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Impact of Heart Transplantation on Cheyne-Stokes Respiration in a Child.

Al-Saleh S, Kantor PF, Narang I - Case Rep Pediatr (2016)

Bottom Line: Sleep disordered breathing is well described in adults with heart failure but not in pediatric population.We describe a 13-year-old Caucasian male with severe heart failure related to dilated cardiomyopathy who demonstrated polysomnographic features of Cheyne-Stokes respiration, which completely resolved following cardiac transplantation.Cheyne-Stokes respiration in children with advanced heart failure and its resolution after heart transplant can be observed similar to adults.

View Article: PubMed Central - PubMed

Affiliation: Division of Respiratory Medicine, Hospital for Sick Children, 555 University Avenue, Toronto, ON, Canada M5G 1X8; University of Toronto, 27 King's College Cir, Toronto, ON, Canada M5S 2J7.

ABSTRACT
Sleep disordered breathing is well described in adults with heart failure but not in pediatric population. We describe a 13-year-old Caucasian male with severe heart failure related to dilated cardiomyopathy who demonstrated polysomnographic features of Cheyne-Stokes respiration, which completely resolved following cardiac transplantation. Cheyne-Stokes respiration in children with advanced heart failure and its resolution after heart transplant can be observed similar to adults.

No MeSH data available.


Related in: MedlinePlus

Cheyne-Stokes respiration in the child before heart transplant.
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fig1: Cheyne-Stokes respiration in the child before heart transplant.

Mentions: The patient, a 13-year-old Caucasian male, presented with DCM and, after progressive deterioration of his ejection fraction, eventually required admission to the hospital for progressive HF. His symptoms were increasing daytime tiredness and lethargy as well as history of syncopal episodes and increased dyspnea on effort which all were attributed to the severe heart failure. His symptoms were New York Heart Association (NYHA) class III. Specifically, echocardiography showed deterioration of his cardiac function (decreased left ventricular ejection fraction [LVEF] from 30% to 9% over a two-month period). Medical therapy had included Digoxin, Carvedilol, Ramipril, and Spironolactone. He underwent a standard PSG according to international guidelines at the time of admission that was part of a prospective observational study to describe sleep disordered breathing (SDB) in children with known cardiomyopathy, the group data of which have been published elsewhere [7]. Significant findings in the PSG were a significantly elevated central apnea-hypopnea index (CAHI) of 17 events/hour with CSR similar to that described in adults with CSR (Figure 1). He remained in the hospital for pretransplantation assessment. During this time, he was transferred to the cardiac intensive care unit and started on intravenous Milrinone.


Impact of Heart Transplantation on Cheyne-Stokes Respiration in a Child.

Al-Saleh S, Kantor PF, Narang I - Case Rep Pediatr (2016)

Cheyne-Stokes respiration in the child before heart transplant.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835643&req=5

fig1: Cheyne-Stokes respiration in the child before heart transplant.
Mentions: The patient, a 13-year-old Caucasian male, presented with DCM and, after progressive deterioration of his ejection fraction, eventually required admission to the hospital for progressive HF. His symptoms were increasing daytime tiredness and lethargy as well as history of syncopal episodes and increased dyspnea on effort which all were attributed to the severe heart failure. His symptoms were New York Heart Association (NYHA) class III. Specifically, echocardiography showed deterioration of his cardiac function (decreased left ventricular ejection fraction [LVEF] from 30% to 9% over a two-month period). Medical therapy had included Digoxin, Carvedilol, Ramipril, and Spironolactone. He underwent a standard PSG according to international guidelines at the time of admission that was part of a prospective observational study to describe sleep disordered breathing (SDB) in children with known cardiomyopathy, the group data of which have been published elsewhere [7]. Significant findings in the PSG were a significantly elevated central apnea-hypopnea index (CAHI) of 17 events/hour with CSR similar to that described in adults with CSR (Figure 1). He remained in the hospital for pretransplantation assessment. During this time, he was transferred to the cardiac intensive care unit and started on intravenous Milrinone.

Bottom Line: Sleep disordered breathing is well described in adults with heart failure but not in pediatric population.We describe a 13-year-old Caucasian male with severe heart failure related to dilated cardiomyopathy who demonstrated polysomnographic features of Cheyne-Stokes respiration, which completely resolved following cardiac transplantation.Cheyne-Stokes respiration in children with advanced heart failure and its resolution after heart transplant can be observed similar to adults.

View Article: PubMed Central - PubMed

Affiliation: Division of Respiratory Medicine, Hospital for Sick Children, 555 University Avenue, Toronto, ON, Canada M5G 1X8; University of Toronto, 27 King's College Cir, Toronto, ON, Canada M5S 2J7.

ABSTRACT
Sleep disordered breathing is well described in adults with heart failure but not in pediatric population. We describe a 13-year-old Caucasian male with severe heart failure related to dilated cardiomyopathy who demonstrated polysomnographic features of Cheyne-Stokes respiration, which completely resolved following cardiac transplantation. Cheyne-Stokes respiration in children with advanced heart failure and its resolution after heart transplant can be observed similar to adults.

No MeSH data available.


Related in: MedlinePlus