Central sleep apnea: Implications for congestive heart failure

Arturo Garcia-Touchard, Virend K. Somers, Lyle J. Olson, Sean M. Caples

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

Congestive heart failure (HF), an exceedingly common and costly disease, is frequently seen in association with central sleep apnea (CSA), which often manifests as a periodic breathing rhythm referred to as Cheyne-Stokes respiration. CSA has historically been considered to be a marker of heart disease, since improvement in cardiac status is often associated with the attenuation of CSA. However, this mirroring of HF and CSA may suggest bidirectional importance to their relationship. In fact, observational data suggest that CSA, associated with repetitive oxyhemoglobin desaturations and surges in sympathetic neural activity, may be of pathophysiologic significance in HF outcomes. In light of the disappointing results from the first large trial assessing therapy with continuous positive airway pressure in patients with CSA and HF, further large-scale interventional trials will be needed to assess the role, if any, of CSA treatment on the outcomes of patients with HF. This review will discuss epidemiologic, pathophysiologic, diagnostic, and therapeutic considerations of CSA in the setting of HF.

Original languageEnglish (US)
Pages (from-to)1495-1504
Number of pages10
JournalChest
Volume133
Issue number6
DOIs
StatePublished - Jun 2008

Keywords

  • Central sleep apnea
  • Congestive heart failure
  • Continuous positive airway pressure
  • Control of breathing
  • Sleep-disordered breathing

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Garcia-Touchard, A., Somers, V. K., Olson, L. J., & Caples, S. M. (2008). Central sleep apnea: Implications for congestive heart failure. Chest, 133(6), 1495-1504. https://doi.org/10.1378/chest.07-0871