Rees P J, Clark T J
Lancet. 1979;2(8156-8157):1315-7. doi: 10.1016/s0140-6736(79)92809-5.
Patterns of breathing at night were recorded in 4 patients with heart-failure. 2 had periodic breathing while awake and in 2 it developed after they fell asleep. In all 4 the phase of hyperventilation disturbed sleep. These cases also illustrate other problems caused by periodic respiration in heart-failure, which range from tiredness during the day to an inability to sleep for more than a few minutes. Nocturnal waking in the hyperventilation phase of Cheyne-Stokes breathing should be differentiated from paroxysmal nocturnal dyspnoea caused by episodes of pulmonary oedema at night.
对4例心力衰竭患者的夜间呼吸模式进行了记录。2例患者清醒时即有周期性呼吸，另外2例在入睡后出现。所有4例患者的过度通气阶段均干扰了睡眠。这些病例还说明了心力衰竭患者周期性呼吸所引起的其他问题，从白天疲劳到无法连续睡眠超过几分钟。陈-施呼吸过度通气阶段的夜间觉醒应与夜间肺水肿发作所致的阵发性夜间呼吸困难相鉴别。
