Clinical and laboratory characteristics of the combination of stable heart failure and obstructive sleep apnea: a role of outpatient cardiorespiratory monitoring
Rostorotskaya V. V., Ivanov A. P., Dedov D. V., Elgardt I. A., Sdobnyakova N. S.
Keywords: apnea, cardiorespiratory monitoring, CHF
Relevance. Obstructive sleep apnea (OSA) is common in patients with HF. However outpatient management of such patients requires some adjustment. Objective. Study the possibility of cardiorespiratory monitoring at the outpatient stage of observation of patients with clinical and laboratory HF manifestations and reveal the most adverse factors indicating the possibility of ОАS development. Materials and methods. ОАS was examined in 103 HF patients ECG and respiration monitoring with assessment of apnea hypopnea index (AHI) and separation the slight, moderate, and severe forms. Results. ОАS of mainly moderate and middle manifestation degree was diagnosed in 72.8 % patients. The size of neck was the most significant SARF from anthopometrical measurements. In these patients, HF II–III FC NYHA, LV and LA hypertrophy and increase in the left atrium (LA) were the most common. Conclusion. Within outpatient observation of HF patients, high ОАS rate was revealed. Male gender, increased neck size, systolic LV dysfunction and increase of LA are associated with more severe, yet stable HF course.
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Rostorotskaya V. V., Ivanov A. P., Dedov D. V. et al. Clinical and laboratory characteristics of the combination of stable heart failure and obstructive sleep apnea: a role of outpatient cardiorespiratory monitoring. Russian Heart Failure Journal. 2012;13(2):87-90