机构:
Univ Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Schwartz, Alan R.
[1
]
Sgambati, Francis P.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Ctr Interdisciplinary Sleep Res & Educ, Baltimore, MD USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Sgambati, Francis P.
[2
]
James, Kristofer J.
论文数: 0引用数: 0
h-index: 0
机构:
Respicardia Inc, Minnetonka, MN USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
James, Kristofer J.
[3
]
Goblish, Todd P.
论文数: 0引用数: 0
h-index: 0
机构:
Respicardia Inc, Minnetonka, MN USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Goblish, Todd P.
[3
]
Germany, Robin E.
论文数: 0引用数: 0
h-index: 0
机构:
Respicardia Inc, Minnetonka, MN USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Germany, Robin E.
[3
]
Jackson, Seamus E.
论文数: 0引用数: 0
h-index: 0
机构:
Respicardia Inc, Minnetonka, MN USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Jackson, Seamus E.
[3
]
Samtani, Nikhil
论文数: 0引用数: 0
h-index: 0
机构:
ProHlth Care Sleep Ctr, Delafield, WI USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Samtani, Nikhil
[4
]
Berger, Ronald D.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Sch Med, Div Cardiol, Baltimore, MD USAUniv Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
Berger, Ronald D.
[5
]
机构:
[1] Univ Penn, Dept Otorhinolaryngol, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Johns Hopkins Sch Med, Ctr Interdisciplinary Sleep Res & Educ, Baltimore, MD USA
[3] Respicardia Inc, Minnetonka, MN USA
[4] ProHlth Care Sleep Ctr, Delafield, WI USA
[5] Johns Hopkins Sch Med, Div Cardiol, Baltimore, MD USA
来源:
JOURNAL OF CLINICAL SLEEP MEDICINE
|
2020年
/
16卷
/
05期
基金:
美国国家卫生研究院;
关键词:
CENTRAL SLEEP-APNEA;
VENTILATION;
PRESSURE;
D O I:
10.5664/jcsm.8328
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
A symptomatic patient with atrial fibrillation and Cheyne-Stokes respiration (CSR) was implanted with a transvenous phrenic nerve stimulation (TPNS) device-the remede System-that is indicated for adult patients with moderate to severe central sleep apnea. Sleep recordings demonstrated that TPNS eliminated periodic breathing by activating the diaphragm and stabilizing respiratory patterns. These recordings of preprogrammed periods on versus off TPNS illustrate prompt (1) stabilization of tidal airflow, respiratory effort, and oxygenation as stimulation amplitude increased stepwise and (2) recurrence of CSR immediately after TPNS deactivated. Despite differences in respiratory patterns, minute ventilation was comparable during periods on and off TPNS. These findings suggest that diaphragmatic pacing entrains ventilation without disrupting sleep, accounting for observed improvements in periodic breathing, gas exchange, sleep architecture, and quality of life. Effective means to relieve CSR could potentially mitigate nocturnal cardiovascular stress and disease progression.
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Zhang, Xi-Long
Ding, Ning
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Ding, Ning
Wang, Hong
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Wang, Hong
Augostini, Ralph
论文数: 0引用数: 0
h-index: 0
机构:
Ohio State Univ, Sch Med, Dept Cardiol, Columbus, OH 43210 USANanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Augostini, Ralph
Yang, Bing
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Yang, Bing
Xu, Di
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Xu, Di
Ju, Weizhu
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Ju, Weizhu
Hou, Xiaofeng
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Hou, Xiaofeng
Li, Xinli
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Li, Xinli
Ni, Buqing
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiothorac Surg, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Ni, Buqing
Cao, Kejiang
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Cao, Kejiang
论文数: 引用数:
h-index:
机构:
George, Isaac
Wang, Jie
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiol, Nanjing 210029, Jiangsu, Peoples R China
Columbia Univ Coll Phys & Surg, Dept Surg, Dept Med, New York, NY 10032 USA
Columbia Univ Coll Phys & Surg, Dept Med, Div Cardiol, New York, NY 10032 USANanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China
Wang, Jie
Zhang, Shi-Jiang
论文数: 0引用数: 0
h-index: 0
机构:
Nanjing Med Univ, Affiliated Hosp 1, Dept Cardiothorac Surg, Nanjing 210029, Jiangsu, Peoples R ChinaNanjing Med Univ, Affiliated Hosp 1, Dept Respirol, Nanjing 210029, Jiangsu, Peoples R China