Acute Decompensated Heart Failure, Acute Myocardial Infarction, Sleep Apnea, Sleep Disorders
Conditions
Keywords
Sleep medicine, Sleep apnea, Acute myocardial infarction, Heart failure, CPAP
Brief summary
The investigators aimed to evaluated the role of bedside sleep medicine in an cardiology intensive care unit. The patients will be submitted to a overnight polysomnography. Those individuals with sleep apnea will be treated with CPAP during the ICU admission. Also, the investigators will identify the factors that compromise the sleep and will act to minimize them to improve the sleep quality. After the interventions, the investigators will evaluate if there are reduced days of hospital admission, major cardiovascular events (infarction, reinfarction, heart failure and stroke) and overall mortality.
Detailed description
At the hospital discharge and after at 1, 3 and 12 months we will evaluate the occurrence of major cardiovascular events (infarction, reinfarction, heart failure and stroke) and overall mortality.
Interventions
CPAP - continuous positive air pressure in patients with sleep apnea
Sponsors
Study design
Eligibility
Inclusion criteria
* Acute myocardial infarction * Acute decompensated heart failure * Age \> 18 years-old * Cardiology intensive care unit admission
Exclusion criteria
* Intravenous sedation * Invasive mechanical ventilation * hemodynamic instability * use of intravenous vasoactive drugs * acute respiratory failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| days of admission | 7 days | Days of admission in the cardiology intensive care unit |
Secondary
| Measure | Time frame |
|---|---|
| Combination of acute myocardial infarction, reinfarction, heart failure and stroke | 12 months |
Other
| Measure | Time frame |
|---|---|
| Overall mortality | 12 months |
Countries
Brazil