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Definition, discrimination, diagnosis and treatment of central breathing disturbances during sleep.

Identifieur interne : 000E58 ( Main/Exploration ); précédent : 000E57; suivant : 000E59

Definition, discrimination, diagnosis and treatment of central breathing disturbances during sleep.

Auteurs : Winfried Randerath [Allemagne] ; Johan Verbraecken [Belgique] ; Stefan Andreas [Allemagne] ; Michael Arzt [Allemagne] ; Konrad E. Bloch [Suisse] ; Thomas Brack [Suisse] ; Bertien Buyse [Belgique] ; Wilfried De Backer [Belgique] ; Danny Joel Eckert [Australie] ; Ludger Grote [Suède] ; Lars Hagmeyer [Allemagne] ; Jan Hedner [Suède] ; Poul Jennum [Danemark] ; Maria Teresa La Rovere [Italie] ; Carla Miltz [Allemagne] ; Walter T. Mcnicholas [Irlande (pays)] ; Josep Montserrat [Espagne] ; Matthew Naughton [Australie] ; Jean-Louis Pepin [France] ; Dirk Pevernagie [Pays-Bas] ; Bernd Sanner [Allemagne] ; Dries Testelmans [Allemagne] ; Thomy Tonia [Suisse] ; Bart Vrijsen [Belgique] ; Peter Wijkstra [Pays-Bas] ; Patrick Levy [France]

Source :

RBID : pubmed:27920092

Abstract

The complexity of central breathing disturbances during sleep has become increasingly obvious. They present as central sleep apnoeas (CSAs) and hypopnoeas, periodic breathing with apnoeas, or irregular breathing in patients with cardiovascular, other internal or neurological disorders, and can emerge under positive airway pressure treatment or opioid use, or at high altitude. As yet, there is insufficient knowledge on the clinical features, pathophysiological background and consecutive algorithms for stepped-care treatment. Most recently, it has been discussed intensively if CSA in heart failure is a "marker" of disease severity or a "mediator" of disease progression, and if and which type of positive airway pressure therapy is indicated. In addition, disturbances of respiratory drive or the translation of central impulses may result in hypoventilation, associated with cerebral or neuromuscular diseases, or severe diseases of lung or thorax. These statements report the results of an European Respiratory Society Task Force addressing actual diagnostic and therapeutic standards. The statements are based on a systematic review of the literature and a systematic two-step decision process. Although the Task Force does not make recommendations, it describes its current practice of treatment of CSA in heart failure and hypoventilation.

DOI: 10.1183/13993003.00959-2016
PubMed: 27920092


Affiliations:


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Le document en format XML

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<name sortKey="Eckert, Danny Joel" sort="Eckert, Danny Joel" uniqKey="Eckert D" first="Danny Joel" last="Eckert">Danny Joel Eckert</name>
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<name sortKey="Grote, Ludger" sort="Grote, Ludger" uniqKey="Grote L" first="Ludger" last="Grote">Ludger Grote</name>
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<name sortKey="Pevernagie, Dirk" sort="Pevernagie, Dirk" uniqKey="Pevernagie D" first="Dirk" last="Pevernagie">Dirk Pevernagie</name>
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<name sortKey="Sanner, Bernd" sort="Sanner, Bernd" uniqKey="Sanner B" first="Bernd" last="Sanner">Bernd Sanner</name>
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<name sortKey="Testelmans, Dries" sort="Testelmans, Dries" uniqKey="Testelmans D" first="Dries" last="Testelmans">Dries Testelmans</name>
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<name sortKey="Tonia, Thomy" sort="Tonia, Thomy" uniqKey="Tonia T" first="Thomy" last="Tonia">Thomy Tonia</name>
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<nlm:affiliation>Bethanien Hospital, Institute of Pneumology at the University of Cologne, Solingen, Germany.</nlm:affiliation>
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<wicri:noRegion>Solingen</wicri:noRegion>
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<nlm:affiliation>Sleep Disorders Center, Dept of Pulmonary Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Sleep Disorders Center, Dept of Pulmonary Medicine, Sahlgrenska University Hospital, Gothenburg</wicri:regionArea>
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<name sortKey="Jennum, Poul" sort="Jennum, Poul" uniqKey="Jennum P" first="Poul" last="Jennum">Poul Jennum</name>
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<nlm:affiliation>Center for Healthy Aging and Danish Center for Sleep Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Center for Healthy Aging and Danish Center for Sleep Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen</wicri:regionArea>
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<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
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<name sortKey="La Rovere, Maria Teresa" sort="La Rovere, Maria Teresa" uniqKey="La Rovere M" first="Maria Teresa" last="La Rovere">Maria Teresa La Rovere</name>
<affiliation wicri:level="1">
<nlm:affiliation>Dept of Cardiology, Fondazione S. Maugeri, IRCCS, Istituto Scientifico di Montescano, Pavia, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dept of Cardiology, Fondazione S. Maugeri, IRCCS, Istituto Scientifico di Montescano, Pavia</wicri:regionArea>
<wicri:noRegion>Pavia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Miltz, Carla" sort="Miltz, Carla" uniqKey="Miltz C" first="Carla" last="Miltz">Carla Miltz</name>
<affiliation wicri:level="1">
<nlm:affiliation>Bethanien Hospital, Institute of Pneumology at the University of Cologne, Solingen, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Bethanien Hospital, Institute of Pneumology at the University of Cologne, Solingen</wicri:regionArea>
<wicri:noRegion>Solingen</wicri:noRegion>
<wicri:noRegion>Solingen</wicri:noRegion>
<wicri:noRegion>Solingen</wicri:noRegion>
</affiliation>
</author>
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<name sortKey="Mcnicholas, Walter T" sort="Mcnicholas, Walter T" uniqKey="Mcnicholas W" first="Walter T" last="Mcnicholas">Walter T. Mcnicholas</name>
<affiliation wicri:level="1">
<nlm:affiliation>Pulmonary and Sleep Disorders Unit, St Vincent's University Hospital and University College Dublin, Dublin, Ireland.</nlm:affiliation>
<country xml:lang="fr">Irlande (pays)</country>
<wicri:regionArea>Pulmonary and Sleep Disorders Unit, St Vincent's University Hospital and University College Dublin, Dublin</wicri:regionArea>
<wicri:noRegion>Dublin</wicri:noRegion>
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</author>
<author>
<name sortKey="Montserrat, Josep" sort="Montserrat, Josep" uniqKey="Montserrat J" first="Josep" last="Montserrat">Josep Montserrat</name>
<affiliation wicri:level="4">
<nlm:affiliation>Laboratori del Son, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Laboratori del Son, Hospital Clínic, Universitat de Barcelona, Barcelona</wicri:regionArea>
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<settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
<settlement type="city">Barcelone</settlement>
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<orgName type="university">Université de Barcelone</orgName>
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<name sortKey="Naughton, Matthew" sort="Naughton, Matthew" uniqKey="Naughton M" first="Matthew" last="Naughton">Matthew Naughton</name>
<affiliation wicri:level="3">
<nlm:affiliation>General Respiratory and Transplantation, Alfred Hospital and Monash University, Melbourne, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>General Respiratory and Transplantation, Alfred Hospital and Monash University, Melbourne</wicri:regionArea>
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<region type="état">Victoria (État)</region>
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<name sortKey="Pepin, Jean Louis" sort="Pepin, Jean Louis" uniqKey="Pepin J" first="Jean-Louis" last="Pepin">Jean-Louis Pepin</name>
<affiliation wicri:level="3">
<nlm:affiliation>Laboratoire du sommeil explorations fonct. respire., Centre Hospitalier Universitaire Grenoble, Grenoble, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire du sommeil explorations fonct. respire., Centre Hospitalier Universitaire Grenoble, Grenoble</wicri:regionArea>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Grenoble</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pevernagie, Dirk" sort="Pevernagie, Dirk" uniqKey="Pevernagie D" first="Dirk" last="Pevernagie">Dirk Pevernagie</name>
<affiliation wicri:level="1">
<nlm:affiliation>Sleep Medicine Center Kempenhaeghe, Heeze, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Sleep Medicine Center Kempenhaeghe, Heeze</wicri:regionArea>
<wicri:noRegion>Heeze</wicri:noRegion>
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</author>
<author>
<name sortKey="Sanner, Bernd" sort="Sanner, Bernd" uniqKey="Sanner B" first="Bernd" last="Sanner">Bernd Sanner</name>
<affiliation wicri:level="1">
<nlm:affiliation>Dept of Internal Medicine, Agaplesion Bethesda Hospital Wuppertal, Wuppertal, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Dept of Internal Medicine, Agaplesion Bethesda Hospital Wuppertal, Wuppertal</wicri:regionArea>
<wicri:noRegion>Wuppertal</wicri:noRegion>
<wicri:noRegion>Wuppertal</wicri:noRegion>
<wicri:noRegion>Wuppertal</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Testelmans, Dries" sort="Testelmans, Dries" uniqKey="Testelmans D" first="Dries" last="Testelmans">Dries Testelmans</name>
<affiliation wicri:level="1">
<nlm:affiliation>Dept of Internal Medicine, Agaplesion Bethesda Hospital Wuppertal, Wuppertal, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Dept of Internal Medicine, Agaplesion Bethesda Hospital Wuppertal, Wuppertal</wicri:regionArea>
<wicri:noRegion>Wuppertal</wicri:noRegion>
<wicri:noRegion>Wuppertal</wicri:noRegion>
<wicri:noRegion>Wuppertal</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tonia, Thomy" sort="Tonia, Thomy" uniqKey="Tonia T" first="Thomy" last="Tonia">Thomy Tonia</name>
<affiliation wicri:level="3">
<nlm:affiliation>Institute of Social and Preventive Medicine, Universtity of Bern, Bern, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Institute of Social and Preventive Medicine, Universtity of Bern, Bern</wicri:regionArea>
<placeName>
<settlement type="city">Berne</settlement>
<region type="région" nuts="3">Canton de Berne</region>
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</affiliation>
</author>
<author>
<name sortKey="Vrijsen, Bart" sort="Vrijsen, Bart" uniqKey="Vrijsen B" first="Bart" last="Vrijsen">Bart Vrijsen</name>
<affiliation wicri:level="1">
<nlm:affiliation>Dept of Pulmonary Medicine, KU Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Dept of Pulmonary Medicine, KU Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wijkstra, Peter" sort="Wijkstra, Peter" uniqKey="Wijkstra P" first="Peter" last="Wijkstra">Peter Wijkstra</name>
<affiliation wicri:level="3">
<nlm:affiliation>Dept of Pulmonology/Home Mechanical Ventilation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Dept of Pulmonology/Home Mechanical Ventilation, University Medical Center Groningen, University of Groningen, Groningen</wicri:regionArea>
<placeName>
<settlement type="city">Groningue</settlement>
<region nuts="2" type="province">Groningue (province)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Levy, Patrick" sort="Levy, Patrick" uniqKey="Levy P" first="Patrick" last="Levy">Patrick Levy</name>
<affiliation wicri:level="3">
<nlm:affiliation>Laboratoire du sommeil explorations fonct. respire., Centre Hospitalier Universitaire Grenoble, Grenoble, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire du sommeil explorations fonct. respire., Centre Hospitalier Universitaire Grenoble, Grenoble</wicri:regionArea>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Grenoble</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The European respiratory journal</title>
<idno type="eISSN">1399-3003</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">The complexity of central breathing disturbances during sleep has become increasingly obvious. They present as central sleep apnoeas (CSAs) and hypopnoeas, periodic breathing with apnoeas, or irregular breathing in patients with cardiovascular, other internal or neurological disorders, and can emerge under positive airway pressure treatment or opioid use, or at high altitude. As yet, there is insufficient knowledge on the clinical features, pathophysiological background and consecutive algorithms for stepped-care treatment. Most recently, it has been discussed intensively if CSA in heart failure is a "marker" of disease severity or a "mediator" of disease progression, and if and which type of positive airway pressure therapy is indicated. In addition, disturbances of respiratory drive or the translation of central impulses may result in hypoventilation, associated with cerebral or neuromuscular diseases, or severe diseases of lung or thorax. These statements report the results of an European Respiratory Society Task Force addressing actual diagnostic and therapeutic standards. The statements are based on a systematic review of the literature and a systematic two-step decision process. Although the Task Force does not make recommendations, it describes its current practice of treatment of CSA in heart failure and hypoventilation.</div>
</front>
</TEI>
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<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>Danemark</li>
<li>Espagne</li>
<li>France</li>
<li>Irlande (pays)</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Suisse</li>
<li>Suède</li>
</country>
<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Basse-Saxe</li>
<li>Canton de Berne</li>
<li>Catalogne</li>
<li>Groningue (province)</li>
<li>Hovedstaden</li>
<li>Nouvelle-Galles du Sud</li>
<li>Rhône-Alpes</li>
<li>Victoria (État)</li>
</region>
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<li>Barcelone</li>
<li>Berne</li>
<li>Copenhague</li>
<li>Grenoble</li>
<li>Groningue</li>
<li>Göttingen</li>
<li>Melbourne</li>
<li>Sydney</li>
</settlement>
<orgName>
<li>Université de Barcelone</li>
</orgName>
</list>
<tree>
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<noRegion>
<name sortKey="Randerath, Winfried" sort="Randerath, Winfried" uniqKey="Randerath W" first="Winfried" last="Randerath">Winfried Randerath</name>
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<name sortKey="Andreas, Stefan" sort="Andreas, Stefan" uniqKey="Andreas S" first="Stefan" last="Andreas">Stefan Andreas</name>
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<name sortKey="Hagmeyer, Lars" sort="Hagmeyer, Lars" uniqKey="Hagmeyer L" first="Lars" last="Hagmeyer">Lars Hagmeyer</name>
<name sortKey="Miltz, Carla" sort="Miltz, Carla" uniqKey="Miltz C" first="Carla" last="Miltz">Carla Miltz</name>
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<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Eckert, Danny Joel" sort="Eckert, Danny Joel" uniqKey="Eckert D" first="Danny Joel" last="Eckert">Danny Joel Eckert</name>
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<name sortKey="Jennum, Poul" sort="Jennum, Poul" uniqKey="Jennum P" first="Poul" last="Jennum">Poul Jennum</name>
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<noRegion>
<name sortKey="La Rovere, Maria Teresa" sort="La Rovere, Maria Teresa" uniqKey="La Rovere M" first="Maria Teresa" last="La Rovere">Maria Teresa La Rovere</name>
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<noRegion>
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