Impact of Ventricular assist Device on Daily Monitored Sleep Apnea in a Patient with Refractory Congestive Heart Failure

The knowledge of the impact of sleep apnea syndrome (SAS) in cardiovascular patients is growing. The prevalence of SAS is high in patients affecting by heart failure (HF). This condition is an important comorbidity leading to an increased incidence of major adverse cardiac events. Diagnosis and treatment of this relevant disorder play a pivotal role in the setting of HF, but regarding recent findings physiopathological mechanisms are not still really understood in the complex pathways between the underlying cardiac condition, central and respiratory system. Even if it is a case report, the description of this clinical case offers causes for reflection for furthers aspects in the complex scenario of HF. New therapeutic approach for advance HF, such as ventricular assist-device (VAD), could have an interesting physiopathological impact on the cardiorespiratory system as focusing on in the following case.