Erschienen in:
01.02.2014 | Schwerpunkt
Termination of adaptive servoventilation after successful long-term therapy
Case report of a heart failure patient with nocturnal Cheyne–Stokes respiration
verfasst von:
H. Fox, T. Bitter, D. Horstkotte, O. Oldenburg, MD
Erschienen in:
Herz
|
Ausgabe 1/2014
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Excerpt
Sleep-disordered breathing (SDB) represents a highly prevalent, but widely under-recognized and under-appreciated comorbidity in heart failure (HF) patients. Especially in HF, obstructive (OSA) as well as central (CSA) sleep apnea with Cheyne–Stokes respiration (CSR) have a negative impact on prognosis [
1,
2]. Hospitalization for deterioration of cardiac function impairs quality of life and is a predictor of mortality in these patients [
3]. Sleep apnea in general and CSA with CSR has been shown to be associated with increasing severity of HF, and exacerbation of HF is associated with deterioration in SDB [
4]. CSA with CSR is usually seen during non-rapid eye movement (REM) sleep in approximately 30 % of patients with chronic HF [
5,
6,
7] and is characterized by a typical waxing and waning pattern in breathing amplitude, interspersed with central apneas or hypopneas. …
