Case report: A case of complete resolution of obstructive and central sleep apnea with Cheyne Stokes breathing in a patient with heart failure 60 days post-left ventricular assist device implantation.

Frontiers in sleep Pub Date : 2023-09-07 eCollection Date: 2023-01-01 DOI:10.3389/frsle.2023.1228038
Saif Mashaqi, Michael William, Stuart F Quan, Daniel Combs, Lauren Estep, Salma I Patel, Jyotsna Sahni, Sairam Parthasarathy
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Abstract

Sleep-disordered breathing (obstructive and central sleep apnea) are common in patients with heart failure with reduced ejection fraction. Herein, we report a 69-year-old patient with a history of severe heart failure and refractory ventricular arrhythmia who was diagnosed with a moderate degree of obstructive and central sleep apnea with Cheyne Stokes breathing. He underwent a successful implantation of left ventricular assist device. Our patient had a complete resolution of both obstructive and central sleep apnea 60 days post-LVAD implantation as confirmed by home sleep apnea test.

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病例报告:一例在左心室辅助装置植入后60天心力衰竭患者的Cheyne Stokes呼吸完全解决阻塞性和中枢性睡眠呼吸暂停。
睡眠呼吸障碍(阻塞性和中枢性睡眠呼吸暂停)常见于射血分数降低的心力衰竭患者。在此,我们报告了一位69岁的患者,有严重心力衰竭和难治性室性心律失常的病史,被诊断为中度阻塞性和中枢性睡眠呼吸暂停,伴有Cheyne Stokes呼吸。他成功地植入了左心室辅助装置。本例患者在lvad植入60天后,经家庭睡眠呼吸暂停测试证实,阻塞性和中枢性睡眠呼吸暂停均完全缓解。
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