Central Sleep Apnea in Congestive Heart Failure: Prevalence, Mechanisms, Impact, and Therapeutic Options

Shahrokh Javaheri, M.D.

Disclosures

Semin Respir Crit Care Med. 2005;26(1):44-55. 

In This Article

Summary

Heart failure with systolic and diastolic dysfunction is highly prevalent, is associated with excessive morbidity and mortality, and has a major health economic impact.

Multiple factors may contribute to the progressively declining course of heart failure. One such cause could be the occurrence of disordered breathing during sleep. Diagnosis and treatment of sleep-related breathing disorders may improve survival of heart failure patients. Some preliminary short-term studies on a small number of patients with systolic heart failure are consistent with this notion. However, long-term, multicenter studies on large numbers of patients with heart failure are needed before any firm conclusions can be obtained.

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