Recommendations on sleep apnea in heart failure
| Patient group | Classa |
|---|---|
| With New York Heart Association (NYHA) class II-IV heart failure and suspicion of sleep-disordered breathing or excessive daytime sleepiness | |
| A formal sleep assessment to distinguish obstructive vs central sleep apnea is reasonable | IIa |
| With cardiovascular disease and obstructive sleep apnea | |
| Continuous positive airway pressure may be reasonable to improve sleep apnea and reduce daytime sleepiness | IIb |
| With NYHA class II-IV heart failure with reduced ejection fraction and central sleep apnea | |
| Adaptive servo-ventilation causes harm | III |
↵a Class of recommendation (IIa moderate, IIb weak, III harm).
Information from reference 1.