Randerath, Winfried, Verbraecken, Johan, Andreas, Stefan, Arzt, Michael, Bloch, Konrad E., Brack, Thomas, Buyse, Bertien, De Backer, Wilfried, Eckert, Danny Joel, Grote, Ludger, Hagmeyer, Lars, Hedner, Jan, Jennum, Poul, La Rovere, Maria Teresa, Miltz, Carla, McNicholas, Walter T., Montserrat, Josep, Naughton, Matthew, Pepin, Jean-Louis, Pevernagie, Dirk, Sanner, Bernd, Testelmans, Dries, Tonia, Thomy, Vrijsen, Bart, Wijkstra, Peter and Levy, Patrick (2017). Definition, discrimination, diagnosis and treatment of central breathing disturbances during sleep. Eur. Resp. J., 49 (1). SHEFFIELD: EUROPEAN RESPIRATORY SOC JOURNALS LTD. ISSN 1399-3003

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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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Randerath, WinfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Verbraecken, JohanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andreas, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arzt, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bloch, Konrad E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brack, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buyse, BertienUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
De Backer, WilfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eckert, Danny JoelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grote, LudgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hagmeyer, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hedner, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jennum, PoulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
La Rovere, Maria TeresaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Miltz, CarlaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
McNicholas, Walter T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Montserrat, JosepUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Naughton, MatthewUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pepin, Jean-LouisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pevernagie, DirkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sanner, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Testelmans, DriesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tonia, ThomyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vrijsen, BartUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wijkstra, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Levy, PatrickUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-243337
DOI: 10.1183/13993003.00959-2016
Journal or Publication Title: Eur. Resp. J.
Volume: 49
Number: 1
Date: 2017
Publisher: EUROPEAN RESPIRATORY SOC JOURNALS LTD
Place of Publication: SHEFFIELD
ISSN: 1399-3003
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
POSITIVE AIRWAY PRESSURE; OBESITY-HYPOVENTILATION SYNDROME; CHEYNE-STOKES RESPIRATION; ADAPTIVE SERVO-VENTILATION; HEART-FAILURE PATIENTS; AMYOTROPHIC-LATERAL-SCLEROSIS; DUCHENNE MUSCULAR-DYSTROPHY; RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; OBSTRUCTIVE PULMONARY-DISEASEMultiple languages
Respiratory SystemMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/24333

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