scholarly journals Interrelated atrial fibrillation and leaks triggering and maintaining central sleep apnoea and periodic breathing in a CPAP ‐treated patient

2020 ◽  
Vol 8 (8) ◽  
Author(s):  
Arnaud Prigent ◽  
Anne‐Laure Serandour ◽  
Régis Luraine ◽  
Jean Sébastien Poineuf ◽  
Christian Bosseau ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Treated Patient ◽  
Periodic Breathing ◽  
Sleep Apnoea ◽  
Central Sleep Apnoea

scholarly journals Daytime periodic breathing during short-term laboratory recordings in heart failure patients: the iceberg tip of central sleep apnoea?

2017 ◽  
Vol 20 (5) ◽  
pp. 934-936 ◽  
Author(s):  
Maria Teresa La Rovere ◽  
Roberto Maestri ◽  
Elena Robbi ◽  
Angelo Caporotondi ◽  
Giampaolo Guazzotti ◽  
...  
Keyword(s):  
Heart Failure ◽  
Periodic Breathing ◽  
Sleep Apnoea ◽  
Short Term ◽  
Heart Failure Patients ◽  
Central Sleep Apnoea

scholarly journals Central sleep apnoea and periodic breathing in heart failure: prognostic significance and treatment options

2019 ◽  
Vol 28 (153) ◽  
pp. 190084 ◽  
Author(s):  
Winfried Randerath ◽  
Oana Deleanu ◽  
Sofia Schiza ◽  
Jean-Louis Pepin
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Cardiac Failure ◽  
Treatment Options ◽  
Randomised Trial ◽  
Prognostic Significance ◽  
Periodic Breathing ◽  
Sleep Apnoea ◽  
Reduced Ejection Fraction ◽  
Central Sleep Apnoea

Central sleep apnoea (CSA) including periodic breathing is prevalent in more than one-third of patients with heart failure and is highly and independently associated with poor outcomes. Optimal treatment is still debated and well-conducted studies regarding efficacy and impact on outcomes of available treatment options are limited, particularly in cardiac failure with preserved ejection fraction. While continuous positive airway pressure and oxygen reduce breathing disturbances by 50%, adaptive servoventilation (ASV) normalises breathing disturbances by to controlling the underlying mechanism of CSA. Results are contradictory regarding impact of ASV on hard outcomes. Cohorts and registry studies show survival improvement under ASV, while secondary analyses of the large SERVE-HF randomised trial showed an excess mortality in cardiac failure with reduced ejection fraction. The current priority is to understand which phenotypes of cardiac failure patients may benefit from treatment guiding individualised and personalised management.

scholarly journals Continuous positive airway pressure device detects atrial fibrillation induced central sleep apnoea

The Lancet ◽  
2018 ◽  
Vol 392 (10142) ◽  
pp. 160 ◽  
Author(s):  
Matthew Light ◽  
Jeremy E Orr ◽  
Atul Malhotra ◽  
Robert L Owens
Keyword(s):  
Atrial Fibrillation ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Apnoea ◽  
Central Sleep Apnoea

scholarly journals Adaptive servo ventilation for central sleep apnoea in heart failure: SERVE-HF on-treatment analysis

2017 ◽  
Vol 50 (2) ◽  
pp. 1601692 ◽  
Author(s):  
Holger Woehrle ◽  
Martin R. Cowie ◽  
Christine Eulenburg ◽  
Anna Suling ◽  
Christiane Angermann ◽  
...  
Keyword(s):  
Heart Failure ◽  
Sleep Apnoea ◽  
Adaptive Servo Ventilation ◽  
Central Sleep Apnoea ◽  
Treatment Analysis

Central sleep apnoea

2019 ◽  
pp. 529-534
Author(s):  
Konrad E. Bloch ◽  
Thomas Brack
Keyword(s):  
Sleep Apnoea ◽  
Central Sleep Apnoea

Central sleep apnoea/Cheyne–Stokes respiration: pathophysiology

2012 ◽  
pp. 42-44
Author(s):  
Winfried Randerath
Keyword(s):  
Sleep Apnoea ◽  
Central Sleep Apnoea

scholarly journals P095 Heart Rate Variability during Sleep in Paroxysmal Atrial Fibrillation patients with and without Obstructive Sleep Apnoea

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A52-A52
Author(s):  
A Mohammadieh ◽  
H Dissanayake ◽  
K Sutherland ◽  
S Ucak ◽  
P de Chazal ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Obstructive Sleep Apnoea ◽  
Paroxysmal Atrial Fibrillation ◽  
Sleep Apnoea ◽  
Relative Reduction ◽  
Obstructive Sleep ◽  
Sympathetic Modulation ◽  
Ectopic Beats

Abstract Introduction Physiological studies have demonstrated the importance of the autonomic nervous system in mediating acute apnoea-induced atrial fibrillation (AF). We aimed to compare Heart Rate Variability (HRV) markers of autonomic function in paroxysmal atrial fibrillation (PAF) patients with and without obstructive sleep apnoea (OSA). A secondary aim was the analysis of ectopic beats in these groups. Methods Nocturnal ECG traces from 89 PAF patients who underwent in-laboratory polysomnography were included. After identifying ectopic beats in the ECGs, periods of arrhythmia as well as sleep apnoea events were excluded. HRV time and frequency domains were reported by sleep stage (REM vs Non-REM) for patients with and without OSA. Results Frequency domain analysis of HRV during non-REM sleep in PAF patients with OSA showed increased cardiac parasympathetic modulation (HF-nu: 39.13 ± 15.74 vs 47.98 ± 14.60, p = 0.008*) and reduced cardiac sympathetic modulation (LF/HF ratio: 2.05 ± 2.02 vs 1.17 ± 0.98, p = 0.007*). Results remained significant after adjusting for age, sex and BMI (adjusted p values 0.024 and 0.018 respectively). PAF patients with severe OSA (AHI ≥ 30/hr) had more AF beats and Ventricular Ectopic Beats than those without severe OSA (22.7 ± 42.8% vs 3.7 ± 17.9%, p = 0.006*, 1.7 ± 3.8 vs 0.3 ± 0.9%, p = 0.004* respectively). Conclusions This is the first study of HRV in AF patients with and without OSA. It suggests a chronic increase in parasympathetic nervous modulation and relative reduction in sympathetic modulation in PAF patients with OSA.

scholarly journals Central sleep apnoea and heart failure (Part I)

Respirology ◽  
1997 ◽  
Vol 2 (4) ◽  
pp. 243-253 ◽  
Author(s):  
Keith R BURGESS
Keyword(s):  
Heart Failure ◽  
Sleep Apnoea ◽  
Central Sleep Apnoea
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