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Obstructive Sleep Apnea in Heart Failure: Current Knowledge and Future Directions

Title: Obstructive Sleep Apnea in Heart Failure: Current Knowledge and Future Directions
Authors: Shahrokh Javaheri; Sogol Javaheri
Source: Journal of Clinical Medicine ; Volume 11 ; Issue 12 ; Pages: 3458
Publisher Information: Multidisciplinary Digital Publishing Institute
Publication Year: 2022
Collection: MDPI Open Access Publishing
Subject Terms: obstructive sleep apnea; heart failure; continuous positive airway pressure
Description: Obstructive sleep apnea (OSA) is highly prevalent among patients with asymptomatic left ventricular systolic and diastolic dysfunction and congestive heart failure, and if untreated may contribute to the clinical progression of heart failure (HF). Given the health and economic burden of HF, identifying potential modifiable risk factors such as OSA and whether appropriate treatment improves outcomes is of critical importance. Identifying the subgroups of patients with OSA and HF who would benefit most from OSA treatment is another important point. This focused review surveys current knowledge of OSA and HF in order to provide: (1) a better understanding of the pathophysiologic mechanisms that may increase morbidity among individuals with HF and comorbid OSA, (2) a summary of current observational data and small randomized trials, (3) an understanding of the limitations of current larger randomized controlled trials, and (4) future needs to more accurately determine the efficacy of OSA treatment among individuals with HF.
Document Type: text
File Description: application/pdf
Language: English
Relation: Respiratory Medicine; https://dx.doi.org/10.3390/jcm11123458
DOI: 10.3390/jcm11123458
Availability: https://doi.org/10.3390/jcm11123458
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.CF7E96EA
Database: BASE