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Can J Cardiol. 2015 Jul;31(7):940-4. doi: 10.1016/j.cjca.2015.04.013. Epub 2015 Apr 23.

Should All Congestive Heart Failure Patients Have a Routine Sleep Apnea Screening? Con.

Author information

1
Beijing Tongren Hospital, Capital Medical University, Department of Otolaryngology Head and Neck Surgery, Beijing, China.
2
University of California at San Diego, Division of Cardiology, Sulpizio Cardiovascular Center, La Jolla, California, USA.
3
UPMC Sleep Medicine Center, Division of Pulmonary, Allergy, and Critical Care Medicine, Pittsburgh, Pennsylvania, USA.
4
University of California at San Diego, Chief of Division of Pulmonary, Critical Care and Sleep Medicine, La Jolla, California, USA. Electronic address: amalhotra@ucsd.edu.

Abstract

Sleep-disordered breathing (SDB) is one of the most common comorbidities in people with congestive heart failure (CHF). Although SDB has major cardiometabolic consequences, the attributable risk of SDB in asymptomatic CHF patients remains unclear. Whether early intervention using positive airway pressure would improve the prognosis in CHF patients is uncertain. As yet, there is insufficient evidence that routine polysomnography screening is cost-effective for asymptomatic CHF patients. Careful clinical risk evaluation and thoughtful use of limited-channel home sleep testing should be considered before the application of routine polysomnography in all CHF patients.

PMID:
26112304
PMCID:
PMC4506310
DOI:
10.1016/j.cjca.2015.04.013
[Indexed for MEDLINE]
Free PMC Article

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