https://doi.org/10.4081/monaldi.2021.1757
Exertional and nocturnal periodic breathing after successful cardiac transplantation. A case report
Published: April 1, 2021
Abstract Views: 943
PDF: 488
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We present a case report of a heart failure patient who underwent cardiopulmonary exercise testing and sleep screening 12 months before and after heart transplantation (HTx). Severe Cheyne-Stokes respiration (CSR) with central sleep apnoea (CSA) was identified either before and after HTx, while periodic breathing during exercise vanished. We suggest that optimization of hemodynamics and medical therapy (low dose of diuretic) did not withdraw the central mechanisms underlying the diathesis for CSR-CSA. While periodic breathing during exercise reversal may support a closer link with an exertional central hemodynamic. This observation indirectly neglects the possible unifying mechanistic background of CSR and periodic breathing, during exercise, in this setting.
Braith RW, Edwards DG. Exercise following heart transplantation. Sports Med 2000;30:171–92.
DOI: https://doi.org/10.2165/00007256-200030030-00003
Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med 2015;8:597-619.
DOI: https://doi.org/10.5664/jcsm.2172
Corrà U, Pistono M, Mezzani A, et al. Sleep and exertional periodic breathing in chronic heart failure: prognostic importance and interdependence. Circulation 2006;113:44–50.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.105.543173
Braver HM, Brandes WC, Kubiet MA, et al. Effect of cardiac transplantation on Cheyne-Stokes respiration occurring during sleep. Am J Cardiol 1995;76:632-4.
DOI: https://doi.org/10.1016/S0002-9149(99)80174-X
Kremser CB, O'Toole MF, Leff AR. Oscillatory hyperventilation in severe congestive heart failure secondary to idiopathic dilated cardiomyopathy or to ischemic cardiomyopathy. Am J Cardiol 1987;59:900-5.
DOI: https://doi.org/10.1016/0002-9149(87)91116-7
Ribeiro JP, Knutzen A, Rocco MB, et al. Periodic breathing during exercise in severe heart failure. Reversal with milrinone or cardiac transplantation. Chest 1987;92:555-56.
DOI: https://doi.org/10.1378/chest.92.3.555
Corrà U, Piepoli M, Giordano A. Difference in prevalence of exertional oscillatory between healthy subjects and patients with cardiovascular disease. Monaldi Arch Chest Disease 2020;90:1203.
DOI: https://doi.org/10.4081/monaldi.2020.1203
Mansfield DR, Solin P, Roebuck T, et al. The effect of successful heart transplant treatment of heart failure on central sleep apnea. Chest 2003;124:1675-81.
DOI: https://doi.org/10.1378/chest.124.5.1675
Thalhofer SA, Kiwus U, Dorow P. Influence of orthotopic heart transplantation on breathing pattern disorders in patients with dilated cardiomyopathy. Sleep Breath 2000;4:121-5.
DOI: https://doi.org/10.1055/s-2000-11569
Khoo MCK. Determinants of ventilatory instability and variability. Respir Physiol 2000;122:167-82.
DOI: https://doi.org/10.1016/S0034-5687(00)00157-2
How to Cite
Corrà, Ugo, Fabiana Isabella Gambarin, Marco Gnemmi, and Massimo Pistono. 2021. “Exertional and Nocturnal Periodic Breathing After Successful Cardiac Transplantation. A Case Report”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1757.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Alberto Genovesi Ebert, Furio Colivicchi, Marco Malvezzi Caracciolo, Carmine Riccio, Additive beneficial effects of beta blockers in the prevention of symptomatic heart failure , Monaldi Archives for Chest Disease: Vol. 72 No. 1 (2009): Cardiac series
- Donatella Del Sindaco, Giovanni Pulignano, Andrea Di Lenarda, Luigi Tarantini, Giovanni Cioffi, Stefano Tolone, Maria Denitza Tinti, Luca Monzo, Giulia Barbati, Giovanni Minardi, Role of a multidisciplinary program in improving outcomes in cognitively impaired heart failure older patients , Monaldi Archives for Chest Disease: Vol. 78 No. 1 (2012): Cardiac series
- Berardo Sarubbi, Giancarlo Scognamiglio, Flavia Fusco, Enrico Melillo, Michele D'Alto, Maria Giovanna Russo, A “long-standing†malpositioned pacing lead. Long-term follow-up after extraction , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Erick Chan, Francesco Giallauria, Carlo Vigorito, Neil A. Smart, Exercise training in heart failure patients with preserved ejection fraction: a systematic review and meta-analysis , Monaldi Archives for Chest Disease: Vol. 86 No. 1-2 (2016): Cardiac series
- Mahmood Shirzad, Abbasali Karimi, Seyed Hossein Ahmadi, Mehrab Marzban, Mokhtar Tazik, Hermineh Aramin, Predictors and Early Outcome of Prolonged Mechanical Ventilation in Contemporary Heart valve Surgery , Monaldi Archives for Chest Disease: Vol. 74 No. 1 (2010): Cardiac series
- Vittorio Palmieri, Antonio Palermo, Patients’ self-evaluation of symptoms, signs and compliance to therapy for heart failure surveillance: A pilot study on identification of worsening heart failure , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- Seyed Kianoosh Hosseini, Abbas Soleimani, Abbas Ali Karimi, Saeed Sadeghian, Sirous Darabian, Seyed Hesameddin Abbasi, Seyed Hossein Ahmadi, Arezou Zoroufian, Mehran Mahmoodian, Ali Abbasi, Clinical features, management and in-hospital outcome of ST elevation myocardial infarction (STEMI) in young adults under 40 years of age , Monaldi Archives for Chest Disease: Vol. 72 No. 2 (2009): Cardiac series
- Roberto Valle, Renzo Baccichetto, Sabrina Barro, Alessandro Calderan, Emanuele Carbonieri, Maura Chinellato, Mario Chiatto, Alessandra D’Eri, Francesco Corazza, Massimo D’Atri, Raffaela Drigo, Simeone Fabris, Giuseppe Fabris Gelli, Antonio Lo Giudice, Federica Noventa, Alessandro Pollon, Paolo Santin, Franco Zanardi, Loredano Milani, Heart failure in Eastern Veneto: prevalence, hospitalization rate, adherence to guidelines and social costs , Monaldi Archives for Chest Disease: Vol. 66 No. 1 (2006): Cardiac series
- Roberto F.E. Pedretti, Beta-blockers after myocardial infarction: Are they useful to all patients? And how long should be the beta-blocker therapy? , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- Susanna Ricotti, Valentina Martinelli, Patrick Caspani, Serena Monteleone, Lucia Petrucci, Elena Dalla Toffola, Catherine Klersy, Changes in quality of life and functional capacity after lung transplantation: A single-center experience , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
You may also start an advanced similarity search for this article.
