0
Editorials |

Testing for Cheyne-Stokes Respiration in Patients With Heart Failure : While Sleeping or Cycling?

Matthew T. Naughton, MD
Author and Funding Information

Department of Allergy, Immunology, and Respiratory Medicine, Monash University, Alfred Hospital, Melbourne, VIC, Australia

Correspondence to: Matthew T. Naughton, MD, PO Box 315, Prahran, 3181, VIC, Australia; e-mail: m.naughton@alfred.org.au



Chest. 2007;132(5):1416-1418. doi:10.1378/chest.07-1486
Text Size: A A A
Published online

Extract

The study by Brack et al1 in this issue of CHEST (see page 1463) sheds bright light on the circadian aspects of Cheyne-Stokes respiration (CSR) in heart failure (HF) patients. We know that > 25% of HF patients exhibit CSR, which has been traditionally described as a crescendo/decrescendo pattern of ventilation, followed by an apnea (thus, CSR-central sleep apnea [CSA]), occurring during the transition from wakefulness to stages 1 + 2 non-rapid eye movement sleep along with a low prevailing Paco2 and arousals at the peak of ventilation.2 Pathophysiologically, three main factors contribute: increased ventilatory response, reduced lung volumes, and prolonged circulatory delay.2

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543