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. 2005 Oct;91(10):1265–1270. doi: 10.1136/hrt.2004.048314

Table 4.

 Randomised controlled (and crossover) trials of nocturnal respiratory support in patients with CSR-CSA associated with CHF

Trial Patient characteristics Intervention Duration of treatment No of patents Cardiovascular outcomes
CHF cause NYHA class Baseline LVEF (%)
Naughton et al57 ICM, DCM 2.5 18.3 CPAP 1 month 18 6.5% increase in LVEF, reduced nocturnal urine and daytime serum noradrenaline
Naughton et al58 ICM, DCM 2.5 21.2 CPAP 3 months 29 7.7% increase in LVEF, reduced fatigue and dyspnoea, increased emotional well being and disease mastery (CHFQ)
Granton et al59 ICM, DCM 2.4 24 CPAP 3 months 17 8.6% increase in LVEF, reduced dyspnoea and fatigue (CHFQ)
Sin et al60 ICM, DCM NA CPAP 3 months 66 8% increase in LVEF, 81% relative risk reduction in mortality and transplantation rate
Teschler et al61 ICM, DCM 2.9 Fractional shortening 0.19 APSSV, Bi-V, CPAP, supplemental oxygen 4 nights (crossover trial) 14 APSSV reduced AHI and arousal index more than did CPAP, bilevel ventilation or oxygen supplementation; change in LVEF not measured
Pepperell et al62 ICM, DCM 2.7 36.5 APSSV 1 month 30 Reduced serum BNP, urinary metadrenaline, and daytime somnolence; change in LVEF not measured
Kohnlein et al63 ICM, DCM 2.8 23.8 Bi-V/CPAP 1 month (crossover trial) 18 Bilevel ventilation and CPAP equally improved circulation time; improved sleep quality, reduced daytime fatigue (SF-36) and NYHA class; change in LVEF not measured

APSSV, adaptive pressure support servoventilation; Bi-V, bilevel non-invasive ventilation; BNP, brain natriuretic peptide; NA, not available; SF-36, short form 36 questionnaire.