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Related Concept Videos

Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Alterations in Respiration II01:30

Alterations in Respiration II

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There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
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Sleep Apnea01:21

Sleep Apnea

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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.
The condition is more prevalent among...
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Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

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Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
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Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

410
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
410
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

379
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach
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Sleep Breathing Disorders in Heart Failure.

Amanda C Coniglio1, Robert J Mentz2

  • 1Department of Medicine, Duke University School of Medicine, Durham, NC, USA.

Heart Failure Clinics
|November 19, 2019
PubMed
Summary

Sleep-disordered breathing is common in heart failure patients and linked to worse outcomes. Screening all heart failure patients for sleep-disordered breathing is recommended.

Keywords:
Adaptive servoventilationCentral sleep apneaHeart failureObstructive sleep apneaPhrenic nerve stimulationSleep-disordered breathing

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Area of Science:

  • Cardiology
  • Pulmonology
  • Sleep Medicine

Background:

  • Sleep-disordered breathing (SDB) is prevalent in heart failure (HF) patients.
  • SDB is associated with reduced left ventricular ejection fraction (EF), increased arrhythmias, and higher mortality.
  • Current treatments like continuous positive airway pressure (CPAP) show benefits in HF patients.

Purpose of the Study:

  • To review the impact of SDB on heart failure outcomes.
  • To discuss current and emerging treatment options for SDB in HF.
  • To emphasize the importance of screening HF patients for SDB.

Main Methods:

  • Literature review of studies on SDB and HF.
  • Analysis of treatment efficacy for SDB in HF patients.
  • Discussion of emerging therapies like phrenic nerve stimulation.

Main Results:

  • SDB negatively impacts HF prognosis, correlating with lower EF and increased mortality.
  • CPAP therapy demonstrates short- and long-term benefits for HF patients.
  • Adaptive servoventilation (ASV) is not recommended for HF patients with low EF and predominant central sleep apnea (CSA), though ongoing trials may clarify its role.

Conclusions:

  • All heart failure patients should be screened for SDB.
  • Phrenic nerve stimulation presents a promising new treatment avenue.
  • Further research is needed to define the role of ASV in specific HF populations.