Guest guest Posted October 29, 2002 Report Share Posted October 29, 2002 Bill, Here are a couple abstracts on " Cheyne-Stokes respiration " . I hope this helps. I will be on the look out for more information. God Bless, Judy & Jim Stark 1: Pneumologie 2002 May;56(5):282-7 Related Articles, Links [Positive pressure ventilation in Cheyne-Stokes respiration] [Article in German] Schonhofer B, Barchfeld T, Suchi S, Kerl J, Simon A, Kohler D. Krankenhaus Kloster Grafschaft, Zentrum fur Pneumologie, Beatmungs- und Schlafmedizin, Schmallenberg-Grafschaft, Germany. Bernd.Schoenhofer@... Cheyne-Stokes respiration (CSR) is found in patients with chronic left ventricular failure and associated with a reduced prognosis. Continuous positive airway pressure (CPAP) improves the survival rate. In this retrospective study we report on the effect of different positive pressure ventilation modes in CSR. The observation period lasted from 1995 - 1999. Inclusion criteria was CSR with a respiratory disturbance index > 10/h whereas > 50 % of the events had to be central and/or mixed. In each patient a 4 week lasting intervention with each of CPAP, Bilevel CPAP in spontan mode (i.e. BiPAP S or BiPAP ST) and BiPAP in controlled mode (i.e. BiPAP T) was performed. Responder were defined by subjective and objective criteria. In total 41 males were included. Responder were distributed as follows: CPAP: n = 13 patients (31.7 %), BiPAP S/ST: n = 9 patients (22.0 %) and BiPAP T: n = 12 patients (29.3 %). In total 7 from 41 patients (17.1 %) rejected a long-term treatment with positive pressure ventilation. The majority of patients with CSR responded to CPAP and BiPAP S/ST mode. Compared to the other responder groups the best quality was reached with BiPAP T. However the latter was performed only by 29 % of the population. Publication Types: a.. Evaluation Studies PMID: 12089644 [PubMed - indexed for MEDLINE] ---------------------------------------------------------------------------- -------------------------------------------- 1: Oksenberg A, et al. Cheyne-Stokes respiration dur...[PMID:12118206] Related Articles, Links UI - 22113300 PMID- 12118206 DA - 20020715 IS - 1234-1010 VI - 8 IP - 7 DP - 2002 Jul TI - Cheyne-Stokes respiration during sleep: a possible effect of body position. PG - CS61-5 AB - BACKGROUND: Cheyne-Stokes Respiration (CSR) is a common finding in Chronic Heart Failure and Stroke patients. The body position effect during sleep on obstructive breathing abnormalities is well known. However, the effect of body position during sleep on breathing abnormalities of central type like CSR has not been well documented. Material/Methods: Six sleep studies (two complete Polysomnographic (PSG) evaluations and four Pulse Oximetry recordings (PO)), were carried out in a 57-year-old female patient with a recent Cerebro Vascular Accident (CVA who had both Obstructive Sleep Apnea (OSA) and CSR. RESULTS: The first PSG was carried out two months post-stroke and revealed a severe, continuous CSR pattern during Non Rapid Eye Movements (NREM) sleep (mainly with central apneas), and Obstructive Sleep Apnea (OSA) during Rapid Eye Movements (REM) sleep, independent of body position: Supine Respiratory Disturbance Index (SRDI) = 85.2 and Lateral RDI (LRDI) = 95.4. A second PSG was performed three months later after an overall clinical improvement and showed a complete disappearance of CSR during NREM sleep and OSA during REM sleep in her lateral posture (LRDI = 0), while the RDI in the supine posture was only slightly improved (SRDI = 73.2). The CSR pattern was less severe and was characterized mainly by central hypopneas. Two PO recordings between the PSG studies showed similar improvement trends. Two additional PO recordings, two and three weeks after the last PSG (the first one with the patient lying supine and the second one with the patient lying on her side throughout the night), revealed a further significant improvement in the supine posture (SRDI = 37.5). CONCLUSIONS: The results of this study suggest that body posture may play a role not only in the prevalence and severity of obstructive breathing disorders, but also in CSR, a central type of breathing abnormalities during sleep. AD Cheyne Stokes > Hi Everybody. I wonder if any one on the site has come across Cheyne Stokes > Respiratory pattern. Most people I come across, are a little bit shy > talking about it to me, as they seem to think that only people on their last > legs get this problem. > Although I have been properly tested in a sleep study set-up and have been > diagnosed, I believe it is being induced, by something else- Medication or > other problem. > I would really like to find out about occurrences and possible relief from > the problem. It makes me feel uncomfortable about going to sleep. One > thing I have noticed is, ifm I exercise a lot, the breathing pattern is > suppressed for quite a while. Unfortunately my legs want to fall from under > me, literally, by the time I get enough exercise. > I hope somebody can supply some answers, even if they are not good ones. > Bill Pilgrim > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2002 Report Share Posted October 29, 2002 Bill, Here are a couple abstracts on " Cheyne-Stokes respiration " . I hope this helps. I will be on the look out for more information. God Bless, Judy & Jim Stark 1: Pneumologie 2002 May;56(5):282-7 Related Articles, Links [Positive pressure ventilation in Cheyne-Stokes respiration] [Article in German] Schonhofer B, Barchfeld T, Suchi S, Kerl J, Simon A, Kohler D. Krankenhaus Kloster Grafschaft, Zentrum fur Pneumologie, Beatmungs- und Schlafmedizin, Schmallenberg-Grafschaft, Germany. Bernd.Schoenhofer@... Cheyne-Stokes respiration (CSR) is found in patients with chronic left ventricular failure and associated with a reduced prognosis. Continuous positive airway pressure (CPAP) improves the survival rate. In this retrospective study we report on the effect of different positive pressure ventilation modes in CSR. The observation period lasted from 1995 - 1999. Inclusion criteria was CSR with a respiratory disturbance index > 10/h whereas > 50 % of the events had to be central and/or mixed. In each patient a 4 week lasting intervention with each of CPAP, Bilevel CPAP in spontan mode (i.e. BiPAP S or BiPAP ST) and BiPAP in controlled mode (i.e. BiPAP T) was performed. Responder were defined by subjective and objective criteria. In total 41 males were included. Responder were distributed as follows: CPAP: n = 13 patients (31.7 %), BiPAP S/ST: n = 9 patients (22.0 %) and BiPAP T: n = 12 patients (29.3 %). In total 7 from 41 patients (17.1 %) rejected a long-term treatment with positive pressure ventilation. The majority of patients with CSR responded to CPAP and BiPAP S/ST mode. Compared to the other responder groups the best quality was reached with BiPAP T. However the latter was performed only by 29 % of the population. Publication Types: a.. Evaluation Studies PMID: 12089644 [PubMed - indexed for MEDLINE] ---------------------------------------------------------------------------- -------------------------------------------- 1: Oksenberg A, et al. Cheyne-Stokes respiration dur...[PMID:12118206] Related Articles, Links UI - 22113300 PMID- 12118206 DA - 20020715 IS - 1234-1010 VI - 8 IP - 7 DP - 2002 Jul TI - Cheyne-Stokes respiration during sleep: a possible effect of body position. PG - CS61-5 AB - BACKGROUND: Cheyne-Stokes Respiration (CSR) is a common finding in Chronic Heart Failure and Stroke patients. The body position effect during sleep on obstructive breathing abnormalities is well known. However, the effect of body position during sleep on breathing abnormalities of central type like CSR has not been well documented. Material/Methods: Six sleep studies (two complete Polysomnographic (PSG) evaluations and four Pulse Oximetry recordings (PO)), were carried out in a 57-year-old female patient with a recent Cerebro Vascular Accident (CVA who had both Obstructive Sleep Apnea (OSA) and CSR. RESULTS: The first PSG was carried out two months post-stroke and revealed a severe, continuous CSR pattern during Non Rapid Eye Movements (NREM) sleep (mainly with central apneas), and Obstructive Sleep Apnea (OSA) during Rapid Eye Movements (REM) sleep, independent of body position: Supine Respiratory Disturbance Index (SRDI) = 85.2 and Lateral RDI (LRDI) = 95.4. A second PSG was performed three months later after an overall clinical improvement and showed a complete disappearance of CSR during NREM sleep and OSA during REM sleep in her lateral posture (LRDI = 0), while the RDI in the supine posture was only slightly improved (SRDI = 73.2). The CSR pattern was less severe and was characterized mainly by central hypopneas. Two PO recordings between the PSG studies showed similar improvement trends. Two additional PO recordings, two and three weeks after the last PSG (the first one with the patient lying supine and the second one with the patient lying on her side throughout the night), revealed a further significant improvement in the supine posture (SRDI = 37.5). CONCLUSIONS: The results of this study suggest that body posture may play a role not only in the prevalence and severity of obstructive breathing disorders, but also in CSR, a central type of breathing abnormalities during sleep. AD Cheyne Stokes > Hi Everybody. I wonder if any one on the site has come across Cheyne Stokes > Respiratory pattern. Most people I come across, are a little bit shy > talking about it to me, as they seem to think that only people on their last > legs get this problem. > Although I have been properly tested in a sleep study set-up and have been > diagnosed, I believe it is being induced, by something else- Medication or > other problem. > I would really like to find out about occurrences and possible relief from > the problem. It makes me feel uncomfortable about going to sleep. One > thing I have noticed is, ifm I exercise a lot, the breathing pattern is > suppressed for quite a while. Unfortunately my legs want to fall from under > me, literally, by the time I get enough exercise. > I hope somebody can supply some answers, even if they are not good ones. > Bill Pilgrim > > Quote Link to comment Share on other sites More sharing options...
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