Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea
Patients with both heart failure and obstructive sleep apnea often have poor, repeatedly disrupted sleep, and yet they frequently do not complain of excessive daytime sleepiness. Understanding this lack of perceived sleepiness is crucial for the case identification and treatment of obstructive sleep...
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| Veröffentlicht in: | Journal of sleep research 2019-10, Vol.28 (5), p.e12778-n/a |
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| container_issue | 5 |
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| container_title | Journal of sleep research |
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| creator | Pak, Victoria M. Strouss, Lisa Yaggi, Henry K. Redeker, Nancy S. Mohsenin, Vahid Riegel, Barbara |
| description | Patients with both heart failure and obstructive sleep apnea often have poor, repeatedly disrupted sleep, and yet they frequently do not complain of excessive daytime sleepiness. Understanding this lack of perceived sleepiness is crucial for the case identification and treatment of obstructive sleep apnea in the heart failure population at high risk of this disease, especially given the association between untreated obstructive sleep apnea and mortality among patients with heart failure. In this review, we present epidemiologic evidence concerning the lack of sleepiness symptoms in heart failure and obstructive sleep apnea, explore possible mechanistic explanations for this relationship, assess the benefits of treatment in this population, discuss implications for clinical practice and explore directions for future research. |
| doi_str_mv | 10.1111/jsr.12778 |
| format | Article |
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Understanding this lack of perceived sleepiness is crucial for the case identification and treatment of obstructive sleep apnea in the heart failure population at high risk of this disease, especially given the association between untreated obstructive sleep apnea and mortality among patients with heart failure. In this review, we present epidemiologic evidence concerning the lack of sleepiness symptoms in heart failure and obstructive sleep apnea, explore possible mechanistic explanations for this relationship, assess the benefits of treatment in this population, discuss implications for clinical practice and explore directions for future research.</description><subject>adults</subject><subject>cardiovascular disease</subject><subject>daytime sleepiness</subject><subject>Female</subject><subject>Heart Failure - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Sleep Apnea, Obstructive - physiopathology</subject><subject>Wakefulness - physiology</subject><issn>0962-1105</issn><issn>1365-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUlLxTAUhYMo-hwW_gHJUhfVDG3TbgQRRxTBaRvS5MYX6WTSKu_fG62KLswmi3Pud4eD0DYl-zS-g-fg9ykTolhCM8rzLGFFXi6jGSlzllBKsjW0HsIzIVRkvFxFa5ykjGYpnaHHa9Bz1brQBNxZ7MGMGgwONUDvWggBh0XTD12UXYvnoPyArXL16AGr1uCuCoMf9eBeYSrCqm9BbaIVq-oAW1__Bno4Pbk_Pk-ubs4ujo-uEp3SrEiAaQslN6wyVFidpySOX1UFFFmqBakgE2UlrKWGUA0F4cZwm0eFGS0gLrOBDiduP1YNGA3t4FUte-8a5ReyU07-VVo3l0_dq8wzXqRCRMDuF8B3LyOEQTYuaKhr1UI3BskoZ4KXefnRa2-yat-F4MH-tKFEfuQgYw7yM4fo3fk914_z-_DRcDAZ3lwNi_9J8vLudkK-A2_IlRA</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Pak, Victoria M.</creator><creator>Strouss, Lisa</creator><creator>Yaggi, Henry K.</creator><creator>Redeker, Nancy S.</creator><creator>Mohsenin, Vahid</creator><creator>Riegel, Barbara</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4081-8347</orcidid><orcidid>https://orcid.org/0000-0001-7817-2708</orcidid><orcidid>https://orcid.org/0000-0001-9384-8374</orcidid><orcidid>https://orcid.org/0000-0002-0970-136X</orcidid></search><sort><creationdate>201910</creationdate><title>Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea</title><author>Pak, Victoria M. ; Strouss, Lisa ; Yaggi, Henry K. ; Redeker, Nancy S. ; Mohsenin, Vahid ; Riegel, Barbara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4158-e2cfe93d2bd17fc640136bb8e854c70be579b7ff1d01ce803dd3f6c702dc7e753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>adults</topic><topic>cardiovascular disease</topic><topic>daytime sleepiness</topic><topic>Female</topic><topic>Heart Failure - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Sleep Apnea, Obstructive - physiopathology</topic><topic>Wakefulness - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pak, Victoria M.</creatorcontrib><creatorcontrib>Strouss, Lisa</creatorcontrib><creatorcontrib>Yaggi, Henry K.</creatorcontrib><creatorcontrib>Redeker, Nancy S.</creatorcontrib><creatorcontrib>Mohsenin, Vahid</creatorcontrib><creatorcontrib>Riegel, Barbara</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of sleep research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pak, Victoria M.</au><au>Strouss, Lisa</au><au>Yaggi, Henry K.</au><au>Redeker, Nancy S.</au><au>Mohsenin, Vahid</au><au>Riegel, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea</atitle><jtitle>Journal of sleep research</jtitle><addtitle>J Sleep Res</addtitle><date>2019-10</date><risdate>2019</risdate><volume>28</volume><issue>5</issue><spage>e12778</spage><epage>n/a</epage><pages>e12778-n/a</pages><issn>0962-1105</issn><eissn>1365-2869</eissn><abstract>Patients with both heart failure and obstructive sleep apnea often have poor, repeatedly disrupted sleep, and yet they frequently do not complain of excessive daytime sleepiness. Understanding this lack of perceived sleepiness is crucial for the case identification and treatment of obstructive sleep apnea in the heart failure population at high risk of this disease, especially given the association between untreated obstructive sleep apnea and mortality among patients with heart failure. 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| identifier | ISSN: 0962-1105 |
| ispartof | Journal of sleep research, 2019-10, Vol.28 (5), p.e12778-n/a |
| issn | 0962-1105 1365-2869 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | adults cardiovascular disease daytime sleepiness Female Heart Failure - physiopathology Humans Male Middle Aged Sleep Apnea, Obstructive - physiopathology Wakefulness - physiology |
| title | Mechanisms of reduced sleepiness symptoms in heart failure and obstructive sleep apnea |
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