ArticleClinical research in cardiology : official journal of the German Cardiac Society2013
Portable recording for detecting sleep disorder breathing in patients under the care of a heart failure clinic.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Pooled prevalences of obstructive sleep apnea and heart failure: a systematic review and meta-analysis.Heart failure reviews · 2024Pooled it
- Effects of chronic carotid baroreceptor activation on arterial stiffness in severe heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Trial
- Changes in polysomnographic findings following transcatheter aortic valve implantation in a patient with aortic stenosis.Journal of cardiology cases · 2020Article
- Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea.Journal of sleep research · 2019Review
- Obstructive sleep apnea might trigger acute pulmonary embolism: results from a cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Article
- Cardioversion of atrial fibrillation or atrial flutter into sinus rhythm reduces nocturnal central respiratory events and unmasks obstructive sleep apnoea.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Observational
- Prospective Evaluation of Sleep Apnea as Manifestation of Heart Failure in Children.Pediatric cardiology · 2016Observational
- Contemporary insights and novel treatment approaches to central sleep apnea syndrome in heart failure.Current treatment options in cardiovascular medicine · 2014Article
- Determining the prevalence and predictors of sleep disordered breathing in patients with chronic heart failure: rationale and design of the SCHLA-HF registry.BMC cardiovascular disorders · 2014Article
- Sleep-disordered breathing in patients undergoing transfemoral aortic valve implantation for severe aortic stenosis.Clinical research in cardiology : official journal of the German Cardiac Society · 2013Article
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSleep disordered breathing (SDB) has important clinical implications in patients with congestive heart failure (CHF). We performed portable recording in unselected CHF patients on contemporary therapy. Data on the interactions of SDB in patients supervised at heart failure clinics are rare and we illustrate diversities of obstructive sleep apnoea (OSA) and central sleep apnoea (CSA).
methodsWe studied 176 consecutive subjects on contemporary medical therapy with a median left ventricular ejection fraction of 25.0 % (range 7-35%) and median NT-pro BNP levels of 3,413.0 pg/ml (range 305.1-35,000.0 pg/ml). Participants underwent prospective overnight portable recording.
results50% presented with an at least moderate form of nocturnal breathing disorder [apnoea-hypopnoea index (AHI) ≥15/h]. Only 15 patients (17.1%) with AHI ≥15/h reported excessive daytime sleepiness. Irrespective of left ventricular ejection fraction, patients with CSA had higher levels of NT-pro BNP compared to patients with OSA (differences in medians = 2,639.0 pg/ml, p = 0.016), and compared to patients with an AHI <15/h (differences in medians = 2,710.0 pg/ml, p < 0.001). OSA affected 26 patients (14.8%).
conclusionsPatients with severe stable CHF on contemporary therapy have a prevalence of 50.0% of moderate to severe SDB. The natural cascade of the failing heart is initially characterised by absent SDB or OSA, whereas end-stage CHF is associated with CSA.
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