[Cheyne-Stokes respiration in patients with chronic heart failure: only a diagnostic marker or also a cardiovascular risk factor?].
Sleep disordered breathing with predominant obstructive or central apnea is an under-recognized but highly prevalent comorbidity in patients with chronic heart failure. As the severity of heart failure increases the prevalence of central sleep apnea (CSA) and Cheyne-Stokes respiration (CSR) is also much more frequent. Cheyne-Stokes respiration is characterized by alternating periods of crescendo and decrescendo respiration followed by central apnea. Present data indicate that CSA-CSR is not only a compensatory response to severe heart failure but also a predictor of worse prognosis. However the results on long-term mortality are not consistent. The prognostic importance of night- and daytime CSR has to be further elucidated. Increased sympathetic nervous activity has been proposed to play a mayor role concerning progression and outcome of chronic heart failure by CSA-CSR.
Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin.
U
U
Koehler
Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin.
O
O
Hildebrandt
Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin.
C
C
Nell
Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin.
K
K
Thiem
Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin.
E
E
Sibai
Biomedizinische Technik, Fachbereich KMUB (Krankenhaus- und Medizintechnik, Umwelt- und Biotechnologie), Technische Hochschule Mittelhessen, Gießen.
V
V
Gross
Klinik für Innere Medizin, Schwerpunkt Kardiologie und Angiologie, Philipps-Universität Marburg.
W
W
Grimm
D000368:Aged; D002639:Cheyne-Stokes Respiration / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D005260:Female; D006333:Heart Failure / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D011379:Prognosis; D012307:Risk Factors; D020182:Sleep Apnea, Central / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D015996:Survival Rate; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology