Key result
In patients with non-ischaemic chronic heart failure, sleep-disordered breathing severity was independently associated with left ventricular hypertrophy (R = 0.27, P = 0.0006).
Why the study?
Is sleep-disordered breathing severity associated with left ventricular remodelling in patients with non-ischaemic systolic heart failure?
Cross-Sectional (n=160)
Is sleep-disordered breathing severity associated with left ventricular remodelling in patients with non-ischaemic systolic heart failure?
Effect estimate: R = 0.27
p-value: p=0.0006
In patients with non-ischaemic systolic heart failure, the severity of sleep-disordered breathing is independently associated with left ventricular hypertrophy and remodelling.
Hypothesis-generating for sleep-disordered breathing in non-ischaemic HF; prospective studies needed to clarify remodelling effects.
Sleep-disordered breathing (SDB) is associated with left ventricle (LV) remodelling in patients with normal LV function. Sleep-disordered breathing is common in chronic heart failure (CHF) with systolic LV dysfunction, and may contribute to LV remodelling and CHF progression. Our aim was to determine the consequence of SDB on LV geometry in patients with CHF. We hypothesised that SDB severity was correlated with the degree of LV hypertrophy (LVH). One-hundred and sixty patients with CHF with a non-ischaemic systolic LV dysfunction were assessed by overnight polygraphy and echocardiography. Patients were classified in four groups according to their apnoea-hypopnoea index (AHI): <5 (no-SDB); 5-14 (mild); 15-29 (moderate); ≥30 (severe). Left ventricular mass index (LVM Ind) was calculated using the usual echocardiographic M-Mode parameters. Their mean age, New York Heart Association and left ventricular ejection fraction were, respectively: 56 ± 13 years, 2.4 ± 0.8 and 30 ± 10%, and 77% were men. Body mass index, interventricular septal and posterior LV wall thicknesses, and LVM Ind were significantly increased in severe SDB versus no-SDB. LVM Ind was correlated to the AHI (R = 0.27, P = 0.0006) and, using logistic regression, AHI was the unique independent factor of LVH in this population. In non-ischaemic CHF, SDB severity is associated with LV remodelling.
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Damy et al. (2010) conducted a cross-sectional in Chronic heart failure with non-ischaemic systolic LV dysfunction (n=160). Sleep-disordered breathing (SDB) vs. No-SDB (AHI < 5) was evaluated on Left ventricular mass index (LVM Ind) correlation with Apnoea-Hypopnoea Index (AHI) (R = 0.27, p=0.0006). In patients with non-ischaemic chronic heart failure, sleep-disordered breathing severity was independently associated with left ventricular hypertrophy (R = 0.27, P = 0.0006).
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