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Chronic Obstructive Pulmonary Disease (COPD) Research · Journal article
Journal of Clinical Medicine · July 12, 2026
A consensus or society position rather than new primary data.
This is a narrative review summarizing the bidirectional relationship between sleep-disordered breathing (OSA and CSA) and heart failure, the mechanisms linking them, and current diagnostic and therapeutic approaches. It does not present original research findings or systematic evidence synthesis, but offers clinical perspective on an important comorbidity and its management.
Narrative review. Individuals with heart failure, particularly those with concurrent sleep-disordered breathing (obstructive or central sleep apnea).
SDB is highly prevalent among individuals with HF yet frequently underdiagnosed SDB and HF interact in a vicious cycle involving recurrent hypoxic episodes, intrathoracic pressure fluctuations, and autonomic dysregulation This interplay worsens arrhythmia burden, symptom severity, and long-term prognosis
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
Clinicians should recognize the high prevalence and diagnostic underdetection of SDB in HF patients, understand the mechanistic links driving worse outcomes, and consider a multidisciplinary approach integrating sleep and cardiac assessment and management.
A narrative review synthesizing evidence on sleep-disordered breathing and heart failure interactions, diagnostic approaches, and therapeutic options without presenting original data or a systematic meta-analysis.
As stated by the source record.
Clinicians should recognize the high prevalence and diagnostic underdetection of SDB in HF patients, understand the mechanistic links driving worse outcomes, and consider a multidisciplinary approach integrating sleep and cardiac assessment and management.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
What is missing. This record has no reported figures. That is a gap in the analysis, not a judgement about the study.
Sleep-disordered breathing (SDB)-including obstructive sleep apnea (OSA) and central sleep apnea (CSA)-is highly prevalent among individuals with heart failure (HF), yet frequently underdiagnosed. Increasing evidence shows that SDB and HF interact in a vicious cycle: recurrent hypoxic episodes, fluctuations in intrathoracic pressure, and autonomic dysregulation further strain cardiac function, while HF itself predisposes to the development of apnea. This interplay worsens arrhythmia burden, symptom severity, and long-term prognosis. This review will explore how OSA and CSA influence HF progression and outcomes, elucidate the underlying mechanisms linking these conditions, and discuss diagnostic challenges-from simple screening questionnaires to advanced telemonitoring approaches. We will critically evaluate current therapeutic options, including continuous positive airway pressure (CPAP), adaptive servo-ventilation (ASV), and emerging technologies, in light of major clinical trials and guideline recommendations. Finally, we will highlight the importance of a multidisciplinary, patient-centered approach to improve outcomes in this complex patient population.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.