Novel Approaches to Sleep Apnea in Heart Failure

Heart Fail Clin. 2024 Jan;20(1):29-38. doi: 10.1016/j.hfc.2023.05.007. Epub 2023 Jun 25.

Abstract

Sleep apnea is a serious comorbid condition affecting patients with heart failure. Present in 50% to 75% of heart failure patients, it is often underrecognized, underdiagnosed, and undertreated. Patients with sleep apnea and heart failure are at increased risk of adverse cardiovascular events and sudden death. Treatment of sleep apnea has shown mixed results in reduction of adverse outcomes by sleep apnea type and intervention strategy. Evolving home-based technologies and device therapies present an exciting frontier for patients with sleep apnea and heart failure and an opportunity to improve outcomes. This article reviews novel approaches to sleep apnea in heart failure.

Keywords: CPAP; CSA; Cheyne-stokes; Heart failure; OSA; Sleep apnea; Sleep devices.

Publication types

  • Review

MeSH terms

  • Cheyne-Stokes Respiration / diagnosis
  • Cheyne-Stokes Respiration / etiology
  • Cheyne-Stokes Respiration / therapy
  • Continuous Positive Airway Pressure / methods
  • Heart Failure* / complications
  • Heart Failure* / therapy
  • Humans
  • Sleep Apnea Syndromes* / complications
  • Sleep Apnea Syndromes* / therapy
  • Sleep Apnea, Central* / epidemiology
  • Sleep Apnea, Central* / etiology
  • Sleep Apnea, Central* / therapy