[Sleep-disordered breathing and cardiac resynchronization therapy].

Abstract

Patients with progressive heart failure often suffer from sleep-disordered breathing (SDB). Upon receiving cardiac resynchronization therapy (CRT), there is an improvement of cardiac function and central sleep apnea syndrome (CSA) with Cheyne-Stokes respiration; however, effects of CRT on obstructive sleep apnea syndrome seemed to be without clinical relevance. Likewise, additional atrial overdrive pacing did not improve CRT effects relevantly in CSA patients. During CRT, there is an improvement in sleep parameters, sleep quality by reduction of depressive syndromes, and in long-term survival. Therefore, all patients with chronic heart failure and indication for CRT should be monitored regarding SDB before and after CRT device implantation.

• Authors: A-M Sinha
• Journal: Herzschrittmachertherapie & Elektrophysiologie (Herzschrittmacherther Elektrophysiol) Vol. 23 Issue 1 Pg. 5-8 (Mar 2012) ISSN: 1435-1544 [Electronic] Germany
• Vernacular Title: Schlafbezogene Atmungsstörungen und kardiale Resynchronisationstherapie.
• PMID: 22410756 (Publication Type: English Abstract, Journal Article)

Topics

• Cardiac Resynchronization Therapy (adverse effects, methods)
• Heart Failure (complications, prevention & control)
• Humans
• Sleep Apnea Syndromes (complications, prevention & control)