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Supportive Care in Heart Failure$
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James Beattie and Sarah Goodlin

Print publication date: 2008

Print ISBN-13: 9780198570288

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570288.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 19 October 2020

Sleep-disordered Breathing in Heart Failure

Sleep-disordered Breathing in Heart Failure

(p.189) Chapter 10 Sleep-disordered Breathing in Heart Failure
Supportive Care in Heart Failure

Lip Bun Tan

Thomas Köhnlein

Mark W.Elliot

Oxford University Press

This chapter discusses sleep-disordered breathing in heart failure (HF). The association between HF and sleep disturbance can be divided into two major categories: the symptoms of HF which result in direct disruption of sleep and insomnia; and sleep apnoea syndromes (central sleep apnoea syndrome (CSAS), which is usually a consequence of worsening HF; and obstructive sleep apnoea syndrome, which may be a precursor of cardiac diseases leading to the development of chronic HF). The diagnosis and treatment options for these categories are shown. The prognosis of patients with chronic HF seems to be significantly worse if CSAS is present. Treatment options include continuous positive airway pressure (CPAP) and supplemental oxygen. Adequately powered prospective randomized controlled trials with survival and health status as endpoints are needed to establish whether the correction of sleep-related abnormalities of breathing in patients with HF really does improve outcome.

Keywords:   heart failure, sleep-disordered breathing, sleep disturbance, central sleep apnoea syndrome, continuous positive airway pressure, supplemental oxygen, insomnia, sleep apnoea syndromes, diagnosis

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