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Canadian Journal of Cardiology

Should All Congestive Heart Failure Patients Have a Routine Sleep Apnea Screening? Con

Published:April 22, 2015DOI:https://doi.org/10.1016/j.cjca.2015.04.013

      Abstract

      Sleep-disordered breathing (SDB) is one of the most common comorbidities in people with congestive heart failure (CHF). Although SDB has major cardiometabolic consequences, the attributable risk of SDB in asymptomatic CHF patients remains unclear. Whether early intervention using positive airway pressure would improve the prognosis in CHF patients is uncertain. As yet, there is insufficient evidence that routine polysomnography screening is cost-effective for asymptomatic CHF patients. Careful clinical risk evaluation and thoughtful use of limited-channel home sleep testing should be considered before the application of routine polysomnography in all CHF patients.

      Résumé

      Les troubles respiratoires du sommeil (TRS) sont l’une des plus fréquentes comorbidités chez les personnes atteintes d’insuffisance cardiaque congestive (ICC). Bien que les TRS aient des conséquences cardiométaboliques majeures, le risque attribuable aux TRS chez les patients souffrant d’ICC qui sont asymptomatiques demeure obscur. L’on ignore si l’intervention précoce par pression positive expiratoire continue améliorerait le pronostic chez les patients souffrant d’ICC. Jusqu’à maintenant, il n’existe pas suffisamment de données probantes montrant que le dépistage systématique au moyen de la polysomnographie est rentable chez les patients atteints d’ICC qui sont asymptomatiques. L’évaluation clinique approfondie du risque et l’utilisation judicieuse du test de sommeil à canaux limités à domicile devraient être considérées avant l’utilisation de la polysomnographie systématique chez tous les patients atteints d’ICC.
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