Sleep disordered breathing and cardiovascular disease. Circulatory System Cardiovascular disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Men and women 18 years of age and older 2. Arterial hypertension, ischaemic heart disease, idiopathic dilated cardiomyopathy with heart failure functional class New York Heart Association (NYHA) II and III and left ventricular ejection fraction greater than 20% (echocardiography) 3. Mixed sleep apnoea syndrome with an Apnoea Hypopnoea Index (AHI) greater than or equal to 15/hour with a proportion of central/periodic disturbances of less than 80% and a proportion of obstructive disturbances of between 20 and 50% 4. Medical treatment of their underlying heart disease has been optimised
Exclusion criteria
Exclusion criteria: 1. Heart failure functional class NYHA IV 2. Myocardial infarction, unstable angina or cardiac surgery within the previous three months, obstructive disturbances of 50% or greater 3. Pregnancy 4. Patients with pure Cheyne-Stokes Respiration (CSR)/Central Sleep Apnoea (CSA) (greater than 80% of disturbances), patients with greater than 50% obstructive disturbances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Central AHI, measured at baseline, 3 and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Total AHI, measured at baseline, 3 and 12 months 2. Maximal oxygen uptake (VO2 max), measured at baseline, 3 and 12 months 3. Left ventricular ejection fraction (echocardiography), measured at baseline, 3 and 12 months 4. Minimal and mean oxygen saturation (polysomnography), measured at baseline, 3 and 12 months 5. Compliance, measured at 3 and 12 months only 6. Quality of life (Minnesota questionnaire), measured at baseline, 3 and 12 months 7. Brain Natriuretic Peptide (BNP) level, measured at baseline, 3 and 12 months 8. Mortality, measured at 3 and 12 months only 9. Rate of cardiovascular complications, for example hospital admissions are examined for twelve months, measured at 3 and 12 months only | — |
Countries
Germany