title: Cardiac or Other Implantable Electronic Devices and Sleep-disordered Breathing - Implications for Diagnosis and Therapy.
abstract: Sleep-disordered breathing (SDB) is of growing interest in cardiology because SDB is a highly prevalent comorbidity in patients with a variety of cardiovascular diseases. The prevalence of SDB is particularly high in patients with cardiac dysrhythmias and/or heart failure. In this setting, many patients now have implantable cardiac devices, such as pacemakers, implantable cardioverter-defibrillators or implanted cardiac resynchronisation therapy devices (CRT). Treatment of SDB using implantable cardiac devices has been studied previously, with atrial pacing and CRT being shown not to bring about satisfactory results in SDB care. The latest generations of these devices have the capacity to determine transthoracic impedance, to detect and quantify breathing efforts and to identify SDB. The capability of implantable cardiac devices to detect SDB is of potential importance for patients with cardiovascular disease, allowing screening for SDB, monitoring of the course of SDB in relation to cardiac status, and documenting of the effects of treatment.
authors.affiliation: Cardiologist.
authors.forename: Henrik
authors.initials: H
authors.lastname: Fox
authors.affiliation: Pneumologist.
authors.forename: Thomas
authors.initials: T
authors.lastname: Bitter
authors.affiliation: Co-chair of Electrophysiology.
authors.forename: Klaus-Jürgen
authors.initials: KJ
authors.lastname: Gutleben
authors.affiliation: Head.
authors.forename: Dieter
authors.initials: D
authors.lastname: Horstkotte
authors.affiliation: Senior Cardiologist, Department of Cardiology, Heart and Diabetes Centre North Rhine-Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany.
authors.forename: Olaf
authors.initials: O
authors.lastname: Oldenburg
keywords: Cheyne-Stokes respiration; Implantable cardiac devices; central sleep apnoea; heart failure; obstructive sleep apnoea; sleep-disordered breathing
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