Sleep-disordered breathing and heart failure a dangerous liaison
Susanne Brenner1, Christiane Angermann, Berthold Jany
1Medizinische Klinik und Poliklinik I, Kardiologie, Klinikum der Universität Würzburg, Würzburg, Germany. brenner_s@klinik.uni-wuerzburg.de
Trends in Cardiovascular Medicine
|February 24, 2009
Summary
Heart failure is a leading cause of death, and sleep-disordered breathing worsens this condition. This review covers interactions and treatments for sleep apnea and heart failure, proposing a diagnostic and treatment algorithm.
Area of Science:
- Cardiology
- Pulmonology
- Sleep Medicine
Background:
- Heart failure is a major cause of death and hospitalization in industrialized nations.
- Sleep-disordered breathing (SDB) negatively impacts quality of life and exacerbates heart failure.
- SDB presents a significant challenge in managing heart failure patients.
Purpose of the Study:
- To review the pathophysiological interactions between obstructive and central sleep apnea and heart failure.
- To describe current treatment options for SDB in heart failure patients.
- To propose a diagnostic and treatment algorithm for SDB in heart failure.
Main Methods:
- Literature review of pathophysiological interactions.
- Analysis of current treatment strategies for SDB in heart failure.
- Development of a diagnostic and treatment algorithm based on existing evidence.
Main Results:
- Detailed review of the complex interplay between sleep apnea and heart failure.
- Overview of therapeutic interventions for SDB, including positive airway pressure therapy.
- Presentation of a structured approach to diagnosing and managing SDB in heart failure.
Conclusions:
- Sleep-disordered breathing is a critical comorbidity in heart failure requiring attention.
- Effective management of SDB can potentially improve outcomes for heart failure patients.
- Further research is needed to optimize SDB treatment strategies in heart failure.
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