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Left ventricle remodelling is associated with sleep‐disordered breathing in non‐ischaemic cardiopathy with systolic dysfunction
Author(s) -
DAMY THIBAUD,
PAULINO ALEXANDRA,
MARGARIT LAURENT,
DROUOT XAVIER,
STOICA MARIA,
VERMES EMMANUELLE,
GUERET PASCAL,
ADNOT SERGE,
DUBOIS RANDE JEANLUC,
D'’ORTHO MARIEPIA,
HITTINGER LUC
Publication year - 2011
Publication title -
journal of sleep research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.297
H-Index - 117
eISSN - 1365-2869
pISSN - 0962-1105
DOI - 10.1111/j.1365-2869.2009.00817.x
Subject(s) - cardiology , medicine , ventricle , ejection fraction , heart failure , left ventricular hypertrophy , blood pressure
Summary Sleep‐disordered breathing (SDB) is associated with left ventricle (LV) remodelling in patients with normal LV function. Sleep‐disordered breathing is common in chronic heart failure (CHF) with systolic LV dysfunction, and may contribute to LV remodelling and CHF progression. Our aim was to determine the consequence of SDB on LV geometry in patients with CHF. We hypothesised that SDB severity was correlated with the degree of LV hypertrophy (LVH). One‐hundred and sixty patients with CHF with a non‐ischaemic systolic LV dysfunction were assessed by overnight polygraphy and echocardiography. Patients were classified in four groups according to their apnoea–hypopnoea index (AHI): <5 (no‐SDB); 5–14 (mild); 15–29 (moderate); ≥30 (severe). Left ventricular mass index (LVM Ind) was calculated using the usual echocardiographic M‐Mode parameters. Their mean age, New York Heart Association and left ventricular ejection fraction were, respectively: 56 ± 13 years, 2.4 ± 0.8 and 30 ± 10%, and 77% were men. Body mass index, interventricular septal and posterior LV wall thicknesses, and LVM Ind were significantly increased in severe SDB versus no‐SDB. LVM Ind was correlated to the AHI ( R = 0.27, P = 0.0006) and, using logistic regression, AHI was the unique independent factor of LVH in this population. In non‐ischaemic CHF, SDB severity is associated with LV remodelling.