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Cheyne–Stokes respiration

"Cheyne Stoking" redirects here. For the album by


Huron, see Cheyne Stoking (album).

Cheyne–Stokes respiration is an abnormal


pattern of breathing characterized by
progressively deeper, and sometimes faster,
breathing followed by a gradual decrease that
results in a temporary stop in breathing called
an apnea. The pattern repeats, with each cycle
usually taking 30 seconds to 2 minutes.[1] It is
an oscillation of ventilation between apnea and
hyperpnea with a crescendo-diminuendo
pattern, and is associated with changing serum
partial pressures of oxygen and carbon
dioxide.[2]

Cheyne–Stokes respiration

Graph showing the Cheyne–Stokes respiration


and other pathological breathing patterns.

Pronunciation /ˈtʃeɪnˈstoʊks/

Cheyne–Stokes respiration and periodic


breathing are the two regions on a spectrum of
severity of oscillatory tidal volume. The
distinction lies in what is observed at the
trough of ventilation: Cheyne–Stokes
respiration involves apnea (since apnea is a
prominent feature in their original description)
while periodic breathing involves hypopnea
(abnormally small but not absent breaths).

These phenomena can occur during


wakefulness or during sleep, where they are
called the central sleep apnea syndrome
(CSAS).[3]

It may be caused by damage to respiratory


centers,[4] or by physiological abnormalities in
congestive heart failure,[5] and is also seen in
newborns with immature respiratory systems
and in visitors new to high altitudes. One
example is the breathing pattern in Joubert
syndrome and related disorders.

Pathophysiology

Associated conditions

Related patterns

History

References

External links

Last edited 17 days ago by Ozzie10aaaa

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