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Assessment of sleep disordered breathing in patients with heart failure

Sandhya Matthes, Winfried Randerath
Breathe 2022 18: 220153; DOI: 10.1183/20734735.0153-2022
Sandhya Matthes
1Institute of Pneumology, University of Cologne, Solingen, Germany
2Hospital Bethanien Solingen, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Solingen, Germany
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Winfried Randerath
1Institute of Pneumology, University of Cologne, Solingen, Germany
2Hospital Bethanien Solingen, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Solingen, Germany
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    FIGURE 1

    Treatment of central sleep apnoea (CSA) in heart failure. OSA: obstructive sleep apnoea; CPAP: continuous positive airway pressure; AHI: apnoea–hypopnoea index; ASV: adaptive servoventilation; LVEF: left ventricular ejection fraction. Reproduced from [12].

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Assessment of sleep disordered breathing in patients with heart failure
Sandhya Matthes, Winfried Randerath
Breathe Sep 2022, 18 (3) 220153; DOI: 10.1183/20734735.0153-2022

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Assessment of sleep disordered breathing in patients with heart failure
Sandhya Matthes, Winfried Randerath
Breathe Sep 2022, 18 (3) 220153; DOI: 10.1183/20734735.0153-2022
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  • Article
    • Abstract
    • Does obstructive sleep apnoea play a relevant role in heart failure or do patients mainly show central sleep apnoea?
    • Are there clues in the history and clinical findings of HF patients that may point to underlying SDB or do we have to conduct sleep studies for reliable results?
    • Are you convinced that SDB has a definite impact on prognosis in patients with HF? Do you recommend screening in a stable phase of the disease or would you also conduct sleep studies following, for example, an acute myocardial event?
    • How long do you treat with conservative therapies such as drugs and nocturnal oxygen supplementation before you would consider a ventilator therapy? Do you always start with continuous positive airway pressure?
    • What is the role of adaptive servoventilation in patients with SDB and HF? Has the SERVE-HF trial changed your clinical practice? Do you have a set algorithm or do you tailor to each individual patient?
    • How do you improve adherence in patients, especially in those who do not suffer from daytime sleepiness and nightly waking? Is education the key or regular follow-up?
    • Is there a role for phrenic nerve stimulation?
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