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Erschienen in: Herz 1/2014

01.02.2014 | Main topic

Platypnea-orthodeoxia syndrome due to patent foramen ovale

An unusual cause of Cheyne–Stokes respiration

verfasst von: Dr. T. Bitter, L. Faber, W. Scholz, H. Fox, C. Prinz, D. Horstkotte, O. Oldenburg

Erschienen in: Herz | Ausgabe 1/2014

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Excerpt

Cheyne–Stokes respiration (CSR) is characterized by recurrent at least three central apneas and/or hypopneas during sleep with a crescendo-decrescendo pattern of tidal volumes [1, 2, 3]. A high coincidence has been demonstrated with either systolic or diastolic heart failure [4, 5, 6]. It has also been shown that CSR is associated with poor prognosis and an increased risk for malignant arrhythmias [7, 8]. …
Literatur
1.
Zurück zum Zitat Cheyne J (1818) A case of apoplexy in which the fleshy part of the heart is turned to fat. Dublin Hosp Rep 2:216–223 Cheyne J (1818) A case of apoplexy in which the fleshy part of the heart is turned to fat. Dublin Hosp Rep 2:216–223
2.
Zurück zum Zitat Stokes W (1854) The diseases of the heart and the aorta. Hodges and Smith, Dublin Stokes W (1854) The diseases of the heart and the aorta. Hodges and Smith, Dublin
3.
Zurück zum Zitat Berry R, Budhiraja R, Gottlieb D et al (2007) Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. J Clin Sleep Med 8:597–619 Berry R, Budhiraja R, Gottlieb D et al (2007) Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. J Clin Sleep Med 8:597–619
4.
Zurück zum Zitat Oldenburg O, Lamp B, Faber L et al (2007) Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur J Heart Fail 9:251–257PubMedCrossRef Oldenburg O, Lamp B, Faber L et al (2007) Sleep-disordered breathing in patients with symptomatic heart failure: a contemporary study of prevalence in and characteristics of 700 patients. Eur J Heart Fail 9:251–257PubMedCrossRef
5.
Zurück zum Zitat Schulz R, Blau A, Börgel J et al (2007) Sleep apnoea in heart failure. Eur Respir J 29:1201–1205PubMedCrossRef Schulz R, Blau A, Börgel J et al (2007) Sleep apnoea in heart failure. Eur Respir J 29:1201–1205PubMedCrossRef
6.
Zurück zum Zitat Bitter T, Prinz C, Faber L et al (2009) Sleep-disordered breathing in heart failure with normal left ventricular ejection fraction. Eur J Heart Fail 11:602–608PubMedCrossRef Bitter T, Prinz C, Faber L et al (2009) Sleep-disordered breathing in heart failure with normal left ventricular ejection fraction. Eur J Heart Fail 11:602–608PubMedCrossRef
7.
Zurück zum Zitat Javaheri S, Shukla R, Zeigler H, Wexler L (2007) Central sleep apnoea, right ventricular dysfunction, and low diastolic blood pressure are predictors of mortality in systolic heart failure. J Am Coll Cardiol 49:2028–2034PubMedCrossRef Javaheri S, Shukla R, Zeigler H, Wexler L (2007) Central sleep apnoea, right ventricular dysfunction, and low diastolic blood pressure are predictors of mortality in systolic heart failure. J Am Coll Cardiol 49:2028–2034PubMedCrossRef
8.
Zurück zum Zitat Bitter T, Westerheide N, Prinz C et al (2011) Cheyne—Stokes respiration and obstructive sleep apnoea are independent risk factors for malignant ventricular arrhythmias requiring appropriate cardioverter-defibrillator therapies in patients with congestive heart failure. Eur Heart J 32:61–74PubMedCrossRef Bitter T, Westerheide N, Prinz C et al (2011) Cheyne—Stokes respiration and obstructive sleep apnoea are independent risk factors for malignant ventricular arrhythmias requiring appropriate cardioverter-defibrillator therapies in patients with congestive heart failure. Eur Heart J 32:61–74PubMedCrossRef
9.
Zurück zum Zitat Oldenburg O, Bitter T, Wiemer M et al (2009) Pulmonary capillary wedge pressure and pulmonary arterial pressure in heart failure patients with sleep-disordered breathing. Sleep Med 10:726–730PubMedCrossRef Oldenburg O, Bitter T, Wiemer M et al (2009) Pulmonary capillary wedge pressure and pulmonary arterial pressure in heart failure patients with sleep-disordered breathing. Sleep Med 10:726–730PubMedCrossRef
10.
Zurück zum Zitat Yumino D, Redolfi S, Ruttanaumpawan P et al (2010) Nocturnal rostral fluid shift apnea in men with heart failure. Circulation 121(14):1598–1605PubMedCrossRef Yumino D, Redolfi S, Ruttanaumpawan P et al (2010) Nocturnal rostral fluid shift apnea in men with heart failure. Circulation 121(14):1598–1605PubMedCrossRef
11.
Zurück zum Zitat Solin P, Bergin P, Richardson M et al (1999) Influence of pulmonary capillary wedge pressure on central apnea in heart failure. Circulation 99:1574–1579PubMedCrossRef Solin P, Bergin P, Richardson M et al (1999) Influence of pulmonary capillary wedge pressure on central apnea in heart failure. Circulation 99:1574–1579PubMedCrossRef
12.
Zurück zum Zitat Arzt M, Harth M, Luchner A et al (2003) Enhanced ventilatory response to exercise in patients with chronic heart failure and central sleep apnea. Circulation 107:1998–2003PubMedCrossRef Arzt M, Harth M, Luchner A et al (2003) Enhanced ventilatory response to exercise in patients with chronic heart failure and central sleep apnea. Circulation 107:1998–2003PubMedCrossRef
13.
Zurück zum Zitat Javaheri S (1999) A mechanism of central sleep apnoea in patients with heart failure. N Engl J Med 341:949–954PubMedCrossRef Javaheri S (1999) A mechanism of central sleep apnoea in patients with heart failure. N Engl J Med 341:949–954PubMedCrossRef
14.
Zurück zum Zitat Godart F, Rey C, Prat A et al (2000) Atrial right-to-left shunting causing severe hypoxemia despite normal right-sided pressures: report of 11 consecutive cases corrected by percutaneous closure. Eur Heart J 21:483–489PubMedCrossRef Godart F, Rey C, Prat A et al (2000) Atrial right-to-left shunting causing severe hypoxemia despite normal right-sided pressures: report of 11 consecutive cases corrected by percutaneous closure. Eur Heart J 21:483–489PubMedCrossRef
15.
Zurück zum Zitat Sorrentino M, Resnekov L (1991) Patent foramen ovale associated with platypnea and orthodeoxia. Chest 100:1157–1158PubMedCrossRef Sorrentino M, Resnekov L (1991) Patent foramen ovale associated with platypnea and orthodeoxia. Chest 100:1157–1158PubMedCrossRef
16.
Zurück zum Zitat Yumino D, Redolfi S, Ruttanaumpawan P et al (2010) Nocturnal rostral fluid shift: a unifying concept for the pathogenesis of obstructive and central sleep apnea in men with heart failure. Circulation 13:1598–1605CrossRef Yumino D, Redolfi S, Ruttanaumpawan P et al (2010) Nocturnal rostral fluid shift: a unifying concept for the pathogenesis of obstructive and central sleep apnea in men with heart failure. Circulation 13:1598–1605CrossRef
17.
Zurück zum Zitat Lorenzi-Filho G, Azevedo E, Parker J, Bradley T (2002) Relationship of PaCO2 to pulmonary wedge pressure in heart failure. Eur Respir J 19:37–40PubMedCrossRef Lorenzi-Filho G, Azevedo E, Parker J, Bradley T (2002) Relationship of PaCO2 to pulmonary wedge pressure in heart failure. Eur Respir J 19:37–40PubMedCrossRef
19.
Zurück zum Zitat Kara T, Narkiewicz K, Somers VK (2003) Chemoreflexes—physiology and clinical implications. Acta Physiol Scand 177:377–384PubMedCrossRef Kara T, Narkiewicz K, Somers VK (2003) Chemoreflexes—physiology and clinical implications. Acta Physiol Scand 177:377–384PubMedCrossRef
20.
Zurück zum Zitat Bloch K, Latshang T, Turk A et al (2010) Nocturnal periodic breathing during acclitimization at very high altitude at Mt. Muztagh Ata (7546 m). Am J Respir Crit Care Med 182:562–568PubMedCrossRef Bloch K, Latshang T, Turk A et al (2010) Nocturnal periodic breathing during acclitimization at very high altitude at Mt. Muztagh Ata (7546 m). Am J Respir Crit Care Med 182:562–568PubMedCrossRef
21.
Zurück zum Zitat Han F, Subramanian S, Price ER et al (2002) Periodic breathing in the mouse. J Appl Physiol 92:1133–1140PubMed Han F, Subramanian S, Price ER et al (2002) Periodic breathing in the mouse. J Appl Physiol 92:1133–1140PubMed
22.
Zurück zum Zitat Andreas S, Mühlen F von zur, Stevens J, Kreuzer H (1998) Nocturnal oxygen and hypercapnicventilatory rsponse in patients with congestive heart failure. Respir Med 92:426–431PubMedCrossRef Andreas S, Mühlen F von zur, Stevens J, Kreuzer H (1998) Nocturnal oxygen and hypercapnicventilatory rsponse in patients with congestive heart failure. Respir Med 92:426–431PubMedCrossRef
23.
Zurück zum Zitat Kaye D, Lefkovits J, Jennings G et al (1995) Adverse consequences of high sympathetic nervous activation in the failing human heart. J Am Coll Cardiol 26:1257–1263PubMedCrossRef Kaye D, Lefkovits J, Jennings G et al (1995) Adverse consequences of high sympathetic nervous activation in the failing human heart. J Am Coll Cardiol 26:1257–1263PubMedCrossRef
24.
Zurück zum Zitat Efken C, Bitter T, Prib N et al (2013) Obstructive sleep apnoea: longer respiratory event lengths in patients with heart failure. Eur Respir J 41:1340–1346PubMedCrossRef Efken C, Bitter T, Prib N et al (2013) Obstructive sleep apnoea: longer respiratory event lengths in patients with heart failure. Eur Respir J 41:1340–1346PubMedCrossRef
25.
Zurück zum Zitat Wedewardt J, Bitter T, Prinz C et al (2010) Cheyne-Stokes respiration in heart failure: cycle length is dependent on left ventricular ejection fraction. Sleep Med 11:137–142PubMedCrossRef Wedewardt J, Bitter T, Prinz C et al (2010) Cheyne-Stokes respiration in heart failure: cycle length is dependent on left ventricular ejection fraction. Sleep Med 11:137–142PubMedCrossRef
26.
Zurück zum Zitat Ulrich S, Fischler M, Speich R, Bloch KE (2008) Sleep-related breathing disorders in patients with pulmonary hypertension. Chest 133:1375–1380PubMedCrossRef Ulrich S, Fischler M, Speich R, Bloch KE (2008) Sleep-related breathing disorders in patients with pulmonary hypertension. Chest 133:1375–1380PubMedCrossRef
27.
Zurück zum Zitat Jilwan F, Escourrou P, Garcia G et al (2013) High occurrence of hypoxemic sleep respiratory disorders in precapillary pulmonary hypertension and mechanisms. Chest 143:47–55PubMedCrossRef Jilwan F, Escourrou P, Garcia G et al (2013) High occurrence of hypoxemic sleep respiratory disorders in precapillary pulmonary hypertension and mechanisms. Chest 143:47–55PubMedCrossRef
28.
Zurück zum Zitat Dumitrascu R, Tiede H, Eckermann J et al (2013) Sleep apnea in precapillary pulmonary hypertension. Sleep Med 14:247–251PubMedCrossRef Dumitrascu R, Tiede H, Eckermann J et al (2013) Sleep apnea in precapillary pulmonary hypertension. Sleep Med 14:247–251PubMedCrossRef
29.
Zurück zum Zitat Hoeper MM, Pletz MW, Golpon H, Welte T (2007) Prognostic value of blood gas analyses in patients with idiopathic pulmonary arterial hypertension. Eur Respir J 29(5):944–950PubMedCrossRef Hoeper MM, Pletz MW, Golpon H, Welte T (2007) Prognostic value of blood gas analyses in patients with idiopathic pulmonary arterial hypertension. Eur Respir J 29(5):944–950PubMedCrossRef
30.
Zurück zum Zitat Dimsdale J, Ziegler M, Ancoli-Israel S, Clausen J (1995) The effect of sleep apnea on plasma and urinary catecholamines. Sleep 18:377–381PubMed Dimsdale J, Ziegler M, Ancoli-Israel S, Clausen J (1995) The effect of sleep apnea on plasma and urinary catecholamines. Sleep 18:377–381PubMed
31.
Zurück zum Zitat Edwards B, Sands S, Skuza E et al (2008) Increased peripheral chemosensitivity via dopaminergic manipulation promotes respiratory instability in lambs. Respir Physiol Neurobiol 164:419–428PubMedCrossRef Edwards B, Sands S, Skuza E et al (2008) Increased peripheral chemosensitivity via dopaminergic manipulation promotes respiratory instability in lambs. Respir Physiol Neurobiol 164:419–428PubMedCrossRef
32.
Zurück zum Zitat Xie A, Wong B, Phillipson E et al (1995) Interaction of hyperventilation and arousal in the pathogenesis of idiopathic central sleep apnea. Am J Respir Crit Care Med 152:1950–1955PubMedCrossRef Xie A, Wong B, Phillipson E et al (1995) Interaction of hyperventilation and arousal in the pathogenesis of idiopathic central sleep apnea. Am J Respir Crit Care Med 152:1950–1955PubMedCrossRef
Metadaten
Titel
Platypnea-orthodeoxia syndrome due to patent foramen ovale
An unusual cause of Cheyne–Stokes respiration
verfasst von
Dr. T. Bitter
L. Faber
W. Scholz
H. Fox
C. Prinz
D. Horstkotte
O. Oldenburg
Publikationsdatum
01.02.2014
Verlag
Urban & Vogel
Erschienen in
Herz / Ausgabe 1/2014
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-014-4064-7

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