Skip to main content
. Author manuscript; available in PMC: 2015 Feb 18.
Published in final edited form as: Curr Atheroscler Rep. 2011 Apr;13(2):138–146. doi: 10.1007/s11883-011-0161-8

Table 2.

Summary of randomized trials of treatment for obstructive sleep apnea on cardiovascular outcomes in patients with heart failurea

Treatment Patients enrolled, n Patients completing trial, n Treatment period Treatment outcomes
Kaneko et al. [46] Therapeutic CPAP vs no CPAP 24 24 1 month 9% increase in LVEF; 10-mm Hg decrease in systolic blood pressure; decrease in heart rate of four beats per minute
Mansfield et al. [47] Therapeutic CPAP vs no CPAP 55 40 3 months 5% increase in LVEF; no change in blood pressure; decrease in nocturnal urinary concentration of norepinephrine; improved QOL
Usui et al.b Therapeutic CPAP vs no CPAP 17 17 1 month 17% decrease in muscle SNA; 15-mm Hg decrease in awake systolic blood pressure
Gilman et al.b Therapeutic CPAP vs no CPAP 19 19 1 month Increase in high-frequency HRV
Ryan et al.b Therapeutic CPAP vs no CPAP 18 18 1 month 58% decrease in frequency of VPB during sleep
Egea et al.b Therapeutic vs sham CPAP 61 45 2 months 2%–7% increase in LVEF; no change in blood pressure, QOL, or 6-MWT
a

Only trials in which most patients had elevated blood pressure at enrollment are included

b

Overlap exists with some patients in these trials because these reports represent components of a larger clinical trial that was extended after the findings by Kaneko et al. [46] were reported

6-MWT 6-minute walk test distance; CPAP continuous positive airway pressure; HRV heart rate variability; LVEF left ventricular ejection fraction; QOL quality of life; SNA sympathetic nervous system activity; VPB ventricular premature beats

(Adapted from Bradley TD, Floras JS: Obstructive sleep apnea and its cardiovascular consequences. Lancet 2009, 373:82–93; with permission from Elsevier. [65])