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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Article info
Publication history
Published online: April 25, 2015
Accepted:
April 21,
2015
Received:
November 25,
2014
Footnotes
See article by Li et al., pages 940-944 of this issue.
See page 938 for disclosure information.
Identification
Copyright
© 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.