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Behavioral Hyperventilation and Central Sleep Apnea in Two Children

Thomas P Johnston, Jade Tam-Williams, Margaret Schmandt

    Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
    |June 25, 2015
    PubMed

    Insights

    Behavioral hyperventilation can cause central sleep apnea in children. This condition may also lead to a prolonged corrected QT interval, impacting cardiac function.

    Area of Science:

    • Pediatric Pulmonology
    • Sleep Medicine
    • Cardiology

    Background:

    • Central sleep apnea (CSA) in children has diverse etiologies.
    • Behavioral hyperventilation is an underrecognized cause of respiratory disturbances during sleep.

    Observation:

    • Two pediatric cases presented with prolonged central sleep apnea.
    • The apnea was directly linked to behavioral hyperventilation episodes.

    Findings:

    • Behavioral hyperventilation can induce central sleep apnea in pediatric patients.
    • One patient exhibited a prolonged corrected QT (QTc) interval secondary to hyperventilation, indicating potential cardiac implications.

    Implications:

    • Highlights the importance of considering behavioral hyperventilation in pediatric CSA diagnosis.
    • Suggests a potential link between hyperventilation-induced apnea and cardiac repolarization abnormalities in children.
    • Emphasizes the need for comprehensive evaluation in pediatric sleep-disordered breathing.

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