Obstructive sleep apnea and heart failure.

Current Treatment Options in Cardiovascular Medicine
Andrew D CalvinVirend K Somers

Abstract

Obstructive sleep apnea (OSA) exerts several effects that may be particularly deleterious in patients with heart failure (HF). OSA should be considered especially in HF patients who are obese or have the metabolic syndrome, systemic hypertension, or pulmonary hypertension. HF patients in whom OSA is suspected should undergo a full evaluation by a sleep specialist, including a polysomnogram, to diagnose OSA and differentiate this disease from central sleep apnea. Those found to have OSA should then receive continuous positive airway pressure and/or other interventions, and standard disease management strategies should be used to maximize compliance. Those who cannot tolerate continuous positive airway pressure may be candidates for mandibular advancement devices or surgical therapies including tracheostomy. Standard HF medications should be used to treat HF, and optimization of fluid balance may help minimize OSA severity. However, it is still unknown whether treatment of OSA in HF patients will reduce hospitalizations or mortality.

References

Feb 1, 1992·The American Review of Respiratory Disease·T D BradleyP P Liu
Feb 1, 1994·American Journal of Respiratory and Critical Care Medicine·D SajkovR D McEvoy
Apr 29, 1993·The New England Journal of Medicine·T YoungS Badr
May 22, 1996·JAMA : the Journal of the American Medical Association·D LevyK K Ho
Aug 11, 1997·Archives of Internal Medicine·T YoungJ Skatrud
Oct 8, 1998·The European Respiratory Journal·H SchäferB Lüderitz
Apr 1, 1999·Journal of Hypertension·B G PhillipsV K Somers
Oct 6, 1999·American Journal of Respiratory and Critical Care Medicine·D D SinT D Bradley
Mar 17, 2000·The Journal of Clinical Endocrinology and Metabolism·A N VgontzasG P Chrousos
Feb 28, 2002·American Journal of Epidemiology·Wael K Al-DelaimyFrank B Hu
Mar 28, 2003·The New England Journal of Medicine·Yasuyuki KanekoT Douglas Bradley
Nov 5, 2003·American Journal of Respiratory and Critical Care Medicine·Darren R MansfieldMatthew T Naughton
Jul 14, 2004·Chest·Charles W AtwoodUNKNOWN American College of Chest Physicians
Sep 9, 2004·American Journal of Epidemiology·Naresh M PunjabiUNKNOWN Sleep Heart Health Study Investigators
Jul 9, 2005·Journal of Applied Physiology·M J CampenC P O'Donnell
Aug 2, 2005·The European Respiratory Journal·D DursunogluF Fisekci
Oct 20, 2005·The Cochrane Database of Systematic Reviews·S SundaramT J Lasserson
Nov 12, 2005·The New England Journal of Medicine·T Douglas BradleyUNKNOWN CANPAP Investigators
Apr 21, 2006·The Cochrane Database of Systematic Reviews·I SmithJ Wright
May 24, 2006·Heart·E IngelssonJ Sundström
Sep 20, 2006·Archives of Internal Medicine·Michael ArztT Douglas Bradley
Sep 30, 2006·Circulation Research·Kurt R StenmarkMaria G Frid
Nov 1, 2006·The Laryngoscope·Arie OksenbergElena Arons
Feb 6, 2007·Journal of the American College of Cardiology·Apoor S GamiVirend K Somers
Apr 17, 2007·Journal of the American College of Cardiology·Hanqiao WangT Douglas Bradley

❮ Previous
Next ❯

Citations

Nov 10, 2011·Sleep & Breathing = Schlaf & Atmung·Ozcan OzekeAhmet Duran Demir
Sep 22, 2010·The Journal of Cardiovascular Nursing·Chelsea KociubaJim Rosneck

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Related Papers

Archives of Cardiovascular Diseases
Franck Boccara, Catherine Meuleman
American Journal of Respiratory and Critical Care Medicine
Terry YoungDaniel J Gottlieb
The New England Journal of Medicine
E A Phillipson
© 2022 Meta ULC. All rights reserved