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Author(s): María Pilar Resano-Barrio , Ramón Arroyo-Espliguero , María Carmen Viana-Llamas , et al Added: 3 years ago
The WHO has established that coronary artery and cerebrovascular disease represent the main causes of premature death and disability in developed countries.1 However, the incidence and prevalence of cardiovascular and cerebrovascular disease is also increasing in developing countries as a result of population ageing and changes in lifestyle. For these reasons, the prevention and treatment of… View more
Author(s): Holger Woehrle , Jochen Müller-Ehmsen , Erland Erdmann Added: 3 years ago
Abstract Sleep-disordered breathing (SDB) is a common finding in patients with cardiovascular disease (CVD). SDB can cause negative effects on the cardiovascular system and can contribute to the worsening of the underlying disease. Obstructive sleep apnoea (OSA) is a major independent risk factor for the manifestation and progression of cardiovascular diseases, whereas central sleep apnoea (CSA)… View more
Author(s): Sitaramesh Emani , William T Abraham Added: 3 years ago
Heart failure (HF) is a growing epidemiological challenge in the US and worldwide. In the US, it is estimated that at least 5 million people are affected by it, with more than a half-million new diagnosis being made each year.1 Despite major improvements in the treatment of HF, almost 30 % of patients treated for acute HF require readmission within 30 days.2,3 These sobering statistics underscore… View more
Author(s): Masaaki Takeuchi , Nobuhiko Haruki , Yutaka Otsuji Added: 3 years ago
More than half of the patients with chronic heart failure (CHF) have associated sleep-disordered breathing (SDB), which consists of either obstructive sleep apnoea (OSA) or central sleep apnoea (CSA).1,2 SDB has deleterious effects on systolic and diastolic ventricular function. In patients with CHF, the presence of SDB results in a poorer prognosis;3,4 thus, its early recognition and adequate… View more
Author(s): Simon G Pearse , Martin R Cowie , Rakesh Sharma , et al Added: 3 years ago
Despite advances in therapy, heart failure (HF) continues to be a leading cause of hospitalisation in those over 65.1 Around 2 % of people in Europe live with HF and as many as 10 % of those over 75 years are affected.2 Prognosis continues to be poor, with approximately half of patients dying within 5 years of first hospitalisation,3 a more severe prognosis than many malignancies.4 Sleep… View more
Author(s): Roland Wensel , Michael Arzt , Sylvia Montalvan-Dobmayr , et al Added: 3 years ago
Periodic Breathing - Central Sleep Apnoea (CSA) CSA is a periodic waxing and waning of ventilation. In chronic heart failure (CHF), CSA is a result of increased chemoreflex sensitivity, prolonged circulation time (low cardiac output) and low functional residual capacity (Francis et al. Circulation 2000). In CHF, CSA is associated with advanced disease and poor prognosis (Lafranchi et al… View more
Author(s): Stefano Taddei , Rosa Maria Bruno Added: 3 years ago
The concept of resistant hypertension (RH) has received great attention in the past years, mainly as a possible target population for innovative therapeutic strategies. An increasing number of original articles and commentaries have focused on the clinical significance, prognosis and treatment of this condition. Thus it is not surprising than even its definition is still a matter of debate,… View more
Author(s): Veli-Pekka Harjola Added: 3 years ago
Heart failure (HF) is a clinical syndrome characterised by inadequate systemic perfusion to meet the body's metabolic demands as a result of impaired cardiac pump function. It is one of the leading cardiovascular health problems in Europe, and its incidence, particularly in the elderly, continues to increase despite an intensive effort to increase education and delivery of healthcare to affected… View more
Author(s): Philip Adamson Added: 3 years ago
A growing appreciation of the prevalence of sleep breathing disorders, especially as co-morbidities of disease syndromes such as chronic heart failure, has increased interest in screening, diagnosis and treatment of obstructive and central sleep apnoea. Sleep apnoea diagnosis currently requires an overnight polysomnograhic evaluation in which the disease is defined as the number of times per hour… View more