Cor Pulmonale and Sleep-Disordered Breathing in Patients with Restrictive Lung Disease and Neuromuscular Disorders

ABSTRACT

Cor pulmonale frequently develops in patients with restrictive lung disease and neuromuscular disorders. Sleep disordered breathing, including nocturnal hypoventilation and obstructive apnea, has been associated with the development of cor pulmonale and may affect morbidity. The mechanisms responsible for sleep disordered breathing include defects in the control of breathing, respiratory muscle dysfunction, and abnormalities in chest wall and lung compliance. Symptoms of disturbed sleep may allow patients with sleep disordered breathing to be appropriately diagnosed and treated, often with nocturnal ventilation, before the development of right-sided heart failure.

KEYWORDS

Cor pulmonale - rapid eye movement sleep - nocturnal hypoventilation - apnea - non-invasive ventilation

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