Obstructive (OA) and central apneas (CA) are highly prevalent breathing disorders that have a negative impact on cardiac structure and function; while OA promote the development of progressive cardiac alterations that can eventually lead to heart failure (HF), CA are more prevalent once HF ensues. Therefore, the early identification of the deleterious effects of apneas on cardiac function, and the possibility to detect an initial cardiac dysfunction in patients with apneas become relevant. Speckle tracking echocardiography (STE) imaging has become increasingly recognized as a method for the early detection of diastolic and systolic dysfunction, by the evaluation of left atrial and left and right ventricular global longitudinal strain, respectively. A growing body of evidence is available on the alterations of STE in OA, while very little is known with regard to CA. In this review, we discuss the current knowledge and gap of evidence concerning apnea-related STE alterations in the development and progression of HF.

阻塞性 (OA) 和中枢性呼吸暂停 (CA) 是非常普遍的呼吸障碍，对心脏结构和功能有负面影响；虽然 OA 促进进行性心脏改变的发展，最终可能导致心力衰竭 (HF)，但一旦 HF 发生，CA 就会更加普遍。因此，早期识别呼吸暂停对心脏功能的有害影响，以及检测呼吸暂停患者初始心功能不全的可能性变得重要。通过分别评估左心房和左右心室整体纵向应变，散斑追踪超声心动图 (STE) 成像已越来越被认为是早期检测舒张和收缩功能障碍的一种方法。关于 OA 中 STE 改变的证据越来越多，而对CA知之甚少。在这篇综述中，我们讨论了与呼吸暂停相关的 STE 改变在 HF 的发展和进展中的现有知识和证据差距。