
Orr JE, Safwan Badr M, Ayappa I, et al. Research priorities for patients with heart failure and central sleep apnea an Official American Thoracic Society research statement. Am J Respir Crit Care Med. 2021;203(6):E11–24. https://doi.org/10.1164/Rccm.202101-0190ST.
Cowie MR, Woehrle H, Wegscheider K, et al. Rationale and design of the SERVE-HF Study: treatment of sleep-disordered breathing with predominant central sleep apnoea with adaptive servo-ventilation in patients with chronic heart failure. Eur J Heart Fail. 2013;15(8):937–43. https://doi.org/10.1093/Eurjhf/hft051.
Meijer PM, Oudman KWE, Van der Leest S, et al. Nasal high flow therapy in heart failure patients with central sleep apnea: a report of disproportional occurrence of cardiac arrhythmias. Sleep Med. 2021;79:119–21. https://doi.org/10.1016/J.Sleep.2021.01.002.
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Miranda, H., Miranda, S., Cimbron, M., Barros, N. (2023). Sleep Breathing in Heart Failure. In: Esquinas, A.M., De Vito, A., Barbetakis, N. (eds) Upper Airway Disorders and Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-32487-1_30
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DOI: https://doi.org/10.1007/978-3-031-32487-1_30
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