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Heart rate increment analysis is not effective for sleep-disordered breathing screening in patients with chronic heart failure
| Content Provider | Scilit |
|---|---|
| Author | D’Ortho, Marie‐Pia Damy, Thibaud Estrugo, Brigitte Margarit, Laurent Mouillet, Gauthier Mahfoud, Mohannad Roudot‐Thoraval, Francoise Vermes, Emmanuelle Hittinger, Luc Roche, Frederic Macquin‐Mavier, Isabelle |
| Copyright Year | 2010 |
| Description | Journal: Journal of Sleep Research International audienceFrequency domain analysis of heart rate variation has been suggested as an effective screening tool for sleep-disordered breathing (SDB) in the general population. The aim of this study was to assess this method in patients with chronic congestive heart failure (CHF). We included prospectively 84 patients with stable CHF, left ventricular ejection fraction (LVEF) or =15 h(-1) was diagnosed in 57.4% of patients. Percent VLFI was not correlated with AHI (r = 0.12). Receiver-operating characteristic curves constructed using various AHI cut-offs (5-30 h(-1)) failed to identify a %VLFI cut-off associated with SDB. The 2.4% VLFI cut-off recommended for the general population of patients with suspected SDB had low specificity (35%) and low positive and negative predictive values (35% and 54%, respectively). Heart rate increment analysis has several limitations in CHF patients and cannot be recommended as an SDB screening tool in the CHF population |
| Related Links | http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2869.2009.00779.x/pdf |
| Ending Page | 138 |
| Page Count | 8 |
| Starting Page | 131 |
| e-ISSN | 13652869 |
| DOI | 10.1111/j.1365-2869.2009.00779.x |
| Journal | Journal of Sleep Research |
| Issue Number | 1p2 |
| Volume Number | 19 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2010-03-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Sleep Research Medical Laboratory Technology Congestive Heart Failure Heart Rate Spectral Analysis Heart Rate Variability Sleep‐disordered Breathing |
| Content Type | Text |
| Resource Type | Article |