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Heart Failure Reviews
Erschienen in: Heart Failure Reviews 5/2018

31.05.2018

Sleep-disordered breathing in hospitalized patients with congestive heart failure: a concise review and proposed algorithm

verfasst von: Ankit Gupta, Stuart F. Quan, Olaf Oldenburg, Atul Malhotra, Sunil Sharma

Erschienen in: Heart Failure Reviews | Ausgabe 5/2018

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Abstract

Congestive heart failure (CHF) is the most common cause of hospital admission in the USA costing the taxpayers billions of dollars. Sleep-disordered breathing (SDB) is a common co-morbid condition associated with CHF with prevalence estimated to be 60–70%. Despite substantial evidence supporting the negative impact of SDB on CHF, the condition is underrecognized and undertreated. Patients admitted to the hospital with CHF and SDB are prime candidates for intervention with positive airway pressure (PAP) therapy as they form a “captive audience,” and timely intervention and education may mitigate sub-optimal outcomes. In conclusion, this review explores emerging data on the cost effectiveness and outcome of early intervention with PAP in hospitalized CHF patients.
Literatur
1.
Massie BM, Shah NB (1997) Evolving trends in the epidemiologic factors of heart failure: rationale for preventive strategies and comprehensive disease management. Am Heart J 133:703–712CrossRefPubMed
2.
Heidenreich PA, Trogdon JG, Khavjou OA, Butler J, Dracup K, Ezekowitz MD, Finkelstein EA, Hong Y, Johnston SC, Khera A, Lloyd-Jones DM, Nelson SA, Nichol G, Orenstein D, Wilson PWF, Woo YJ, on behalf of the American Heart Association Advocacy Coordinating Committee, Stroke Council, Council on Cardiovascular Radiology and Intervention, Council on Clinical Cardiology, Council on Epidemiology and Prevention, Council on Arteriosclerosis, Thrombosis and Vascular Biology, Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Cardiovascular Nursing, Council on the Kidney in Cardiovascular Disease, Council on Cardiovascular Surgery and Anesthesia, and Interdisciplinary Council on Quality of Care and Outcomes Research (2011) Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association. Circulation 123:933–944CrossRefPubMed
3.
Medicare Payment Advisory Commission (MedCAP) (2012) Report to the Congress: creating greater efficiency in Medicare
4.
Joynt KE, Jha AK (2011) Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives. Circ Cardiovasc Qual Outcomes 4:53–59CrossRefPubMed
5.
Chun S, Tu JV, Wijeysundera HC, Austin PC, Wang X, Levy D, Lee DS (2012) Lifetime analysis of hospitalizations and survival of patients newly admitted with heart failure. Circ Heart Fail 5:414–421CrossRefPubMedPubMedCentral
6.
Wang H, Parker JD, Newton GE, Floras JS, Mak S, Chiu KL, Ruttanaumpawan P, Tomlinson G, Bradley TD (2007) Influence of obstructive sleep apnea on mortality in patients with heart failure. J Am Coll Cardiol 49(15):1625–1631CrossRefPubMed
7.
Arzt M, Woehrle H, Oldenburg O, Graml A, Suling A, Erdmann E, Teschler H, Wegscheider K, SchlaHF Investigators (2016) Prevalence and predictors of sleep-disordered breathing in patients with stable chronic heart failure: the SchlaHF Registry. JACC Heart Fail 4(2):116–125CrossRefPubMed
8.
Oldenburg O, Lamp B, Faber L, Teschler H, Horstkotte D, Töpfer V (2007) Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur J Heart Fail 9(3):251–257CrossRefPubMed
9.
Arzt M, Young T, Finn L, Skatrud JB, Ryan CM, Newton GE, Mak S, Parker JD, Floras JS, Bradley TD (2006) Sleepiness and sleep in patients with both systolic heart failure and obstructive sleep apnea. Arch Intern Med 166(16):1716–1722CrossRefPubMed
10.
Leimbach WN Jr, Wallin BG, Victor RG, Aylward PE, Sundlof G, Mark AL (1986) Direct evidence from intraneural recordings for increased central sympathetic outflow in patients with heart failure. Circulation 73:913–919CrossRefPubMed
11.
Aggarwal A, Esler MD, Lambert GW, Hastings J, Johnston L, Kaye DM (2002) Norepinephrine turnover is increased in suprabulbar subcortical brain regions and is related to whole-body sympathetic activity in human heart failure. Circulation 105:1031–1033CrossRefPubMed
12.
Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14:540–545CrossRefPubMed
13.
Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, Khajehdehi A, Shapiro CM (2008) STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 108:812–821CrossRefPubMed
14.
Garner SL, Traverse RD (2104) Use of an evidence-based protocol to screen for sleep-disordered breathing in a heart failure disease management clinic. J Nurs Care Qual 29(3):230–236CrossRef
15.
Chung F, Liao P, Elsaid H, Islam S, Shapiro C, Sun Y (2012) Oxygen desaturation index from nocturnal oximetry: a sensitive and specific tool to detect sleep-disordered breathing in surgical patients. Anesth Analg 114:993–1000CrossRefPubMed
16.
17.
Kaneko Y, Floras JS, Usui K, Plante J, Tkacova R, Kubo T, Ando S, Bradley TD (2003) Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med 348:1233–1241CrossRefPubMed
18.
Gottlieb DJ, Yenokyan G, Newman AB, O’Connor GT, Punjabi NM, Quan SF, Redline S, Resnick HE, Tong EK, Diener-West M, Shahar E (2010) Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: the Sleep Heart Health Study. Circulation 122(4):352–360CrossRefPubMedPubMedCentral
19.
Oldenburg O, Wellmann B, Buchholz A, Bitter T, Fox H, Thiem U, Horstkotte D, Wegscheider K (2016) Nocturnal hypoxaemia is associated with increased mortality in stable heart failure patients. Eur Heart J 37(21):1695–1703CrossRefPubMed
20.
Bitter T, Westerheide N, Prinz C, Hossain MS, Vogt J, Langer C, Horstkotte D, Oldenburg O (2011) Cheyne-Stokes respiration and obstructive sleep apnoea are independent risk factors for malignant ventricular arrhythmias requiring appropriate cardioverter-defibrillator therapies in patients with congestive heart failure. Eur Heart J 32:61–74CrossRefPubMed
21.
Sharma S, Mukhtar U, Kelly C, Mather P, Quan SF (2017) Recognition and treatment of sleep-disordered breathing in obese hospitalized patients may improve survival. The HoSMed Database. Am J Med 130(10):1184–1191CrossRefPubMed
22.
Sommerfeld A, Althouse AD, Prince J, Atwood CW, Mulukutla SR, Hickey GW (2017) Obstructive sleep apnea is associated with increased readmission in heart failure patients. Clin Cardiol 40:873–878CrossRefPubMed
23.
Khayat R, Abraham W, Patt B, Brinkman V, Wannemacher J, Porter K, Jarjoura D (2012) Central sleep apnea is a predictor of cardiac readmission in hospitalized patients with systolic heart failure. J Card Fail 18(7):534–540CrossRefPubMedPubMedCentral
24.
Leung RS, Bradley TD (2001) Sleep apnea and cardiovascular disease. Am J RespirCrit Care Med 164:2147–2165CrossRef
25.
Mehra R, Benjamin EJ, Shahar E, Gottlieb DJ, Nawabit R, Kirchner HL, Sahadevan J, Redline S, Sleep Heart Health Study (2006) Association of nocturnal arrhythmias with sleep disordered breathing: the Sleep Heart Health Study. Am J Respir Crit Care Med 173:910–916CrossRefPubMedPubMedCentral
26.
Kusuoka H, Weisfeldt ML, Zweier JL, Jacobus WE, Marban E (1986) Mechanism of early contractile failure during hypoxia in intact ferret heart: evidence for modulation of maximal Ca2_-activated force by inorganic phosphate. Circ Res 59:270–282CrossRefPubMed
27.
Bradley TD, Tkacova R, Hall MJ, Ando SI, Floras JS (2003) Augmented sympathetic neural response to simulated obstructive apnea in human heart failure. Clin Sci 104:231–238CrossRefPubMed
28.
Fletcher EC (2000) Effect of episodic hypoxia on sympathetic activity and blood pressure. Respir Physiol 119(2–3):189–197CrossRefPubMed
29.
TRemme WJ (1998) The sympathetic nervous system and ischaemic heart disease. Eur Heart J 19(Suppl F):F62–F71
30.
Morgan BJ, Crabtree DC, Palta M, Skatrud JB (1995) Combined hypoxia and hypercapnia evokes long-lasting sympathetic activation in humans. J Appl Physiol 79:205–213CrossRefPubMed
31.
Dark DS, Pingleton SK, Kerby GR, Crabb JE, Gollub SB, Glatter TR, Dunn MI (1987) Breathing pattern abnormalities and arterial oxygen desaturation during sleep in the congestive heart failure syndrome: improvement following medical therapy. Chest 91:833–836CrossRefPubMed
32.
Khayat RN, Jarjoura D, Patt B, Yamokoski T, Abraham WT (2009) In-hospital testing for sleep-disordered breathing in hospitalized patients with decompensated heart failure: report of prevalence and patient characteristics. J Card Fail 15:739–746CrossRefPubMedPubMedCentral
33.
Khayat R, Jarjoura D, Porter K, Sow A, Wannemacher J, Dohar R, Pleister A, Abraham WT (2015) Sleep disordered breathing and post-discharge mortality in patients with acute heart failure. Eur Heart J 36(23):1463–1469CrossRefPubMedPubMedCentral
34.
Sharma S, Mather PJ, Chowdhury A, Gupta S, Mukhtar U, Willes L, Whellan DJ, Malhotra A, Quan SF (2017) Sleep overnight monitoring for apnea in patients hospitalized with heart failure (SOMA-HF study). J Clin Sleep Med 13(10):1185–1190CrossRefPubMedPubMedCentral
35.
Collop NA, Anderson WM, Boehlecke B, Claman D, Goldberg R, Gottlieb DJ, Hudgel D, Sateia M, Schwab R, Portable Monitoring Task Force of the American Academy of Sleep Medicine (2007) Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med 3:737–747PubMed
36.
Amir O, Barak-Shinar D, Henry A, Smart FW (2012) Photoplethysmography as a single source for analysis of sleep-disordered breathing in patients with severe cardiovascular disease. J Sleep Res 21:94–100CrossRefPubMed
37.
Sharma S, Mather P, Efird JT, Kahn D, Cheema M, Rubin S, Reeves G, Bonita R, Malloy R, Whellan DJ (2015) Photoplethysmographic signal to screen sleep-disordered breathing in hospitalized heart failure patients: feasibility of a prospective clinical pathway. JACC Heart Fail 3:725–731CrossRefPubMed
38.
Lázaro J, Gil E, Vergara JM, Laguna P (2014) Pulse rate variability analysis for discrimination of sleep-apnea-related decreases in the amplitude fluctuations of pulse photoplethysmographic signal in children. IEEE J Biomed Health Inform 18(1):240–246CrossRefPubMed
39.
40.
Ohmura T, Iwama Y, Kasai T, Kato T, Suda S, Takagi A, Daida H (2014) Impact of predischarge nocturnal pulse oximetry (sleep-disordered breathing) on postdischarge clinical outcomes in hospitalized patients with left ventricular systolic dysfunction after acute decompensated heart failure. Am J Cardiol 113:697–700CrossRefPubMed
41.
Javaheri S, Parker TJ, Liming JD, Corbett WS, Nishiyama H, Wexler L, Roselle GA (1998) Sleep apnea in 81 ambulatory male patients with stable heart failure. Types and their prevalences, consequences, and presentations. Circulation 97:2154–2159CrossRefPubMed
42.
Kauta SR, Keenan BT, Goldberg L, Schwab RJ (2014) Diagnosis and treatment of sleep disordered breathing in hospitalized cardiac patients: a reduction in 30-day hospital readmission rates. J Clin Sleep Med 10(10):1051–1059PubMedPubMedCentral
43.
Sharma S, Mather P, Gupta A, Reeves G, Rubin S, Bonita R, Chowdhury A, Malloy R, Willes L, Whellan D (2016) Effect of early intervention with positive airway pressure therapy for sleep disordered breathing on six-month readmission rates in hospitalized patients with heart failure. Am J Cardiol 117(6):940–945CrossRefPubMed
44.
Sharma S, Chowdhury A, Tang L, Glynn B, Willes L, Quan S (2016) Hospitalized patients at high risk for obstructive sleep apnea have more rapid response system events and intervention is associated with reduced events. PLoS One 11(5):e0153790CrossRefPubMedPubMedCentral
45.
Bradley TD, Logan AG, Kimoff RJ, Sériès F, Morrison D, Ferguson K, Belenkie I, Pfeifer M, Fleetham J, Hanly P, Smilovitch M, Tomlinson G, Floras JS, CANPAP Investigators (2005) Continuous positive airway pressure for central sleep apnea and heart failure. NEJM 353(19):2025–2033CrossRefPubMed
46.
Arzt M, Floras JS, Logan AG, Kimoff RJ, Series F, Morrison D, Ferguson K, Belenkie I, Pfeifer M, Fleetham J, Hanly P, Smilovitch M, Ryan C, Tomlinson G, Bradley TD, CANPAP Investigators (2007) Suppression of central sleep apnea by continuous positive airway pressure and transplant-free survival in heart failure: a post hoc analysis of the Canadian Continuous Positive Airway Pressure for Patients with Central Sleep Apnea and Heart Failure Trial (CANPAP). Circulation 115:3173–3180CrossRefPubMed
47.
Kasai T, Kasagi S, Maeno K, Dohi T, Kawana F, Kato M, Naito R, Ishiwata S, Ohno M, Yamaguchi T, Narui K, Momomura S (2013) Adaptive servo-ventilation in cardiac function and neurohormonal status in patients with heart failure and central sleep apnea nonresponsive to continuous positive airway pressure. JACC Heart Fail. 1(1):58–63CrossRefPubMed
48.
Kasai T, Usui Y, Yoshioka T, Yanagisawa N, Takata Y, Narui K, Yamaguchi T, Yamashina A, Momomura SI, Investigators JASV (2010) Effect of flow-triggered adaptive servoventilation compared with continuous positive airway pressure in patients with chronic heart failure with coexisting obstructive sleep apnea and Cheyne-Stokes respiration. Circ Heart Fail 3(1):140–148CrossRefPubMed
49.
Cowie MR, Woehrle H, Wegscheider K, Woehrle H, Wegscheider K, Angermann C, d’Ortho M-P, Erdmann E, Levy P, Simonds AK, Somers VK, Zannad F, Teschler H (2015) Adaptive servo-ventilation for central sleep apnea in systolic heart failure. NEJM 373:1095–1110CrossRefPubMed
50.
Khayat RN, Abraham WT, Patt B, Pu M, Jarjoura D (2009) In-hospital treatment of obstructive sleep apnea during decompensation of heart failure. Chest 136:991–997CrossRefPubMedPubMedCentral
51.
Peter JV, Moran JL, Hughes JP et al (2006) Effect of noninvasive positive-pressure ventilation (NIPPV) on mortality in patients with acute cardiogenic pulmonary oedema: a meta-analysis. Lancet 367:1155–1163CrossRefPubMed
52.
Nieminen MS, Bohm M, Cowie MR et al (2005) Executive summary of the guidelines on the diagnosis and treatment of acute heart failure. Eur Heart J 26:384–416CrossRefPubMed
53.
Masip J, Betbesé AJ, Páez J (2000) Noninvasive pressure-support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema a randomized trial. Lancet 356:2126–2132CrossRefPubMed
54.
Kamel G, Munzer K, Espiritu J (2016) Use of CPAP in patients with obstructive sleep apnea admitted to the general ward: effect on length of stay and readmission rate. Sleep Breath 20(3):1103–1110CrossRefPubMed
55.
Spurr KF, Graven MA, Gilbert RW (2008) Prevalence of unspecified sleep apnea and the use of continuous positive airway pressure in hospitalized patients. 2004 National Hospital Discharge Survey Sleep Breath 12(3):229–234PubMed
56.
de Miguel-Díez J, Carrasco-Garrido P, Jiménez-García R, Puente-Maestu L, Hernández-Barrera V, López de Andrés A (2015) Obstructive sleep apnea among hospitalized patients in Spain, analysis of hospital discharge data 2008-2012. Sleep Breath 19(3):841–848CrossRefPubMed
57.
Oldenburg O, Bartsch S, Bitter T, Schmalgemeier H, Fischbach T, Westerheide N, Horstkotte D (2012) Hypotensive effects of positive airway pressure ventilation in heart failure patients with sleep-disordered breathing. Sleep Breath 16(3):753–757CrossRefPubMed
58.
Solin P, Bergin P, Richardson M, Kaye DM, Walters EH, Naughton MT (1999) Influence of pulmonary capillary wedge pressure on central apnea in heart failure. Circulation 99:1574–1579CrossRefPubMed
59.
Baylor P, Tayloe D, Owen D, Sanders C (1988) Cardiac failure presenting as sleep apnea: elimination of apnea following medical management of cardiac failure. Chest 94:1298–1300CrossRefPubMed
60.
Sharma S, Chakraborty A, Chowdhury A, Mukhtar U, Willes L, Quan S (2016) Adherence and prognosis of hospitalized heart failure patients diagnosed with sleep disordered breathing. JCSM 12(12):1615–1621CrossRefPubMed
61.
Naughton MT, Benard DC, Liu PP, Rutherford R, Rankin F, Bradley TD (1995) Effects of nasal CPAP on sympathetic activity in patients with heart failure and central sleep apnea. Am J Respir Crit Care Med 152:473–479CrossRefPubMed
62.
Sin DD, Logan AG, Fitzgerald FS, Liu PP, Bradley TD (2000) Effects of continuous positive airway pressure on cardiovascular outcomes in heart failure patients with and without Cheyne–Stokes respiration. Circulation 102:61–66CrossRefPubMed
63.
Bradley TD, Logan AG, Kimoff RJ, Sèriés F, Morrison D, Ferguson K et al (2005) Continuous positive airway pressure for central sleep apnea and heart failure. N Engl J Med 353:2025–2033CrossRefPubMed
64.
Mansfield DR, Gollogly NC, Kaye DM, Richardson M, Bergin P, Naughton MT (2004) Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. Am J Respir Crit Care Med 169:361–366CrossRefPubMed
65.
Smith LA, Vennelle M, Gardner RS, McDonagh TA, Denvir MA, Douglas NJ, Newby DE (2007) Auto-titrating continuous positive airway pressure therapy in patients with chronic heart failure and obstructive sleep apnoea: a randomized placebo-controlled trial. Eur Heart J 28:1221–1227CrossRefPubMed
66.
Zhang XB, Yuan YT, Du YP et al (2015) Efficacy of positive airway pressure on brain natriuretic peptide in patients with heart failure and sleep-disorder breathing: a meta-analysis of randomized controlled trials. Lung 193:255–260CrossRefPubMed
Metadaten
Titel
Sleep-disordered breathing in hospitalized patients with congestive heart failure: a concise review and proposed algorithm
verfasst von
Ankit Gupta
Stuart F. Quan
Olaf Oldenburg
Atul Malhotra
Sunil Sharma
Publikationsdatum
31.05.2018
Verlag
Springer US
Erschienen in
Heart Failure Reviews / Ausgabe 5/2018
Print ISSN: 1382-4147
Elektronische ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-018-9715-y

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