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

Identifieur interne : 001341 ( PubMed/Corpus ); précédent : 001340; suivant : 001342

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

Auteurs : Winfried Randerath ; Johan Verbraecken ; Stefan Andreas ; Michael Arzt ; Konrad E. Bloch ; Thomas Brack ; Bertien Buyse ; Wilfried De Backer ; Danny Joel Eckert ; Ludger Grote ; Lars Hagmeyer ; Jan Hedner ; Poul Jennum ; Maria Teresa La Rovere ; Carla Miltz ; Walter T. Mcnicholas ; Josep Montserrat ; Matthew Naughton ; Jean-Louis Pepin ; Dirk Pevernagie ; Bernd Sanner ; Dries Testelmans ; Thomy Tonia ; Bart Vrijsen ; Peter Wijkstra ; Patrick Levy

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

Links to Exploration step

pubmed:27920092

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="Hagmeyer, Lars" sort="Hagmeyer, Lars" uniqKey="Hagmeyer L" first="Lars" last="Hagmeyer">Lars Hagmeyer</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>
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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>
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<nlm:affiliation>Dept of Cardiology, Fondazione S. Maugeri, IRCCS, Istituto Scientifico di Montescano, Pavia, Italy.</nlm:affiliation>
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<name sortKey="Miltz, Carla" sort="Miltz, Carla" uniqKey="Miltz C" first="Carla" last="Miltz">Carla Miltz</name>
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<name sortKey="Montserrat, Josep" sort="Montserrat, Josep" uniqKey="Montserrat J" first="Josep" last="Montserrat">Josep Montserrat</name>
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<name sortKey="Naughton, Matthew" sort="Naughton, Matthew" uniqKey="Naughton M" first="Matthew" last="Naughton">Matthew Naughton</name>
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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>
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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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<nlm:affiliation>Institute of Social and Preventive Medicine, Universtity of Bern, Bern, Switzerland.</nlm:affiliation>
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<name sortKey="Wijkstra, Peter" sort="Wijkstra, Peter" uniqKey="Wijkstra P" first="Peter" last="Wijkstra">Peter Wijkstra</name>
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<name sortKey="Levy, Patrick" sort="Levy, Patrick" uniqKey="Levy P" first="Patrick" last="Levy">Patrick Levy</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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<nlm:affiliation>Cardiology and Pneumology, University Medical Center Göttingen, Göttingen, Germany.</nlm:affiliation>
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<name sortKey="Arzt, Michael" sort="Arzt, Michael" uniqKey="Arzt M" first="Michael" last="Arzt">Michael Arzt</name>
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<nlm:affiliation>Dept of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.</nlm:affiliation>
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<name sortKey="Bloch, Konrad E" sort="Bloch, Konrad E" uniqKey="Bloch K" first="Konrad E" last="Bloch">Konrad E. Bloch</name>
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<nlm:affiliation>University Hospital Zurich, Dept of Pulmonology and Sleep Disorders Center, Zurich, Switzerland.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Brack, Thomas" sort="Brack, Thomas" uniqKey="Brack T" first="Thomas" last="Brack">Thomas Brack</name>
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<nlm:affiliation>Dept of Internal and Pulmonary Medicine, Kantonsspital Glarus, Glarus, Switzerland.</nlm:affiliation>
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</author>
<author>
<name sortKey="Buyse, Bertien" sort="Buyse, Bertien" uniqKey="Buyse B" first="Bertien" last="Buyse">Bertien Buyse</name>
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<nlm:affiliation>Dept of Pulmonary Medicine, KU Leuven, Leuven, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="De Backer, Wilfried" sort="De Backer, Wilfried" uniqKey="De Backer W" first="Wilfried" last="De Backer">Wilfried De Backer</name>
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<nlm:affiliation>Dept of Pulmonary Medicine, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Eckert, Danny Joel" sort="Eckert, Danny Joel" uniqKey="Eckert D" first="Danny Joel" last="Eckert">Danny Joel Eckert</name>
<affiliation>
<nlm:affiliation>Neuroscience Research Australia (NeuRA) and the University of New South Wales, Sydney, Australia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Grote, Ludger" sort="Grote, Ludger" uniqKey="Grote L" first="Ludger" last="Grote">Ludger Grote</name>
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<nlm:affiliation>Sleep Disorders Center, Dept of Pulmonary Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hagmeyer, Lars" sort="Hagmeyer, Lars" uniqKey="Hagmeyer L" first="Lars" last="Hagmeyer">Lars Hagmeyer</name>
<affiliation>
<nlm:affiliation>Bethanien Hospital, Institute of Pneumology at the University of Cologne, Solingen, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hedner, Jan" sort="Hedner, Jan" uniqKey="Hedner J" first="Jan" last="Hedner">Jan Hedner</name>
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<nlm:affiliation>Sleep Disorders Center, Dept of Pulmonary Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Jennum, Poul" sort="Jennum, Poul" uniqKey="Jennum P" first="Poul" last="Jennum">Poul Jennum</name>
<affiliation>
<nlm:affiliation>Center for Healthy Aging and Danish Center for Sleep Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author>
<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>
<nlm:affiliation>Dept of Cardiology, Fondazione S. Maugeri, IRCCS, Istituto Scientifico di Montescano, Pavia, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Miltz, Carla" sort="Miltz, Carla" uniqKey="Miltz C" first="Carla" last="Miltz">Carla Miltz</name>
<affiliation>
<nlm:affiliation>Bethanien Hospital, Institute of Pneumology at the University of Cologne, Solingen, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mcnicholas, Walter T" sort="Mcnicholas, Walter T" uniqKey="Mcnicholas W" first="Walter T" last="Mcnicholas">Walter T. Mcnicholas</name>
<affiliation>
<nlm:affiliation>Pulmonary and Sleep Disorders Unit, St Vincent's University Hospital and University College Dublin, Dublin, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Montserrat, Josep" sort="Montserrat, Josep" uniqKey="Montserrat J" first="Josep" last="Montserrat">Josep Montserrat</name>
<affiliation>
<nlm:affiliation>Laboratori del Son, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Naughton, Matthew" sort="Naughton, Matthew" uniqKey="Naughton M" first="Matthew" last="Naughton">Matthew Naughton</name>
<affiliation>
<nlm:affiliation>General Respiratory and Transplantation, Alfred Hospital and Monash University, Melbourne, Australia.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pepin, Jean Louis" sort="Pepin, Jean Louis" uniqKey="Pepin J" first="Jean-Louis" last="Pepin">Jean-Louis Pepin</name>
<affiliation>
<nlm:affiliation>Laboratoire du sommeil explorations fonct. respire., Centre Hospitalier Universitaire Grenoble, Grenoble, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pevernagie, Dirk" sort="Pevernagie, Dirk" uniqKey="Pevernagie D" first="Dirk" last="Pevernagie">Dirk Pevernagie</name>
<affiliation>
<nlm:affiliation>Sleep Medicine Center Kempenhaeghe, Heeze, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sanner, Bernd" sort="Sanner, Bernd" uniqKey="Sanner B" first="Bernd" last="Sanner">Bernd Sanner</name>
<affiliation>
<nlm:affiliation>Dept of Internal Medicine, Agaplesion Bethesda Hospital Wuppertal, Wuppertal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Testelmans, Dries" sort="Testelmans, Dries" uniqKey="Testelmans D" first="Dries" last="Testelmans">Dries Testelmans</name>
<affiliation>
<nlm:affiliation>Dept of Internal Medicine, Agaplesion Bethesda Hospital Wuppertal, Wuppertal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Tonia, Thomy" sort="Tonia, Thomy" uniqKey="Tonia T" first="Thomy" last="Tonia">Thomy Tonia</name>
<affiliation>
<nlm:affiliation>Institute of Social and Preventive Medicine, Universtity of Bern, Bern, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Vrijsen, Bart" sort="Vrijsen, Bart" uniqKey="Vrijsen B" first="Bart" last="Vrijsen">Bart Vrijsen</name>
<affiliation>
<nlm:affiliation>Dept of Pulmonary Medicine, KU Leuven, Leuven, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Wijkstra, Peter" sort="Wijkstra, Peter" uniqKey="Wijkstra P" first="Peter" last="Wijkstra">Peter Wijkstra</name>
<affiliation>
<nlm:affiliation>Dept of Pulmonology/Home Mechanical Ventilation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Levy, Patrick" sort="Levy, Patrick" uniqKey="Levy P" first="Patrick" last="Levy">Patrick Levy</name>
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<nlm:affiliation>Laboratoire du sommeil explorations fonct. respire., Centre Hospitalier Universitaire Grenoble, Grenoble, France.</nlm:affiliation>
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<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>
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<AbstractText>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.</AbstractText>
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<Author ValidYN="Y">
<LastName>Randerath</LastName>
<ForeName>Winfried</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Bethanien Hospital, Institute of Pneumology at the University of Cologne, Solingen, Germany randerath@klinik-bethanien.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>These authors contributed equally.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Task force chairs.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Verbraecken</LastName>
<ForeName>Johan</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Dept of Pulmonary Medicine, Antwerp University Hospital and University of Antwerp, Edegem, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>These authors contributed equally.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Task force chairs.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Andreas</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Cardiology and Pneumology, University Medical Center Göttingen, Göttingen, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Lung Clinic Immenhausen, Krs. Kassel, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Arzt</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
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<Affiliation>Dept of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.</Affiliation>
</AffiliationInfo>
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