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Comment
. 2009 Jun 15;5(3):212-4.

Strong chemoreflex modulation of sleep-breathing: some answers but even more questions

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Strong chemoreflex modulation of sleep-breathing: some answers but even more questions

Robert J Thomas. J Clin Sleep Med. .
No abstract available

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Figures

Figure 1
Figure 1
Detection of strong chemoreflex modulation of sleep-breathing at simulated altitude: Pre (left) and post (middle) 14 days of 13,000 feet simulated altitude. High altitude induced sleep-disordered breathing is a relatively pure example of a chemoreflex mediated disorder. The sleep spectrogram detects narrow band coupling in all new sleep-disordered breathing at simulated altitude. Note the shift from high (“up” arrow) to low frequency (“down” arrow) coupling. Two characteristics of altitude-induced sleep apnea increase confidence that the technique is capturing physiologically important information about chemoreflex effects. First, the respiratory cycle length of periodic breathing at altitude is short (20-25 seconds). Second, the respiratory events have a self-similar duration characteristic - most periodic breathing cycles have a near identical cycle time. Thus, as seen in the right part of the figure, altitude-induced low frequency coupled oscillations have shorter cycle lengths that remain within a restricted frequency range (narrow band coupling, long arrow) relative to normal low frequency coupled sleep oscillations (short arrow). Central apnea, obstructive apnea, periodic breathing and obstructive hypopneas with flow-limitation were all scored using standard criteria within the periods of narrow band coupling.

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