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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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Heart failure and sleep disordered breathing.

Akiomi Yoshihisa1, Yasuchika Takeishi1

  • 1Department of Cardiovascular Medicine, Fukushima Medical University.

Fukushima Journal of Medical Science
|July 26, 2017
PubMed
Summary
This summary is machine-generated.

Sleep-disordered breathing (SDB) is common in heart failure (HF) patients. Treating SDB with positive airway pressure may improve outcomes for these individuals.

Keywords:
Sleep-disordered breathing (SDB)adaptive servo-ventilation (ASV)continuous positive airway pressure (CPAP)heart failure

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Area of Science:

  • Cardiology
  • Pulmonology
  • Sleep Medicine

Background:

  • Sleep-disordered breathing (SDB) frequently co-occurs with heart failure (HF).
  • Complex pathophysiological links exist between SDB and HF.
  • Understanding this relationship is crucial for patient management.

Purpose of the Study:

  • To review the characteristics of SDB in HF patients.
  • To examine the prognostic significance of SDB in HF.
  • To discuss the therapeutic benefits of positive airway pressure (PAP) for HF patients with SDB.

Main Methods:

  • Literature review of studies investigating SDB and HF.
  • Analysis of the impact of SDB on HF prognosis.
  • Evaluation of evidence for PAP therapy in this population.

Main Results:

  • SDB presents unique characteristics when complicating HF.
  • SDB is associated with a poorer prognosis in HF patients.
  • PAP therapy demonstrates favorable effects on HF outcomes in patients with SDB.

Conclusions:

  • SDB is an important comorbidity in heart failure.
  • Identifying and treating SDB in HF patients is clinically relevant.
  • Positive airway pressure is a promising therapeutic strategy for improving outcomes in HF patients with SDB.