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Canadian Journal of Cardiology

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

  • Frédéric Sériès
    Correspondence
    Corresponding author: Dr Frédéric Sériès, Département de médecine, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, 2725 chemin Sainte-Foy, Québec, Québec G1V 4G5, Canada. Tel.: +1-418-656-4747; fax: +1-418-656-4762.
    Affiliations
    Unité de recherche en pneumologie, Centre de recherche, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Québec, Canada
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Published:April 25, 2015DOI:https://doi.org/10.1016/j.cjca.2015.04.015

      Abstract

      Sleep-disordered breathing (SDB) is highly prevalent in heart failure (HF) patients. These breathing disturbances are independent predictors of increased morbidity and comorbid conditions that improve with SDB treatment. Considering the overlap between SDB-related and HF clinical symptoms reported by patients, objective tests need to be conducted for a diagnosis to be firmly established and to determine the type and severity of SDB that will dictate treatment alternatives. Considering the high success rate and diagnostic value of ambulatory monitoring techniques, they represent a practical, cost-effective, and accurate alternative to diagnosing SDB in HF patients.

      Résumé

      Les troubles respiratoires du sommeil (TRS) sont très répandus chez les patients atteints d’insuffisance cardiaque (IC). Ces perturbations respiratoires sont des prédicteurs indépendants de l’augmentation de la morbidité et des affections comorbides qui s’améliorent avec le traitement des TRS. Compte tenu du chevauchement entre les symptômes cliniques liés aux TRS et les symptômes cliniques de l’insuffisance cardiaque rapportés par les patients, il faut mener des tests objectifs pour établir un diagnostic ferme et pour déterminer le type et la gravité des TRS qui dicteront les options thérapeutiques. En raison de leur taux de réussite élevé et de leur valeur diagnostique, les techniques de surveillance ambulatoire représentent une option pratique, rentable et précise pour diagnostiquer les TRS chez les patients atteints d’IC.
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