Circulatory sleep apnea: Preliminary report of clinical observation on sleep apnea in patients with chronic heart failure.
- Author:
Si-xin XIE
;
Xing-guo SUN
;
Fu-rong WANG
;
Xiao-yue TAN
;
Xue-mei ZHANG
- Publication Type:Journal Article
- MeSH: Cheyne-Stokes Respiration; Chronic Disease; Heart Failure; physiopathology; Humans; Polysomnography; Sleep Apnea Syndromes; physiopathology; Sleep Apnea, Central
- From: Chinese Journal of Applied Physiology 2015;31(4):329-331
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEThe aim of this study is to investigate the occurrence and mechanism of Cheyne-Stokes breathing pattern in patients with heart failure.
METHODSFifty-six patients who performed polusomnography sleep testing at National Center of Cardiovascular Diseases Fuwai Hospital from March to May in 2015. We divided them into chronic heart failure (CHF) group and non-CHF group.
RESULTSThe occurrences of sleep apnea in two groups were high. In CHF group (n = 11) , there were 10 patients with apnea hypopnea index (AHI) > 5; and their AHI was 23.93 ±14.63. In non-CHF group (n = 45), there were 33 patients whose AHI > 5; and their AHI was 16.20 ± 18.76. The ratio of center sleep apnea to all gross sleep apnea ratio in CHF group was higher than that in non-CHF group (80.21% ± 30.55% vs 27.16% ± 35.71%, P < 0.01 ).
CONCLUSIONBased upon the new theory of holistic integrative physiology and medicine, we explain the mechanism of circulatory dysfunction induce the oscillation breathing in patients with CHF. The sleep apnea and C-S respiration in CHF should be called circulatory sleep apnea, rather than central sleep apnea.