Changes in sleep-disordered breathing cycle lengths mirror changes in cardiac function in a patient with heart failure

A case study of a female patient with heart failure with preserved ejection fraction diagnosed with mild obstructive sleep apnea (OSA) is presented. The patient had an episode of cardiac decompensation with fluid overload that was associated with deterioration of OSA. Subsequent compensation of flui...

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Bibliographic Details
Published inSleep and biological rhythms Vol. 12; no. 2; pp. 145 - 147
Main Authors Spießhöfer, Jens, Heinrich, Jessica, Efken, Christina, Lehmann, Roman, Bitter, Thomas, Horstkotte, Dieter, Oldenburg, Olaf
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.04.2014
Subjects
Biomedical and Life Sciences
Biomedicine
cardiac decompensation
Case Report
Health Psychology
heart failure
Human Physiology
Internal Medicine
Neurology
Neurosciences
Psychiatry
sleep‐disordered breathing
sleep-disordered breathing
heart failure
cardiac decompensation
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Summary:A case study of a female patient with heart failure with preserved ejection fraction diagnosed with mild obstructive sleep apnea (OSA) is presented. The patient had an episode of cardiac decompensation with fluid overload that was associated with deterioration of OSA. Subsequent compensation of fluid overload with a 4 kg decrease in body weight was accompanied by a reduction in nocturnal respiratory events. When cardiac function was fully restored, respiratory parameters returned to initial levels. This case report promotes further research on the question, whether changes in respiratory patterns of OSA can potentially reflect acute changes in cardiac performance and/or heart failure status, even in individual patients.
ISSN:1446-9235
1479-8425
DOI:10.1111/sbr.12056