AN OBSERVATIONAL STUDY OF CLINICAL, ANTHROPOMETRIC AND LAB PARAMETERS ASSOCIATED WITH SLEEP APNEA IN STABLE PATIENTS OF HEART FAILURE

Dr. Vishal Jha, Dr. Naveen Aggarwal, Dr. Aditi

Abstract


Cardiovascular diseases are the leading cause of mortality and morbidity in both developed and developing countries. While the incidence of ischemic heart disease (IHD) has shown an impressive reduction in developed nations, increasing life expectancy and better chronic care have caused heart failure (HF) to be a major public health issue, especially in older adults. HF is likely to be an important contributor to death and disability in developing countries as well because of increasing vascular disease as well as the persistence of pretransitional diseases such as rheumatic heart disease (RHD) and infectious cardiomyopathies. The estimated prevalence of HF in India is about 1% of the population or about 8–10 million individuals. The estimated mortality attributable to HF is about 0.1–0.16 million individuals per year.

Keywords


Anthropometric Measurements, Central Sleep Apnea, Echocardiography, Polysomnography, Sleep Disordered Breathing, STOP Bang Score.

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References


Chaturvedi V, Parakh N, Seth S, Bhargava B, Ramakrishnan S, Roy A, et al. Heart failure in India: The INDUS (INDia Ukieri Study) study. J Pract Cardiovasc Sci 2016; 2:28-35.

Peker Y, Hedner J, Norum J, Kraiczi H, Carlson J. Increased incidence of cardiovascular disease in middle-aged men with obstructive sleep apnoea. Am J Respir Crit Care Med 2002; 166:159–65.

Lanfranchi P, Somers V, Braghiroli A, Corra U, Eleuteri E, Giannuzzi P. Central sleep apnoea in left ventricular dysfunction. Prevalence and implications for arrhythmic risk. Circulation 2003; 107:727–32.

Lanfranchi P, Braghiroli A, Bosimini E, et al. Prognostic value of nocturnal Cheyne-Stokes respiration in chronic heart failure. Circulation 1999; 99:1435–40.

Olson LJ, Somers VK. Sleep apnea: implications for heart failure. Current heart failure reports. 2007 Jun 1;4(2):63.

Oldenburg O, Lamp B, Faber L, Teschler H, Horstkotte D, Topfer V. Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur. J. Heart Fail. 2007; 9: 251–7.

Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am. J. Epidemiol. 2013; 177: 1006–14.

Le Jemtel, Jelic J. Seek and treat obstructive sleep apnea in heart failure. Am Coll Cardiol 2007; 49: 1632-3.

Nagappa M, Liao P, Wong J, et al. Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis. Arias-Carrion O, ed. PLoS ONE. 2015;10(12).

Shahar E, Whitney CW, Redline S, Lee ET, Newman AB, Nieto FJ, O’Connor GT, Boland LL, Schwartz JE, Samet JM. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am. J. Respir. Crit. Care Med. 2001; 163: 19–25.

Javaheri S, Blackwell T, Ancoli-Israel S, Ensrud KE, Stone KL,Redline S; Osteoporotic Fractures in Men Study Research Group. Sleep-disordered breathing and incident heart failure in older men. Am. J. Respir. Crit. Care Med. 2016; 193: 561–8.

Khattak HK, Hayat F, Pamboukian SV, Hahn HS, Schwartz BP, Stein PK. Obstructive Sleep Apnea in Heart Failure: Review of Prevalence, Treatment with Continuous Positive Airway Pressure, and Prognosis. Tex Heart Inst J. 2018;45(3):151–161.

Kaneko Y, Floras JS, Usui K, Plante J, Tkacova R, Kubo T, Ando SI, Bradley TD. Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med 2003; 348: 1233– 1241.


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