Sleep-Disordered Breathing in Patients with Heart Failure: New Trends in Therapy

Heart failure (HF) is a growing health problem which paradoxically results from the advances in the treatment of etiologically related diseases (especially coronary artery disease). HF is commonly accompanied by sleep-disordered breathing (SDB), which may directly exacerbate the clinical manifestati...

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Bibliographic Details
Published in:BioMed research international 2013-01, Vol.2013 (2013), p.1-10
Main Authors: Gielerak, Grzegorz, Krzyżanowski, Krystian, Krzesiński, Paweł, Kazimierczak, Anna
Format: Article
Language:English
Subjects:
Apnea
Cardiac patients
Care and treatment
Cheyne-Stokes Respiration
Complications and side effects
Health aspects
Heart failure
Heart Failure - complications
Heart Failure - therapy
Humans
Noninvasive Ventilation
Prognosis
Review
Risk factors
Sleep apnea syndromes
Sleep Apnea Syndromes - complications
Sleep Apnea Syndromes - therapy
Sleep Apnea, Central - complications
Sleep Apnea, Central - therapy
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - therapy
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Summary:Heart failure (HF) is a growing health problem which paradoxically results from the advances in the treatment of etiologically related diseases (especially coronary artery disease). HF is commonly accompanied by sleep-disordered breathing (SDB), which may directly exacerbate the clinical manifestations of cardiovascular disease and confers a poorer prognosis. Obstructive sleep apnoea predominates in mild forms while central sleep apnoea in more severe forms of heart failure. Identification of SDB in patients with HF is important, as its effective treatment may result in notable clinical benefits to the patients. Continuous positive airway pressure (CPAP) is the gold standard in the management of SDB. The treatments for central breathing disorders include CPAP, bilevel positive airway pressure (BPAP), and adaptive servoventilation (ASV), with the latter being the most modern method of treatment for the Cheyne-Stokes respiration and involving ventilation support with a variable synchronisation dependent on changes in airflow through the respiratory tract and on the patient’s respiratory rate. ASV exerts the most favourable effect on long-term prognosis. In this paper, we review the current state of knowledge on the diagnosis and treatment of SDB with a particular emphasis on the latest methods of treatment.
ISSN:2314-6133
2314-6141
DOI:10.1155/2013/459613