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Erschienen in: Clinical Research in Cardiology 11/2008

01.11.2008 | ORIGINAL PAPER

Low night-to-night variability of sleep disordered breathing in patients with stable congestive heart failure

verfasst von: Olaf Oldenburg, MD, Barbara Lamp, MD, Klaus Freivogel, PhD, Thomas Bitter, MD, Christoph Langer, MD, Dieter Horstkotte, MD PhD FESC FACCP

Erschienen in: Clinical Research in Cardiology | Ausgabe 11/2008

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Abstract

Sleep disordered breathing (SDB) has a high prevalence and prognostic impact in patients with chronic heart failure (CHF). Aim of this study was to investigate variability of SDB parameters in patients with stable CHF. Cardiorespiratory polygraphy was used to determine SDB in two consecutive nights in 50 CHF patients (NYHA class ≥ II, LV-EF ≤ 40%). The apnoea—hypopnoea—index (AHI) and apnoea—index (AI) were used to quantify SDB severity. Central, obstructive or mixed SDB were classified according to the majority of events. There was an excellent correlation in AHI (r = 0.948, P < 0.001) and AI (r = 0.842, P < 0.001) results of both nights. The overall number of detected apnoea and hypopnoea during the first night as compared to the maximum of both nights was 85% for the AHI and 77% for the AI. The reproducibility was dependent on SDB severity: AHI 15–29/h = 87%, AHI ≥ 30/h = 92% and AI ≥ 10/h = 83%. Classification was identical in 17 out of 19 patients with AI ≥ 10/h. In patients with stable CHF a single night of cardiorespiratory monitoring leads to representative results on severity and type of SDB. This may enhance the applicability and dissemination of cardiorespiratory polygraphy in clinical practice.
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Metadaten
Titel
Low night-to-night variability of sleep disordered breathing in patients with stable congestive heart failure
verfasst von
Olaf Oldenburg, MD
Barbara Lamp, MD
Klaus Freivogel, PhD
Thomas Bitter, MD
Christoph Langer, MD
Dieter Horstkotte, MD PhD FESC FACCP
Publikationsdatum
01.11.2008
Verlag
D. Steinkopff-Verlag
Erschienen in
Clinical Research in Cardiology / Ausgabe 11/2008
Print ISSN: 1861-0684
Elektronische ISSN: 1861-0692
DOI
https://doi.org/10.1007/s00392-008-0695-0

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