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Sleep and the Heart, An Issue of Sleep Medicine Clinics, E-Book

Sleep and the Heart, An Issue of Sleep Medicine Clinics, E-Book

Rami N. Khayat

(2017)

Additional Information

Book Details

Abstract

This issue of Sleep Medicine Clinics is edited by Dr. Rami Khayat and focuses on Sleep and the Heart. Article topics include: Mechanisms of SDB and respiratory control instability in heart failure; Rehabilitation of cardiovascular disorders and sleep apnea; Device therapy for SDB in patients with CVD and heart failure; Non-mask based therapies for CSA in patients with heart failure; Movement disorders and non- respiratory sleep disorders in patients with CVD; A practical approach to the identification and management of SDB in heart failure patients.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Sleep and the Heart i
Copyright\r ii
CME Accreditation Page iii
PROGRAM OBJECTIVE iii
TARGET AUDIENCE iii
LEARNING OBJECTIVES iii
ACCREDITATION iii
DISCLOSURE OF CONFLICTS OF INTEREST iii
UNAPPROVED/OFF-LABEL USE DISCLOSURE iii
TO ENROLL iii
METHOD OF PARTICIPATION iii
CME INQUIRIES/SPECIAL NEEDS iv
SLEEP MEDICINE CLINICS\r v
FORTHCOMING ISSUES v
September 2017 v
December 2017 v
March 2018 v
RECENT ISSUES v
March 2017 v
December 2016 v
September 2016 v
Contributors vii
CONSULTING EDITOR vii
EDITOR vii
AUTHORS vii
Contents ix
Preface: Sleep and the Heart: What’s Next? ix
Sleep Architecture and Blood Pressure ix
The Effects of Insomnia and Sleep Loss on Cardiovascular Disease ix
Sleep and the Cardiovascular System in Children ix
Rehabilitation of Cardiovascular Disorders and Sleep Apnea ix
A Practical Approach to the Identification and Management of Sleep-Disordered Breathing in Heart Failure Patients x
Central Sleep Apnea in Patients with Congestive Heart Failure x
Sleep-Disordered Breathing and Arrhythmia in Heart Failure Patients x
Device Therapy for Sleep-Disordered Breathing in Patients with Cardiovascular Diseases and Heart Failure x
Non–Mask-based Therapies for Central Sleep Apnea in Patients with Heart Failure xi
Preface:\rSleep and the Heart: What’s Next? xiii
REFERENCES xiv
Sleep Architecture and Blood Pressure 161
Key points 161
INTRODUCTION 161
SLEEP AND CARDIOVASCULAR INTERACTION 162
Changes in Circulatory Control 162
Cardiovascular Response During Non-Rapid Eye Movement Sleep 162
Cardiovascular Response During Rapid Eye Movement Sleep 163
Arousals 163
Cardiorespiratory Coupling During Sleep 163
CLINICAL IMPLICATIONS 164
SUMMARY 164
REFERENCES 164
The Effects of Insomnia and Sleep Loss on Cardiovascular Disease 167
Key points 167
INTRODUCTION 167
SLEEP AND HEALTH 167
SLEEP AND ITS EFFECTS ON IMMUNITY AND METABOLIC ACTIVITY 168
SLEEP LOSS, INSOMNIA, AND DIABETES 169
SLEEP AND HYPERTENSION 171
SLEEP AND CARDIOVASCULAR DISEASE 172
SUMMARY 174
REFERENCES 174
Sleep and the Cardiovascular System in Children 179
Key points 179
INTRODUCTION 179
PHYSIOLOGY AND PATHOPHYSIOLOGY 179
Cardiovascular Physiology of Sleep in Children 179
Pathophysiology 180
SLEEP-DISORDERED BREATHING AND CARDIOVASCULAR DISEASE IN CHILDREN 180
Obstructive Sleep Apnea 180
Central Sleep Apnea 181
Pathophysiology 181
Sudden Infant Death Syndrome 182
Congenital Central Hypoventilation Syndrome 182
SLEEP MANIFESTATIONS OF CARDIOVASCULAR DISEASE 182
Congenital Heart Disease 182
The effect of obesity in children with congenital heart disease 183
Cardiomyopathy in Children 184
Duchenne muscular dystrophy 184
Cardiac remodeling in obstructive sleep apnea in children 184
Pediatric Heart Transplant 185
SLEEP AND CARDIOVASCULAR MORBIDITY IN SPECIFIC GENETIC SYNDROMES AND SYSTEMIC DISEASE IN CHILDREN 185
Down Syndrome 185
Achondroplasia 185
Marfan Syndrome 185
Mucopolysaccharidosis 186
Glycogen Storage Disorder 186
Pierre Robin Sequence 186
Apert Syndrome, Crouzon Syndrome, and Pfeiffer Syndrome 186
Sickle Cell Disease 186
SUMMARY 186
REFERENCES 187
Rehabilitation of Cardiovascular Disorders and Sleep Apnea 193
Key points 193
INTRODUCTION 193
PREVALENCE OF OBSTRUCTIVE SLEEP APNEA IN PATIENTS ENTERING CARDIAC REHABILITATION PROGRAMS 194
PREVALENCE OF OBSTRUCTIVE SLEEP APNEA IN THE POSTSTROKE PERIOD 194
WHY OBSTRUCTIVE SLEEP APNEA IS UNDER-RECOGNIZED IN STROKE AND CARDIAC REHABILITATION UNITS 194
OBSTRUCTIVE SLEEP APNEA AND REHABILITATION OUTCOME 195
EARLY TREATMENT OF OBSTRUCTIVE SLEEP APNEA IN STROKE REHABILITATION 197
EARLY TREATMENT OF OBSTRUCTIVE SLEEP APNEA IN CARDIOVASCULAR REHABILITATION 198
SUMMARY 198
REFERENCES 199
A Practical Approach to the Identification and Management of Sleep-Disordered Breathing in Heart Failure Patients 205
Key points 205
INTRODUCTION 205
DEFINITION AND CLASSIFICATION OF SLEEP-DISORDERED BREATHING 206
THE EPIDEMIOLOGY OF SLEEP-DISORDERED BREATHING IN HEART FAILURE 206
PATHOPHYSIOLOGY OF SLEEP DISORDERED BREATHING 207
Obstructive Sleep Apnea 207
Central Sleep Apnea 207
Recognition of Sleep-Disordered Breathing in Heart Failure 208
Comprehensive heart sleep history 208
Clinical examination in sleep-disordered breathing 209
Sleep-disordered breathing testing 209
Nocturnal polysomnography 209
Ambulatory sleep testing 209
TREATMENT OF SLEEP-DISORDERED BREATHING IN HEART FAILURE PATIENTS 210
TREATMENT OF OBSTRUCTIVE SLEEP APNEA 210
TREATMENT OF CENTRAL SLEEP APNEA 213
SUMMARY 214
REFERENCES 215
Central Sleep Apnea in Patients with Congestive Heart Failure 221
Key points 221
DETERMINANTS OF BREATHING INSTABILITY DURING NON–RAPID EYE MOVEMENT SLEEP 221
Determinants of Central Apnea During Sleep 221
Determinants of Periodic Breathing During Sleep 222
Role of Central Apnea in the Development of Obstructive Sleep Apnea 222
PATHOPHYSIOLOGIC CLASSIFICATION OF CENTRAL SLEEP APNEA 222
CENTRAL APNEA RISK FACTORS 223
MECHANISMS OF BREATHING INSTABILITY IN HEART FAILURE 224
SUMMARY 225
REFERENCES 225
Sleep-Disordered Breathing and Arrhythmia in Heart Failure Patients 229
Key points 229
INTRODUCTION 229
HEART FAILURE AND ARRHYTHMIA 230
LINK BETWEEN SLEEP-DISORDERED BREATHING AND CARDIAC ARRHYTHMIA IN HEART FAILURE 230
INTERPLAY OF SDB AND CARDIAC ARRHYTHMIA: PATHOPHYSIOLOGY AND AUTONOMIC TONE 231
SLEEP-DISORDERED BREATHING PATHOPHYSIOLOGY AND SYSTEMIC CARDIOVASCULAR EFFECTS 231
SLEEP-DISORDERED BREATHING AND ATRIAL FIBRILLATION 232
SLEEP-DISORDERED BREATHING AND ATRIAL FIBRILLATION: PATHOPHYSIOLOGY 232
SLEEP-DISORDERED BREATHING AND ATRIAL FIBRILLATION: TREATMENT OF ATRIAL FIBRILLATION 233
SLEEP-DISORDERED BREATHING AND ATRIAL FIBRILLATION: TREATMENT OF SLEEP-DISORDERED BREATHING 233
SLEEP-DISORDERED BREATHING AND SUDDEN CARDIAC DEATH 234
SLEEP-DISORDERED BREATHING AND VENTRICULAR ARRHYTHMIA 234
SLEEP-DISORDERED BREATHING AND CONDUCTION DISTURBANCES 235
SLEEP-DISORDERED BREATHING AND ARRHYTHMIA DAYTIME DISTRIBUTION 235
IMPROVING HEART FAILURE AND ARRHYTHMIA BURDEN OUTCOME WITH SLEEP-DISORDERED BREATHING TREATMENT? WHAT IS THE EVIDENCE? 235
IS HFPEF DIFFERENT WITH REGARD TO SDB? 236
SUMMARY AND OUTLOOK 236
REFERENCES 236
Device Therapy for Sleep-Disordered Breathing in Patients with Cardiovascular Diseases and Heart Failure 243
Key points 243
RELEVANCE OF BREATHING DISTURBANCES DURING SLEEP IN CARDIOVASCULAR PATIENTS 243
THE HETEROGENEITY OF THE PHENOTYPES OF SLEEP-RELATED BREATHING DISTURBANCES 244
OBSTRUCTIVE SLEEP APNEA: FUNCTIONAL AND MECHANICAL ASPECTS 245
POSITIVE AIRWAY PRESSURE THERAPY IN OBSTRUCTIVE SLEEP APNEA 245
EFFECTS OF CONTINUOUS POSITIVE AIRWAY PRESSURE IN PATIENTS WITH CARDIOVASCULAR DISORDERS AND OBSTRUCTIVE SLEEP APNEA 246
PROGNOSTIC IMPACT OF CONTINUOUS POSITIVE AIRWAY PRESSURE IN OBSTRUCTIVE SLEEP APNEA 246
CONTINUOUS POSITIVE AIRWAY PRESSURE THERAPY IN HEART FAILURE AND PREDOMINANT OBSTRUCTIVE SLEEP APNEA 247
PATHOPHYSIOLOGY OF CENTRAL BREATHING DISTURBANCES DURING SLEEP 247
CONTINUOUS POSITIVE AIRWAY PRESSURE IN THE TREATMENT OF CENTRAL BREATHING DISTURBANCES 247
ADAPTIVE SERVOVENTILATION 248
EVOLUTION OF ADAPTIVE SERVOVENTILATION ALGORITHMS 248
ADAPTIVE SERVOVENTILATION IN CHRONIC HEART FAILURE 248
CONTROVERSIES ON THE PROGNOSTIC IMPACT OF ADAPTIVE SERVOVENTILATION 249
OPEN QUESTIONS ON THE TREATMENT OF SLEEP-DISORDERED BREATHING WITH PREDOMINANT CENTRAL SLEEP APNEA BY ADAPTIVE SERVO VENTIL ... 250
SUMMARY 250
REFERENCES 251
Non–Mask-based Therapies for Central Sleep Apnea in Patients with Heart Failure 255
Key points 255
INTRODUCTION 255
PATHOPHYSIOLOGY 255
IDENTIFICATION OF CENTRAL SLEEP APNEA HEART FAILURE PATIENTS 257
TREATMENT OPTIONS FOR CENTRAL SLEEP APNEA 258
Heart Failure Therapy Optimization 259
Positive Airway Pressure Therapies 259
Oxygen 260
Phrenic Nerve Stimulation 260
Additional Therapeutic Concepts 261
Medications 261
Supplemental carbon dioxide 262
Atrial pacing 262
SUMMARY 262
REFERENCES 262