Journal of Cardiac Failure
Volume 15, Issue 9 , Pages 739-746 , November 2009

In-hospital Testing for Sleep-disordered Breathing in Hospitalized Patients With Decompensated Heart Failure: Report of Prevalence and Patient Characteristics

  • Rami N. Khayat, MD

      Affiliations

    • Division of Pulmonary Critical Care and Sleep, Ohio State University, Columbus, OH
    • Corresponding Author InformationCorrespondence to: Rami Khayat, MD, The Ohio State University Sleep Heart Program, 201 DHLRI, 473 West 12th Avenue, Columbus, OH 43210. Tel: (614) 247-7717; Fax: (614) 293-1496.
    • ,
  • David Jarjoura, PhD

      Affiliations

    • Center for Biostatistics and College of Public Health, Ohio State University, Columbus, OH
    • ,
  • Brian Patt, BS

      Affiliations

    • Division of Cardiovascular Medicine, Ohio State University, Columbus, OH
    • ,
  • Todd Yamokoski, RN

      Affiliations

    • Division of Cardiovascular Medicine, Ohio State University, Columbus, OH
    • ,
  • William T. Abraham, MD, FACC

      Affiliations

    • Division of Cardiovascular Medicine, Ohio State University, Columbus, OH

Received 17 September 2008 ,Revised 25 April 2009 ,Accepted 11 May 2009.

References 

  1. Rosamond W, Flegal K, Friday G, Furie K, Go A, Greenlund K, et al. Heart disease and stroke statistics—2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2007;115:e69–171
  2. O'Connell JB. The economic burden of heart failure. Clin Cardiol. 2000;23(3 Suppl):III6–10
  3. Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N, et al. Heart disease and stroke statistics—2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008;117:e25–146
  4. Nieminen MS, Brutsaert D, Dickstein K, Drexler H, Follath F, Harjola VP, et al. EuroHeart Failure Survey II (EHFS II): a survey on hospitalized acute heart failure patients: description of population. Eur Heart J. 2006;27:2725–2736
  5. Fonarow GC, Adams KF, Abraham WT, Yancy CW, Boscardin WJ. Risk stratification for in-hospital mortality in acutely decompensated heart failure: classification and regression tree analysis. JAMA. 2005;293:572–580
  6. Krumholz HM, Parent EM, Tu N, Vaccarino V, Wang Y, Radford MJ, et al. Readmission after hospitalization for congestive heart failure among Medicare beneficiaries. Arch Intern Med. 1997;157:99–104
  7. Elkayam U, Tasissa G, Binanay C, Stevenson LW, Gheorghiade M, Warnica JW, et al. Use and impact of inotropes and vasodilator therapy in hospitalized patients with severe heart failure. Am Heart J. 2007;153:98–104
  8. Nieminen MS, Bohm M, Cowie MR, Drexler H, Filippatos GS, Jondeau G, et al. Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology. Eur Heart J. 2005;26:384–416
  9. Naughton MT. The link between obstructive sleep apnea and heart failure: underappreciated opportunity for treatment. Curr Heart Fail Rep. 2006;3:183–188
  10. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328:1230–1235
  11. Javaheri S, Parker TJ, Liming JD, Corbett WS, Nishiyama H, Wexler L, et al. Sleep apnea in 81 ambulatory male patients with stable heart failure. Types and their prevalences, consequences, and presentations. Circulation. 1998;97:2154–2159
  12. Sin DD, Fitzgerald F, Parker JD, Newton G, Floras JS, Bradley TD. Risk factors for central and obstructive sleep apnea in 450 men and women with congestive heart failure. Am J Respir Crit Care Med. 1999;160:1101–1106
  13. Bradley TD, Logan AG, Kimoff RJ, Series F, Morrison D, Ferguson K, et al. Continuous positive airway pressure for central sleep apnea and heart failure. N Engl J Med. 2005;353:2025–2033
  14. Tamura A, Kawano Y, Naono S, Kotoku M, Kadota J. Relationship between beta-blocker treatment and the severity of central sleep apnea in chronic heart failure. Chest. 2007;131d:130–135
  15. Tamura A, Kawano Y, Kadota J. Carvedilol reduces the severity of central sleep apnea in chronic heart failure. Circ J. 2009;73:295–298
  16. Oldenburg O, Lamp B, Topfer V, Faber L, Teschler H, Horstkotte D. [Prevalence of sleep-related breathing disorders in ischemic and non-ischemic heart failure]. Dtsch Med Wochenschr. 2007;132:661–666
  17. Oldenburg O, Lamp B, Faber L, Teschler H, Horstkotte D, Topfer V. Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur J Heart Fail. 2007;9:251–257
  18. Ferrier K, Campbell A, Yee B, Richards M, O'Meeghan T, Weatherall M, et al. Sleep-disordered breathing occurs frequently in stable outpatients with congestive heart failure. Chest. 2005;128:2116–2122
  19. Schulz R, Blau A, Borgel J, Duchna HW, Fietze I, Koper I, et al. Sleep apnoea in heart failure. Eur Respir J. 2007;29:1201–1205
  20. Kaneko Y, Floras JS, Usui K, Plante J, Tkacova R, Kubo T, et al. Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med. 2003;348:1233–1241
  21. Mansfield DR, Gollogly NC, Kaye DM, Richardson M, Bergin P, Naughton MT. Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. Am J Respir Crit Care Med 20041;169:361–366.
  22. Teschler H, Dohring J, Wang YM, Berthon-Jones M. Adaptive pressure support servo-ventilation: a novel treatment for Cheyne-Stokes respiration in heart failure. Am J Respir Crit Care Med. 2001;164:614–619
  23. Wilson JMG, Jungner G. Principles and practice of screening for disease. Geneva: WHO; 1968;
  24. Pack AI, Goldberg LR. Routine polysomnography is not indicated in congestive heart failure. J Clin Sleep Med. 2006;1:19–22
  25. Franklin KA. Sleep apnoea screening in heart failure? Not until benefit is proven!. Eur Respir J. 2007;29:1073–1074
  26. Adams KF, Fonarow GC, Emerman CL, LeJemtel TH, Costanzo MR, Abraham WT, et al. Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J. 2005;149:209–216
  27. Solin P, Bergin P, Richardson M, Kaye DM, Walters EH, Naughton MT. Influence of pulmonary capillary wedge pressure on central apnea in heart failure. Circulation. 1999;99:1574–1579
  28. Ahmad A, Teater P, Bentley TD, Kuehn L, Kumar RR, Thomas A, et al. Key attributes of a successful physician order entry system implementation in a multi-hospital environment. J Am Med Inform Assoc. 2002;9:16–24
  29. Executive summary on the systematic review and practice parameters for portable monitoring in the investigation of suspected sleep apnea in adults. Am J Respir Crit Care Med. 2004;169:1160–1163
  30. Sleep-related breathing disorders in adults . recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep. 1999;22:667–689
  31. Young T, Peppard PE, Taheri S. Excess weight and sleep-disordered breathing. J Appl Physiol. 2005;99:1592–1599
  32. Redfield MM, Jacobsen SJ, Burnett JC, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA. 2003;289:194–202
  33. Center for Disease Control and Prevention National Center for Health Statistics. Health. In: Services U.S. Department of Health and Human Services, editor. US Census National Health Interview Survey, 2006.
  34. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295:1549–1555
  35. Chenuel BJ, Smith CA, Skatrud JB, Henderson KS, Dempsey JA. Increased propensity for apnea in response to acute elevations in left atrial pressure during sleep in the dog. J Appl Physiol. 2006;101:76–83
  36. Chiu KL, Ryan CM, Shiota S, Ruttanaumpawan P, Arzt M, Haight JS, et al. Fluid shift by lower body positive pressure increases pharyngeal resistance in healthy subjects. Am J Respir Crit Care Med. 2006;174:1378–1383
  37. Shiota S, Ryan CM, Chiu KL, Ruttanaumpawan P, Haight J, Arzt M, et al. Alterations in upper airway cross-sectional area in response to lower body positive pressure in healthy subjects. Thorax. 2007;62:868–872
  38. Badr MS, Toiber F, Skatrud JB, Dempsey J. Pharyngeal narrowing/occlusion during central sleep apnea. J Appl Physiol. 1995;78:1806–1815
  39. Harms CA, Zeng YJ, Smith CA, Vidruk EH, Dempsey JA. Negative pressure-induced deformation of the upper airway causes central apnea in awake and sleeping dogs. J Appl Physiol. 1996;80:1528–1539
  40. Young T, Shahar E, Nieto FJ, Redline S, Newman AB, Gottlieb DJ, et al. Predictors of sleep-disordered breathing in community-dwelling adults: the Sleep Heart Health Study. Arch Intern Med. 2002;162:893–900
  41. Whittle AT, Finch SP, Mortimore IL, MacKay TW, Douglas NJ. Use of home sleep studies for diagnosis of the sleep apnoea/hypopnoea syndrome. Thorax. 1997;52:1068–1073
  42. Zucconi M, Ferini-Strambi L, Castronovo V, Oldani A, Smirne S. An unattended device for sleep-related breathing disorders: validation study in suspected obstructive sleep apnoea syndrome. Eur Respir J. 1996;9:1251–1256
  43. Man GC, Kang BV. Validation of a portable sleep apnea monitoring device. Chest. 1995;108:388–393
  44. Quintana-Gallego E, Villa-Gil M, Carmona-Bernal C, Botebol-Benhamou G, Martinez-Martinez A, Sanchez-Armengol A, et al. Home respiratory polygraphy for diagnosis of sleep-disordered breathing in heart failure. Eur Respir J. 2004;24:443–448
  45. Nancy A, Collop WMA, Boehlecke Brian, Claman David, et al. Portable Monitoring Task Force for the American Academy of Sleep Medicine. Clinical Guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. J Clin Sleep Med. 2007;7:737–747
  46. Tkacova R, Niroumand M, Lorenzi-Filho G, Bradley TD. Overnight shift from obstructive to central apneas in patients with heart failure: role of PCO2 and circulatory delay. Circulation. 2001;103:238–243
  47. Redolfi S, Yumino D, Ruttanaumpawan P, Yau B, Su MC, Lam J, et al. Relationship between overnight rostral fluid shift and obstructive sleep apnea in nonobese men. Am J Respir Crit Care Med. 2009;179:241–246
  48. Bendjelid K, Schutz N, Suter PM, Fournier G, Jacques D, Fareh S, et al. Does continuous positive airway pressure by face mask improve patients with acute cardiogenic pulmonary edema due to left ventricular diastolic dysfunction?. Chest. 2005;127:1053–1058
  49. Chadda K, Annane D, Hart N, Gajdos P, Raphael JC, Lofaso F. Cardiac and respiratory effects of continuous positive airway pressure and noninvasive ventilation in acute cardiac pulmonary edema. Crit Care Med. 2002;30:2457–2461
  50. Bellone A, Barbieri A, Ricci C, Iori E, Donateo M, Massobrio M, et al. Acute effects of non-invasive ventilatory support on functional mitral regurgitation in patients with exacerbation of congestive heart failure. Intensive Care Med. 2002;28:1348–1350

 R.N.K. and W.T.A. have received research grants from Respironics, Inc.

PII: S1071-9164(09)00168-7

doi: 10.1016/j.cardfail.2009.05.005

Journal of Cardiac Failure
Volume 15, Issue 9 , Pages 739-746 , November 2009

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