Heart Failure Seminar: Focus on Sleep - Failure to Sleep-Heart Failure Seminar: Focus on Sleep

Video Transcription

Video Summary

The video discusses the risk factors, diagnosis, and treatment options for sleep apnea in patients with heart failure. Risk factors for both obstructive and central sleep apnea in heart failure include older age, male sex, higher BMI, and other comorbidities such as atrial fibrillation and Cheyne-Stokes respiration. Diagnosis of sleep apnea in heart failure can be challenging due to the lack of typical symptoms like daytime sleepiness, but home sleep tests are usually preferred for diagnosis. Treatment for obstructive sleep apnea involves continuous positive airway pressure therapy (CPAP), while treatment for central sleep apnea can involve positive airway pressure therapy such as adaptive servo ventilation (ASV), though the role of ASV in heart failure remains controversial. Alternative treatment options for central sleep apnea include medications like acetazolamide and phrenic nerve stimulation. The video also presents a case study to illustrate the importance of diagnosing and treating sleep apnea in heart failure patients, and highlights the need for collaboration between cardiology and sleep medicine to optimize patient care. Overall, sleep apnea in heart failure is associated with adverse outcomes and addressing it is crucial for improving symptoms and prognosis.<br /><br />Credits for the video were not mentioned in the summary.

Keywords

sleep apnea

heart failure

risk factors

diagnosis

treatment options

obstructive sleep apnea

central sleep apnea

home sleep tests

CPAP

ASV

acetazolamide

collaboration