Assessment of the Efficacy of Interventions for the Treatment of Sleep Respiratory Disorder in Chronic Heart Failure Patients: A Systematic Review
Journal Title: Istanbul Medical Journal - Year 2019, Vol 20, Issue 3
Abstract
One of the most important problems of heart failure (HF) patients is sleep disturbance. In HF patients with obstructive and central sleep apnea, hypoxia, hypercapnia and over-excitation of the sympathetic system are observed. As a result, negative intrathoracic pressure and left ventricular afterload increase. Treatment of sleep respiratory disorders in chronic HF patients is important for the prognosis of the disease. Therefore, in this systematic review, we aimed to evaluate the efficacy of interventions used for the treatment of sleep respiratory disorder in chronic HF patients. Cochrane Library, Scopus, Springer Link, Science Direct, Clinical Key, PubMed, Turkey Citation Index and EBSCO databases were searched for studies between June 2017-August 2018. When all studies were examined, out of 2.691.006 studies published between 2007-2017, 16 randomized controlled trials that met inclusion criteria were included in the study. In these studies, treatment interventions for treatment groups with sleep respiratory disorder included continuous positive airway pressure (CPAP), bi-level positive airway pressure, adaptive servo-ventilation (ASV), atrial overdrive pacing, home oxygen therapy, slow breathing exercise device and structured physical exercise. When the study results are examined, CPAP treatment improved daytime sleepiness and left ventricular ejection fraction (LVEF) but did not provide significant improvement on quality of life, and that ASV treatment reduced apnea-hypopnea index, provided improvement in LVEF and cardiac function, and reduced ventricular ejection fraction. However, further research is needed to fully demonstrate the efficacy of interventions for the treatment of sleep respiratory disorder in chronic HF patients.
Authors and Affiliations
Hilal Uysal, Hanım Büşra Oruçoğlu
Keywords
Related Articles
- EP ID EP549174
- DOI 10.4274/imj.galenos.2018.79837
- Views 168
- Downloads 0
Common Findings in Endoscopic Gastric Biopsies in Southeastern Anatolia: Effects of Eating Habits and Helicobacter Pylori Infection
Introduction: Roasted and spicy food (mainly hot pepper) consumption is very common in Southeastern Anatolia. Smoked and spicy diets and Helicobacter pylori (H. pylori) infection are known risk factors for gastric cancer...
Serum Ischaemia-modified Albumin Concentration in Hyperemesis Gravidarum
Introduction: The role of oxidative stress in the pathogenesis of hyperemesis gravidarum (HEG) has been demonstrated in a lot of studies. The present study aimed to compare the ischaemia-modified albumin (IMA) serum leve...
The Analysis of the Frequency of Schmorl’s Nodes on the Base of Modic Degeneration as Seen on the Lumbar Magnetic Resonance Imagings of the Cases with Lumbar Pain
Introduction: The aetiology of lumbar pain is multifactorial. One of the primary factors among these is disc degeneration, and degenerative processes lead to endplate changes. This study aimed to determine the incidence...
Evaluation of Plateletcrit and Neutrophil/Lymphocyte, Monocyte/Lymphocyte and Platelet/Lymphocyte Ratios in Endometrial Polyp
Introduction: To evaluate the association between endometrial polyp (EP) and inflammatory markers such as neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), monocyte/lymphocyte ratio (MLR) and plateletcr...
Evaluation of the Relationship Between Initial Lymphocyte Count and Molecular Response to Imatinib Therapy in Chronic Myeloid Leukaemia Patients
Introduction: Chronic myeloid leukaemia (CML) is a myeloproliferative neoplasm characterised by the overproduction of haematopoietic cells in the granulocytic series, involving translocation of chromosomes 9 and 22. The...