Obstructive Sleep Apnea in Heart Failure: Review of Prevalence, Treatment with Continuous Positive Airway Pressure, and Prognosis

被引：78
作者：
Khattak, Himad K. [1 ]
Hayat, Faisal [2 ]
Pamboukian, Salpy V. [3 ]
Hahn, Harvey S. [1 ]
Schwartz, Brian P. [1 ]
Stein, Phyllis K. [4 ]
机构：
[1] Kettering Med Ctr, Dept Cardiol, Kettering, OH 45420 USA
[2] Marshall Univ, Dept Cardiol, Huntington, WV 25701 USA
[3] Univ Alabama Birmingham, Div Cardiovasc Dis, Birmingham, AL 35233 USA
[4] Washington Univ, Div Cardiovasc, St Louis, MO 63110 USA
来源：
TEXAS HEART INSTITUTE JOURNAL | 2018年 / 45卷 / 03期
关键词：
Continuous positive airway pressure/methods; heart diseases/epidemiology/etiology; heart failure/complications/therapy; prevalence; risk factors; sleep apnea syndromes/classification/physiopathology; sleep apnea; obstructive/complications/prevention; control/therapy; treatment outcome; ventricular function; VENTRICULAR DIASTOLIC DYSFUNCTION; CARDIOVASCULAR-DISEASE; SYSTOLIC DYSFUNCTION; INTERMITTENT HYPOXIA; HEALTHY-SUBJECTS; CONTROLLED-TRIAL; FLUID SHIFT; MEN; THERAPY; DISORDERS;
D O I：
10.14503/THIJ-15-5678
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Obstructive sleep apnea is a sleep-related breathing disorder that has a major impact on cardiovascular function. It has been associated with hypertension, coronary artery disease, cardiac arrhythmias, sudden cardiac death, and heart failure. This review focuses on the relationship between obstructive sleep apnea and heart failure with either reduced or preserved ejection fraction. We discuss the pathophysiology of obstructive sleep apnea, as well as its prevalence, treatment outcomes with continuous positive airway pressure, and prognosis in these 2 distinct types of heart failure. We also identify areas in which further work is needed to improve our understanding of this association in heart failure patients.
引用
收藏
页码：151 / 161
页数：11
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