Russian Heart Failure Journal 2004year Respiratory disorders during sleep in patients with heart failure
Respiratory disorders during sleep in patients with heart failure
Belyavsky E.A., Litvin A.Yu., Mareev V.Yu., Chazova I.E.
Respiratory disorders during sleep (including the obstructive sleep apnea syndrome, OSAS) and central sleep apnea syndrome (CSAS), are common in chronic heart failure (CHF). Pathophysiological mechanisms of these two conditions are tightly interrelated. Clinical manifestations of the respiratory disorders are hard to recognise and they are rarely considered in management of patients with CHF. It has become obvious that traditional approaches to treatment of CHF need modification because obstructive and central respiratory disorders considerably worsen prognosis in patients with heart failure (HF). In order to determine optimum algorithms for management of such patients, new long-term controlled, randomized clinical studies are required.