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Perger E, Arzt M. Central sleep apnea: treating the epiphenomenon and neglecting the disease? Sleep 2023; 46:zsad189. [PMID: 37436100 PMCID: PMC10485570 DOI: 10.1093/sleep/zsad189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Indexed: 07/13/2023] Open
Affiliation(s)
- Elisa Perger
- Istituto Auxologico Italiano, IRCCS, Sleep Disorders Center, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy
| | - Michael Arzt
- Department of Internal Medicine II, University Hospital Regensburg, Germany
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Cacciapuoti F, D'Onofrio A, Tarquinio LG, Capone V, Mauro C, Marfella R, Cacciapuoti F. Sleep-disordered breathing and heart failure: a vicious cycle of cardiovascular risk. Monaldi Arch Chest Dis 2023; 94. [PMID: 37667884 DOI: 10.4081/monaldi.2023.2660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Accepted: 08/10/2023] [Indexed: 09/06/2023] Open
Abstract
Sleep-disordered breathing (SDB) represents an important cardiovascular risk factor that is still often underestimated and not always optimally treated. Such breathing disorders can induce several harmful effects on the heart, also favoring the development of arrhythmias, ischemic heart disease, and left ventricular remodeling. Obstructive sleep apnea syndrome (OSA) is more frequent in heart failure patients than in the general population, promoting the worsening of left ventricular dysfunction. Both sleep apnea and heart failure have common clinical manifestations but also similar neurohormonal characteristics, contributing to the development and progression of heart failure and resulting in increased mortality. The pathophysiological mechanisms underlying left ventricular dysfunction associated with SDB will be analyzed, and the potential therapeutic effects of gliflozins on OSA in heart failure patients will be discussed.
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Affiliation(s)
| | | | | | | | - Ciro Mauro
- Department of Cardiology, "A. Cardarelli" Hospital, Naples.
| | - Raffaele Marfella
- Department of Internal Medicine, "L. Vanvitelli" University, Naples.
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Tamisier R, Pépin JL, Lévy P. Reply to: Muscle sympathetic nerve activity and adaptive servo-ventilation: questions remain. Eur Respir J 2023; 61:61/4/2300247. [PMID: 37080575 DOI: 10.1183/13993003.00247-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 02/13/2023] [Indexed: 04/22/2023]
Affiliation(s)
- Renaud Tamisier
- University Grenoble Alpes, HP2, Inserm 1300, Grenoble Alpes University Hospital Grenoble, Grenoble, France
| | - Jean-Louis Pépin
- University Grenoble Alpes, HP2, Inserm 1300, Grenoble Alpes University Hospital Grenoble, Grenoble, France
| | - Patrick Lévy
- University Grenoble Alpes, HP2, Inserm 1300, Grenoble Alpes University Hospital Grenoble, Grenoble, France
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Jaffuel D, Mallet JP, Roubille F, Bourdin A. Muscle sympathetic nerve activity and adaptive servo-ventilation: questions remain. Eur Respir J 2023; 61:13993003.00002-2023. [PMID: 37080576 DOI: 10.1183/13993003.00002-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 01/05/2023] [Indexed: 04/22/2023]
Affiliation(s)
- Dany Jaffuel
- Department of Respiratory Diseases, CHU Montpellier, Montpellier, France
- PhyMedExp, CNRS, INSERM, Montpellier, France
| | - Jean Pierre Mallet
- Department of Respiratory Diseases, CHU Montpellier, Montpellier, France
- PhyMedExp, CNRS, INSERM, Montpellier, France
| | - François Roubille
- Department of Cardiology, CHU Montpellier, Montpellier, France
- PhyMedExp, CNRS, INSERM, INI-CRT, Montpellier, France
| | - Arnaud Bourdin
- Department of Respiratory Diseases, CHU Montpellier, Montpellier, France
- PhyMedExp, CNRS, INSERM, Montpellier, France
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Borrelli C, Spiesshoefer J, Macefield V, Giannoni A. Central apnoeas, sympathetic activation and mortality in heart failure: look before you leap. Eur Respir J 2023; 61:13993003.02197-2022. [PMID: 36894188 DOI: 10.1183/13993003.02197-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 11/17/2022] [Indexed: 03/11/2023]
Affiliation(s)
- Chiara Borrelli
- Emergency Medicine Division, University of Pisa, Pisa, Italy
| | - Jens Spiesshoefer
- Pneumology and Intensive Care Medicine Department, University Hospital RWTH Aachen, Aachen, Germany
- Health Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Vaughan Macefield
- Baker Heart and Diabetes Institute, Melbourne, Australia
- Department of Anatomy and Physiology, University of Melbourne, Melbourne, Australia
| | - Alberto Giannoni
- Health Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy
- Cardiology and Cardiovascular Medicine Department, Fondazione Toscana G. Monasterio, Pisa, Italy
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Tamisier R, Pépin JL, Lévy P. Reply to: Central apnoeas, sympathetic activation and mortality in heart failure: look before you leap. Eur Respir J 2023; 61:61/3/2300042. [PMID: 36894190 DOI: 10.1183/13993003.00042-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Accepted: 01/09/2023] [Indexed: 03/11/2023]
Affiliation(s)
- Renaud Tamisier
- University Grenoble Alpes, HP2, Inserm 1300, Grenoble Alpes University Hospital Grenoble, Grenoble, France
| | - Jean-Louis Pépin
- University Grenoble Alpes, HP2, Inserm 1300, Grenoble Alpes University Hospital Grenoble, Grenoble, France
| | - Patrick Lévy
- University Grenoble Alpes, HP2, Inserm 1300, Grenoble Alpes University Hospital Grenoble, Grenoble, France
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Bonsignore MR, La Rovere MT. Sympathetic activation in patients with heart failure and central sleep apnoea: is it friend or foe? Eur Respir J 2023; 61:61/2/2202170. [PMID: 36758996 DOI: 10.1183/13993003.02170-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 11/12/2022] [Indexed: 02/11/2023]
Affiliation(s)
- Maria R Bonsignore
- PROMISE Department, University of Palermo, Palermo, Italy
- IRIB-CNR, Palermo, Italy
- Respiratory Division, V Cervello Hospital, Ospedali Riuniti Villa Sofia Cervello, Palermo, Italy
| | - Maria Teresa La Rovere
- Department of Cardiology, Istituti Clinici Scientifici Maugeri, IRCCS, Istituto Scientifico di Montescano, Montescano, Italy
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