title: Sleep-disordered breathing in heart failure: identifying and treating an important but often unrecognized comorbidity in heart failure patients.
abstract: Sleep-disordered breathing (SDB) is the most common comorbidity in patients with heart failure (HF) and has a significant impact on quality of life, morbidity, and mortality. A number of therapeutic options have become available in recent years that can improve quality of life and potentially the outcomes of HF patients with SDB. Unfortunately, SDB is not part of the routine evaluation and management of HF, so it remains untreated in most HF patients. Although recognition of the role of SDB in HF is increasing, clinical guidelines for the management of SDB in HF patients continue to be absent. This article provides an overview of SDB in HF and proposes a clinical care pathway to help clinicians to better recognize and treat SDB in their HF patients.
authors.affiliation: Ohio State University, Division of Pulmonary, Critical Care and Sleep, Columbus, OH 43210, USA. rami.khayat@osumc.edu
authors.forename: Rami
authors.initials: R
authors.lastname: Khayat
authors.forename: Roy
authors.initials: R
authors.lastname: Small
authors.forename: Lisa
authors.initials: L
authors.lastname: Rathman
authors.forename: Steven
authors.initials: S
authors.lastname: Krueger
authors.forename: Becky
authors.initials: B
authors.lastname: Gocke
authors.forename: Linda
authors.initials: L
authors.lastname: Clark
authors.forename: Laura
authors.initials: L
authors.lastname: Yamokoski
authors.forename: William T
authors.initials: WT
authors.lastname: Abraham
mesh_terms: D045422:Continuous Positive Airway Pressure; D019091:Critical Pathways; D006333:Heart Failure / Q000150:complications*; D006801:Humans; D008019:Life Style; D000451:Mineralocorticoid Receptor Antagonists / Q000627:therapeutic use; D009765:Obesity / Q000150:complications; D010160:Palate, Soft / Q000002:abnormalities; D010614:Pharynx / Q000002:abnormalities; D010808:Physical Examination; D017286:Polysomnography; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*
chemical_list: D000451:Mineralocorticoid Receptor Antagonists