Universität zu Köln

Randerath, Winfried and Herkenrath, Simon (2017). Device Therapy for Sleep-Disordered Breathing in Patients with Cardiovascular Diseases and Heart Failure. Sleep Med. Clin., 12 (2). S. 243 - 255. SAN DIEGO: ELSEVIER INC. ISSN 1556-4088

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Abstract

Pathophysiologic components of upper airway obstruction, reduced tidal volume, and disturbed respiratory drive characterize sleep-disordered breathing. Positive airway pressure (PAP) devices address these components by stabilizing the upper airways (continuous PAP), applying air volumes and mandatory breaths (bilevel PAP), or counterbalancing ventilation (adaptive servoventilation). Although PAP therapies have been shown to improve breathing disturbances, daytime symptoms, and left ventricular function in obstructive sleep apnea and cardiovascular diseases, the effects on mortality are controversial, especially in heart failure and central sleep apnea. Optimal treatment is selected based on polysomnographic findings and symptoms, and applied based on the underlying pathophysiologic components.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Randerath, Winfried UNSPECIFIED UNSPECIFIED UNSPECIFIED Herkenrath, Simon UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-228197
DOI:	10.1016/j.jsmc.2017.02.002
Journal or Publication Title:	Sleep Med. Clin.
Volume:	12
Number:	2
Page Range:	S. 243 - 255
Date:	2017
Publisher:	ELSEVIER INC
Place of Publication:	SAN DIEGO
ISSN:	1556-4088
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSITIVE AIRWAY PRESSURE; CHEYNE-STOKES RESPIRATION; ADAPTIVE SERVO-VENTILATION; LEFT-VENTRICULAR DYSFUNCTION; RANDOMIZED CONTROLLED-TRIAL; MECHANICAL VENTILATION; PRACTICE PARAMETERS; CARDIAC-FUNCTION; ADULT PATIENTS; CPAP THERAPY Multiple languages Clinical Neurology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22819