Central Sleep Apnea, Heart Failure
Conditions
Keywords
telemonitoring, Adaptive servo-ventilation
Brief summary
The purpose of this study is to determine the predictive factors of poor compliance to sleep disordered breathing therapy in chronic heart failure patients treated for central sleep apnea. To characterize nocturia pathophysiology associated with SDB in this population. To use telemonitoring data to define predictive factors of poor compliance.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult Patient with Chronic Heart Failure * Central Sleep Apnea requiring Adaptative Servo-Ventilation therapy * Patient is able to fully understand study information and signed informed consent
Exclusion criteria
* Contra-indications to Adaptative Servo-Ventilation therapy * Respiratory Failure or Hypercapnia inconsistent with Adaptative Servo-Ventilation therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| to define the phenotype of compliant or not compliant patients to sleep disordered breathing therapy using microneurography | 12 months | Autonomic nervous system balance measure by microneurography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sleep disordered breathing symptomatology | 12 months | using Epworth sleepiness scale and Oxford Sleep Resistance Test |
| Nocturia | 24 months | evaluated by number of urination per night, diuresis, plasmatic dosage of Atrial Natriuretic peptide, Brain natriuretic peptide, Antidiuretic hormone |
| anxiety and nervous depression | 12 months | using Spielberger questionnaire and Beck's Depression Inventory |
| Heart Failure status | 24 months | evaluated by echocardiography, New York Heart Association functional classification; Electrocardiography |
| therapy compliance | 24 months | evaluated by Morisky Medication Adherence Scale and with telemonitoring data |
| sleep quality | 24 months | evaluated by Pittsburgh Sleep Quality Index; minnesota living with heart failure questionnaire; actimetry; home polysomnography |
Countries
France