Sleep apnea in patients with heart failure: Could cardiac resynchronization therapy be the first line treatment?
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- 作者：Nicolas Girerd ; Corinne Depagne ; Pascale Nesme ; Gaë ; l Bourdin ; Julien Magne
- 关键词：Sleep apnea ; Sleep-disordered breathing ; Chronic heart failure ; Adaptive servo-ventilation ; Cardiac resynchronization therapy ; Bi-level positive airway pressure
- 刊名：International Journal of Cardiology
- 出版年：2010
- 出版时间：1 April 2010
- 年：2010
- 卷：140
- 期：1
- 页码：128-130
- 全文大小：78 K
文摘
Adaptive servo-ventilation as well as continuous and bi-level positive airway pressure seems to effectively treat sleep apnea syndrome (SAS) in patients with chronic heart failure (CHF), and to improve left ventricular function. However, no randomized data show a significant impact of ventilation on survival in patients with CHF. By contrast, there is overwhelming evidence that cardiac resynchronization therapy (CRT) improves outcomes in patients with CHF. CRT also provides a clinically significant decrease in SAS severity in patients with CHF. Consequently, CRT eligibility criteria should always be searched for in patients with severe CHF having SAS.