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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1986-9-17
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pubmed:abstractText |
We examined the clinical and respiratory physiologic characteristics of 18 patients in whom a diagnosis of central sleep apnea syndrome was established by overnight polysomnographic studies. The patients could be readily divided into 2 groups on the basis of physiologic and clinical criteria. Five patients had an awake arterial PCO2 (PaCO2) of 53 +/- 4 (SEM) mmHg in the absence of intrinsic bronchopulmonary disease, a ventilatory response to CO2 of 0.6 +/- 0.2 L/min/mmHg, and a hemoglobin concentration of 180 +/- 6 g/L. Their clinical course was dominated by recurrent episodes of respiratory failure. In contrast, the other 13 patients had an awake PaCO2 of 35 +/- 1 mmHg (p less than 0.001), a CO2 response of 2.9 +/- 0.4 L/min/mmHg (p less than 0.005), and a hemoglobin concentration of 150 +/- 5 g/L (p less than 0.005). Clinically, they presented with features typical of sleep apnea; none had a history of respiratory failure. Despite the clinical and physiologic differences between the 2 groups, there were no differences between them in the frequency or duration of nocturnal apneic events or in sleep architecture. The findings indicate that the central sleep apnea syndrome is not a homogeneous disease entity. Rather, it includes 2 groups of patients that are clinically and physiologically distinct, with 1 group chronically hypoventilating and the other group either chronically hyperventilating or ventilating normally.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0003-0805
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
134
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
217-21
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3740646-Adult,
pubmed-meshheading:3740646-Airway Resistance,
pubmed-meshheading:3740646-Apnea,
pubmed-meshheading:3740646-Blood Gas Analysis,
pubmed-meshheading:3740646-Electrocardiography,
pubmed-meshheading:3740646-Humans,
pubmed-meshheading:3740646-Hypercapnia,
pubmed-meshheading:3740646-Male,
pubmed-meshheading:3740646-Maximal Expiratory Flow Rate,
pubmed-meshheading:3740646-Middle Aged,
pubmed-meshheading:3740646-Plethysmography,
pubmed-meshheading:3740646-Respiration,
pubmed-meshheading:3740646-Sleep,
pubmed-meshheading:3740646-Sleep Stages,
pubmed-meshheading:3740646-Snoring,
pubmed-meshheading:3740646-Tidal Volume,
pubmed-meshheading:3740646-Wakefulness
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pubmed:year |
1986
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pubmed:articleTitle |
Clinical and physiologic heterogeneity of the central sleep apnea syndrome.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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