Sleep‐Disordered Breathing, Cognitive Functioning, and Adherence in Heart Failure: Linked Through Pathology?

Trupp, Robin J.; Corwin, Elizabeth J.

doi:10.1111/j.1751-7117.2008.08000.x

Cited by 5 publications

(2 citation statements)

References 41 publications

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“…SDB is a special type of sleep disorder, mainly manifested as abnormal changes in breathing during sleep. It is characterized by repetitive nocturnal apnea and/or hypopnea, followed by a recovery phase with hyperpnea, which leads to circulation patterns of intermittent hypoxia-reoxygenation, arousal, and sympathetic activation ( 164 ). A previous study ( 32 ) revealed the correlation between cognitive function scores and oxygen desaturation index in HF patients.…”

Section: Discussionmentioning

confidence: 99%

Brain Imaging Changes and Related Risk Factors of Cognitive Impairment in Patients With Heart Failure

Jiang

Wang

et al. 2022

Front. Cardiovasc. Med.

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Background/AimsTo explore the imaging changes and related risk factors of heart failure (HF) patients with cognitive impairment (CI).MethodsA literature search was systematically carried out in PubMed, Web of Science, Embase, and Cochrane Library. In this systematic review, important relevant information was extracted according to the inclusion and exclusion criteria. The methodological quality was assessed by three scales according to the different study types.ResultsFinally, 66 studies were included, involving 33,579 patients. In the imaging changes, the severity of medial temporal lobe atrophy (MTA) and the decrease of gray Matter (GM) volume were closely related to the cognitive decline. The reduction of cerebral blood flow (CBF) may be correlated with CI. However, the change of white matter (WM) volume was possibly independent of CI in HF patients. Specific risk factors were analyzed, and the data indicated that the increased levels of B-type natriuretic peptide (BNP)/N-terminal pro-B-type natriuretic peptide (NT-proBNP), and the comorbidities of HF, including atrial fibrillation (AF), diabetes mellitus (DM) and anemia were definitely correlated with CI in patients with HF, respectively. Certain studies had also obtained independent correlation results. Body mass index (BMI), depression and sleep disorder exhibited a tendency to be associated with CI. Low ejection fraction (EF) value (<30%) was inclined to be associated with the decline in cognitive function. However, no significant differences were noted between heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF) in cognitive scores.ConclusionBNP/NT-proBNP and the comorbidities of HF including AF, DM and anemia were inextricably correlated with CI in patients with HF, respectively. These parameters were independent factors. The severity of MTA, GM volume, BMI index, depression, sleep disorder, and low EF value (<30%) have a disposition to associated with CI. The reduction in the CBF volume may be related to CI, whereas the WM volume may not be associated with CI in HF patients. The present systematic review provides an important basis for the prevention and treatment of CI following HF.

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Section: Discussionmentioning

confidence: 99%

Brain Imaging Changes and Related Risk Factors of Cognitive Impairment in Patients With Heart Failure

Jiang

Wang

et al. 2022

Front. Cardiovasc. Med.

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“…Failure to take the medications or to use CPAP at least 4 h per night as directed results in inadequate NH blockade, leading to disease progression, worsening symptoms, and poor outcomes. Just as sleep deprivation resulting from SDB may compromise adherence in patients with HF, so might treatment of SDB improve decisions made related to prescribed HF therapies and adherence [48].…”

Section: A Collaborative Model For Cvd and Sleepmentioning

confidence: 99%

An integrated approach to managing sleep disordered breathing and cardiovascular disease

Trupp

Corwin

2008

Heart Fail Rev

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Despite its prevalence, most cases of sleep disordered breathing (SDB) go unrecognized by the medical community, creating a mismatch between disease pervasiveness and medical appreciation of its impact. Of particular importance is that 30% of those with cardiovascular disease (CVD) have some type of sleep disorder. One explanation for this lack of recognition and under-appreciation is that common symptoms seen with SDB are non-specific and are present in many acute and chronic conditions. This article will present a brief review of current processes used to diagnose and treat SDB, followed by a discussion of the overlap that exists between CVD and SDB, and present an argument that these chronic conditions should not be considered and managed as separate entities.

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Poor sleep and impaired self-care: Towards a comprehensive model linking sleep, cognition, and heart failure outcomes

Riegel

Weaver

2009

European Journal of Cardiovascular Nursing

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Background-Persons with heart failure (HF) have significantly lower sleep quantity and quality than persons without HF. The purpose of this article is to propose a conceptual model describing how poor sleep may contribute to inadequate self-care and untoward outcomes in persons with HF.Aims-Our overarching hypothesis is that sleep affects self-care and outcomes through its effects on cognition. Building on the work of others, we outline a conceptual model that illustrates that even transient sleep disruption prevents sleep-related restorative processes and contributes to cognitive dysfunction-especially in the 25-50% of HF patients with existing cognitive impairment. Poor sleep may be sufficient to impair cognition to a level that interferes with higher order functions involved in effective HF self-care practices. Through these mechanisms, inadequate sleep may contribute to poor outcomes such as low health-related quality of life and greater risk of unplanned hospitalization.Conclusion-The proposed model (1) bridges physical, neuropsychological and behavioral phenomena, (2) suggests a mechanism by which poor sleep affects daytime behavior, and (3) is empirically testable. Exploring factors that interfere with sleep may improve self-care and outcomes in persons with HF.

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Sleep‐Disordered Breathing, Cognitive Functioning, and Adherence in Heart Failure: Linked Through Pathology?

Cited by 5 publications

References 41 publications

Brain Imaging Changes and Related Risk Factors of Cognitive Impairment in Patients With Heart Failure

Brain Imaging Changes and Related Risk Factors of Cognitive Impairment in Patients With Heart Failure

An integrated approach to managing sleep disordered breathing and cardiovascular disease

Poor sleep and impaired self-care: Towards a comprehensive model linking sleep, cognition, and heart failure outcomes

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