Age ≥18 years Chronic HF according to current European Society of Cardiology guidelines,3 with or without LV systolic dysfunction (LVEF determined using echocardiography (performed within the previous 3 months), radionuclide angiography, left ventriculography or cardiac MRI). Sleep apnoea requiring ASV treatment, where sleep apnoea (AHI >15/hour) is diagnosed based on PG (total recording time) or PSG (total sleep time), with flow measurement performed using a nasal cannula and respiratory effort measured by plethysmography, and defined as follows26:
| PAP therapy contraindicated (symptomatic hypotension or significant intravascular volume depletion, pneumothorax or pneumomediastinium or nasal bleeding). Significant COPD or known hypercapnia precluding the use of servo-adapted ventilation. Unable to comply with follow-up protocol. Life-expectancy <1 year for disease unrelated to chronic HF.
|