Marked improvement of heart failure upon adequate titration of continuous positive airway pressure in a patient with obstructive sleep apnea

Deena Raval; Lawrence P. Bernstein; Randall E. Williams; Tomasz J. Kuzniar

Vol 79, No 1 (2011)

Case report

Published online: 2010-12-28

Submitted: 2013-02-22

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Marked improvement of heart failure upon adequate titration of continuous positive airway pressure in a patient with obstructive sleep apnea

Deena Raval, Lawrence P. Bernstein, Randall E. Williams, Tomasz J. Kuzniar

Pneumonol Alergol Pol 2011;79(1):48-51.

Vol 79, No 1 (2011)

CASE REPORTS

Published online: 2010-12-28

Submitted: 2013-02-22

Abstract

Sleep disordered breathing (SDB) is frequently present in heart failure (HF), and it may take the form of obstructive (OSA) and central (CSA) sleep apnea. The use of continuous positive airway pressure (CPAP) in patients with OSA and HF is associated with an improved neuroendocrine profile and cardiac function. The degree of upper airway obstruction and the airway closing pressure (and the PAP pressure used to relieve it) may all be highly variable in a setting of uncontrolled HF, mostly due to variable airway oedema. We present a case of a man with HF whose cardiac symptoms radically improved after adequate treatment of his OSA with an auto-adjusting PAP device.
Pneumonol. Alergol. Pol. 2011; 79, 1: 48-51