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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Article info
Publication history
Published online: April 22, 2015
Accepted:
April 20,
2015
Received:
March 23,
2015
Footnotes
See article by Sériès, pages 935-939 of this issue.
See page 942 for disclosure information.
Identification
Copyright
© 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
