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Sleep-disordered breathing in ischemic cardiomyopathy and hypertensive heart failure patients

Egyptian Journal of Bronchology volume 11, pages 154–160 (2017)Cite this article

Abstract

Aims

The aims of this study are to (a) detect the effect of different types of heart diseases [ischemic, cardiomyopathy, hypertensive heart failure (HF)] on the association with sleep disorders, and to (b) identify the relationship between Cheyne–Stokes respiration (CSR) and left ventricular dysfunction.

Materials and methods

In a cross-sectional study involving 100 HF patients, we performed echocardiography and a fullnight attended polysomnography for all patients.

Results

In all, 47.9% of patients with ischemic heart disease had obstructive sleep apnea (OSA), whereas 37.5% had central sleep apnea (CSA). OSA was highly prevalent in patients with hypertensive heart disease (79.2%). On the other hand, 50.0% patients with dilated cardiomyopathy (DCM) had CSA, whereas 39.3% had OSA. Patients with DCM had a significant increase in the central apnea index (11.05±9.19 events/h), as well cycle length of CSR (68.14 ±13.26 s), as compared with other groups. There was an inverse increase of cycle length with reduction in left ventricular ejection fraction (LVEF) (LVEF≥50% had a cycle length of 41.55±10.84 s, whereas those with LVEF≤30% had a longer mean cycle length of 69.23±18.09 s).

Conclusion

Sleep-disordered breathing is a common disorder in different groups of HF. OSA was prevalent in ischemic and hypertensive heart disease, whereas CSA was prevalent in DCM. There was a significant increase in cycle length of CSR with a reduction in LVEF.

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Author information

Authors and Affiliations

  1. Departments of Chest Diseases and Tuberculosis, Chest Diseases and Sleep Medicine, Chest Department, Faculty of Medicine, Assiut University Hospital, Assiut, 71111, Egypt

    Suzan Salama, Amany Omar, Yasser Ahmed & Doaa Magdy MD

  2. Cardiology, Egypt

    Mahmoud Abd El Sabour

  3. Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, Egypt

    Mohamed Ismail Seddik

Authors
  1. Suzan Salama
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  2. Amany Omar
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  3. Yasser Ahmed
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  4. Mahmoud Abd El Sabour
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  5. Mohamed Ismail Seddik
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  6. Doaa Magdy MD
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Corresponding author

Correspondence to Doaa Magdy MD.

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Salama, S., Omar, A., Ahmed, Y. et al. Sleep-disordered breathing in ischemic cardiomyopathy and hypertensive heart failure patients. Egypt J Bronchol 11, 154–160 (2017). https://doi.org/10.4103/ejb.ejb_42_16

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  • DOI: https://doi.org/10.4103/ejb.ejb_42_16

Keywords

  • cheyne–stokes respiration
  • heart failure
  • sleep-disordered breathing