Obstructive sleep apnea in heart failure: Review of prevalence, treatment with continuous positive airway pressure, and prognosis

Himad K. Khattak, Faisal Hayat, Salpy V. Pamboukian, Harvey S. Hahn, Brian P. Schwartz, Phyllis K. Stein

Research output: Contribution to journalReview articlepeer-review

70 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)151-161
Number of pages11
JournalTexas Heart Institute journal
Volume45
Issue number3
DOIs
StatePublished - Jun 2018

Keywords

  • Continuous positive airway pressure/methods
  • Heart diseases/epidemiology/etiology
  • Heart failure/complications/therapy
  • Prevalence
  • Risk factors
  • Sleep apnea syndromes/classification/physiopatholo-gy
  • Sleep apnea, obstructive/complications/prevention & control/therapy
  • Treatment outcome
  • Ventricular function

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