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Published on: August 16, 2021
Central sleep apnea interfering with adequate left ventricular filling in a patient with left ventricular assist
S Allan Schaffer1, Robert S Bercovitch, Heather J Ross
1Section of Cardiology, Department of Internal Medicine, St. Boniface General Hospital, WRHA Cardiac Sciences Program, University of Manitoba, Winnipeg, MB, Canada. allan.schaffer@utoronto.ca
Abstract:
Central sleep apnea is common in patients with advanced heart failure. Apneic episodes are associated with hypoxemia, hypercapnia, and neurohumoral activation resulting in a rise in pulmonary vascular resistance. This case report describes a patient with a left ventricular assist device implanted for severe heart failure in whom unrecognized central sleep apnea resulted in under-filling of the left ventricle and a reduction in left ventricular assist device inflow.
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