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Cheyne-Stokes respiration in congestive heart failure
1Department of Internal Medicine, Waterbury Hospital, Connecticut.
The Yale Journal of Biology and Medicine
|January 1, 1992
Summary
Cheyne-Stokes respiration, an abnormal breathing pattern, affects heart failure and neurological patients. Treatment with oxygen or CPAP may improve cardiac function and prognosis.
Area of Science:
- Cardiology
- Pulmonology
- Neurology
Background:
- Cheyne-Stokes respiration (CSR) is an abnormal breathing pattern characterized by alternating periods of tachypnea, hyperpnea, and apnea.
- CSR commonly affects patients with decompensated congestive heart failure (CHF) and neurologic diseases.
- The condition may be unrecognized as clinical features are often dominated by the primary disease process.
Purpose of the Study:
- To highlight the significant cardiopulmonary effects of Cheyne-Stokes respiration.
- To discuss the potential benefits of therapeutic interventions for CSR in patients with CHF.
Main Methods:
- This abstract discusses the clinical presentation and implications of Cheyne-Stokes respiration.
- It reviews the impact of CSR on the cardiopulmonary system and potential treatment strategies.
Main Results:
- Cheyne-Stokes respiration can lead to detrimental effects including oxygen desaturation, cardiac arrhythmias, and altered mental status.
- These effects can significantly impact patient morbidity and mortality.
Conclusions:
- Treatment of Cheyne-Stokes respiration in congestive heart failure patients using supplemental oxygen or nasal continuous positive airway pressure (CPAP) alongside conventional therapy shows promise.
- These interventions may enhance overall cardiac function and potentially improve patient prognosis.