Marked improvement of heart failure upon adequate titration of continuous positive airway pressure in a patient with obstructive sleep apnea

Deena Raval, Lawrence P. Bernstein, Randall E. Williams, Tomasz J. Kuzniar

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Abstract

Sleep disordered breathing (SDB) is frequently present in heart failure (HF), and it may take the form of obstructive (OSA) and
central (CSA) sleep apnea. The use of continuous positive airway pressure (CPAP) in patients with OSA and HF is associated
with an improved neuroendocrine profile and cardiac function. The degree of upper airway obstruction and the airway
closing pressure (and the PAP pressure used to relieve it) may all be highly variable in a setting of uncontrolled HF, mostly
due to variable airway oedema. We present a case of a man with HF whose cardiac symptoms radically improved after
adequate treatment of his OSA with an auto-adjusting PAP device.

Pneumonol. Alergol. Pol. 2011; 79, 1: 48-51

Keywords

continuous positive airway pressure; heart failure; obstructive sleep apnea

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