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Review
. 2018 Jun 15;14(6):909-914.
doi: 10.5664/jcsm.7146.

PRO: Persistent Central Sleep Apnea/Hunter-Cheyne-Stokes Breathing, Despite Best Guideline-Based Therapy of Heart Failure With Reduced Ejection Fraction, Is a Compensatory Mechanism and Should Not Be Suppressed

Matthew T Naughton  1
Affiliations
Review

PRO: Persistent Central Sleep Apnea/Hunter-Cheyne-Stokes Breathing, Despite Best Guideline-Based Therapy of Heart Failure With Reduced Ejection Fraction, Is a Compensatory Mechanism and Should Not Be Suppressed

Matthew T Naughton. J Clin Sleep Med. .
No abstract available

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Figures

Figure 1
Figure 1. Five-minute montage of stage N2 sleep with CSA-HCSB illustrating four apneas, with oscillating SpO2, PtcCO2, systemic blood pressure, and esophageal pressure.
Note thermistor (therm) trace with cardiac oscillation which stops abruptly in three of four apneas (see three vertical arrows). CSA-HCSB = central sleep apnea with Hunter-Cheyne-Stokes breathing.
Figure 2
Figure 2. Closer look at first apnea from Figure 1.
Note that the first apnea from Figure 1 with respiratory efforts provide a positive end-expiratory pressure of about 10 mmHg as indicated by the arrow.
See this image and copyright information in PMC

Comment in

  • Rebuttal to Naughton.
    Javaheri S, Brown LK, Khayat R. Javaheri S, et al. J Clin Sleep Med. 2018 Jun 15;14(6):923-925. doi: 10.5664/jcsm.7150. J Clin Sleep Med. 2018. PMID: 29852919 Free PMC article. No abstract available.

References

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MeSH terms