Current Sleep Medicine Reports

, Volume 4, Issue 3, pp 202–209 | Cite as

Management of Sleep-Disordered Breathing in Heart Failure

  • Ryan Westman
  • Rami Khayat
  • Rami KahwashEmail author
Heart Disease and Sleep Disturbances (R Khayat, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Heart Disease and Sleep Disturbances


Over the past few decades, sleep-disordered breathing (SBD) was recognized as major comorbid condition affecting the general population with notable increased prevalence in patients with heart failure (HF). The relationship between SDB and HF is multilayered and despite extensive research in this area, the cause-and-effect relationship is not clearly understood. SDB is well known to cause accelerated progression of HF stages and is associated with increased HF morbidity and poor survival. In contrast, worsening heart failure can lead to the development of SBD and parallel increase in its severity. Despite recent breakthrough in SDB treatment and presence of effective therapies that can improve exercise capacity and quality of life, a large portion of HF patients with SDB remain untreated due to the lack of appropriate screening algorithms and practical therapeutic pathways. It is unfortunate that the management of SDB is still missing from routine HF evaluation, while clinical guidelines have not provided clear insight on the management of this prevalent comorbidity. In this review, we will provide overview of SDB and propose practical therapeutic approaches aimed to simplify screening and provide treatment recommendations.


Sleep Apnea Obstructive Central Heart failure Chronic Systolic Respiration Positive airway pressure 


Compliance with Ethical Standards

Conflict of Interest

Rami Kahwash declares no conflicts of interest.

Rami Khayat declares no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Division of Pulmonary MedicineThe Ohio State UniversityColumbusUSA
  2. 2.The Sleep Heart ProgramThe Ohio State UniversityColumbusUSA
  3. 3.Section of Heart Failure and Transplant, Division of Cardiovascular MedicineThe Ohio State UniversityColumbusUSA
  4. 4.Division of Cardiovascular Medicine, Section of Heart Failure and TransplantDavis Heart/Lung Research InstituteColumbusUSA

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