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  • Obstructive (OSA) and central sleep apnea (CSA) are very common in patients with congestive heart failure (CHF). This is clearly a risk factor for worsening the prognosis of patients. Treatment of sleep apnea in these patients may stop disease progression. Modern therapy, primarily central sleep apnea, is provided by adaptive servoventilation (ASV). Short-term randomized trials have demonstrated that treatment with ASV increased ejection fraction (EF), reduces sympathetic activity and blood pressure. Unfortunately, there is not enough data on whether there are effects on mortality and morbidity. Studies of this issue, such as SERVE-HF and ADVENT-HF, are currently in progress and results are expected. There are other forms of therapy of OSA like CPAP, oxygen, theophylline, acetazolamide, cardiac resynchronisation therapy and transplantation. In patients with a predominance of OSA, in addition to previous methods, there are other recommended forms of therapy as appropriate weight loss, orthodontic appliances and surgical treatment.
  • Obstructive (OSA) and central sleep apnea (CSA) are very common in patients with congestive heart failure (CHF). This is clearly a risk factor for worsening the prognosis of patients. Treatment of sleep apnea in these patients may stop disease progression. Modern therapy, primarily central sleep apnea, is provided by adaptive servoventilation (ASV). Short-term randomized trials have demonstrated that treatment with ASV increased ejection fraction (EF), reduces sympathetic activity and blood pressure. Unfortunately, there is not enough data on whether there are effects on mortality and morbidity. Studies of this issue, such as SERVE-HF and ADVENT-HF, are currently in progress and results are expected. There are other forms of therapy of OSA like CPAP, oxygen, theophylline, acetazolamide, cardiac resynchronisation therapy and transplantation. In patients with a predominance of OSA, in addition to previous methods, there are other recommended forms of therapy as appropriate weight loss, orthodontic appliances and surgical treatment. (en)
Title
  • Advances in the management of sleep-disordered breathing in heart failure
  • Advances in the management of sleep-disordered breathing in heart failure (en)
skos:prefLabel
  • Advances in the management of sleep-disordered breathing in heart failure
  • Advances in the management of sleep-disordered breathing in heart failure (en)
skos:notation
  • RIV/00159816:_____/13:00060768!RIV14-MZ0-00159816
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
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  • I, P(ED1.100/02/0123)
http://linked.open...iv/cisloPeriodika
  • 55
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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  • 59652
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  • RIV/00159816:_____/13:00060768
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  • heart failure; breathing; sleep-disordered (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [9FCE5A3AF418]
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  • Cor et Vasa
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http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 2013
http://linked.open...iv/tvurceVysledku
  • Kára, Tomáš
  • Homolka, Pavel
  • Matuška, Pavel
  • Bělehrad, Miloš
issn
  • 0010-8650
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.crvasa.2013.06.005
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