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Central sleep apnoea in congestive heart failure despite vagal denervation after bilateral lung transplantation.

作者信息

Solin P, Snell G I, Williams T J, Naughton M T

机构信息

Dept of Respiratory Medicine and Monash University Medical School, Alfred Hospital, Prahran, Victoria, Australia.

出版信息

Eur Respir J. 1998 Aug;12(2):495-8. doi: 10.1183/09031936.98.12020495.

DOI:10.1183/09031936.98.12020495
PMID:9727808
Abstract

Nonhypercapnic central sleep apnoea is a disorder of respiratory control characterized by hyperventilation previously attributed to the stimulation of either pulmonary vagal afferent nerve fibres or respiratory chemoreceptors. This report describes central sleep apnoea in a patient with congestive heart failure following bilateral lung transplant in whom pulmonary vagal afferent nerve activity was absent.

摘要

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PRO: Persistent Central Sleep Apnea/Hunter-Cheyne-Stokes Breathing, Despite Best Guideline-Based Therapy of Heart Failure With Reduced Ejection Fraction, Is a Compensatory Mechanism and Should Not Be Suppressed.专业观点:尽管对射血分数降低的心力衰竭进行了基于最佳指南的治疗,但持续性中枢性睡眠呼吸暂停/陈-施呼吸是一种代偿机制,不应被抑制。
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