Theophylline Therapy for Near-Fatal Cheyne-Stokes Respiration
Authors: Virend K. Somers, Catherine Pesek
Journal: Annals of Internal Medicine (1999)

Letters2 November 1999Theophylline Therapy for Near-Fatal Cheyne-Stokes RespirationVirend K. Somers, MD, PhD and Catherine Pesek, DOVirend K. Somers, MD, PhDUniversity of Iowa College of Medicine; Iowa City, IA 52242 (Somers)University of Iowa College of Medicine; Iowa City, IA 52242 (Pesek)Search for more papers by this author and Catherine Pesek, DOUniversity of Iowa College of Medicine; Iowa City, IA 52242 (Somers)University of Iowa College of Medicine; Iowa City, IA 52242 (Pesek)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-9-199911020-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Sin and Bradley and Geigel and Chediak point out that the respiratory tracings do not represent classic Cheyne-Stokes respiration (CSR). Qualitative monitoring of chest wall movements depends on the gain and nonlinear transfer characteristics of the respiratory monitor used and may not always reflect CSR. Part A of the Figure shows a respiratory tracing in of the chest movements in a patient having the typical pattern of CSR (1), evident on simultaneous, more sensitive measures of breathing. Compare this figure to one of those to which the correspondents object (Figure, part B). There is little difference between these ...References1. Naughton MT, Bernard DC, Rutherford R, Bradley TD. Effect of continuous positive airway pressure on central sleep apnea and nocturnal Pco 2 in heart failure. Am J Respir Crit Care Med. 1994;1509:1598-604. CrossrefGoogle Scholar2. Dowell AR, Buckley CE, Cohen R, Whalen RE, Sieker HO. Cheyne-Stokes respiration: a review of clinical manifestations and critique of physiological mechanisms. Arch Intern Med. 1971;127:712-26. CrossrefMedlineGoogle Scholar3. Massumi RA, Nutter DO. Cardiac arrhythmias associated with Cheyne-Stokes respiration: a note on the possible mechanisms. Dis Chest. 1968;54:21-32. CrossrefMedlineGoogle Scholar4. Seriff NS. Central alveolar hypoventilation syndrome. Am Neurol Assoc. 1964;89:252-4. MedlineGoogle Scholar5. Rall TW. Drugs used in the treatment of asthma. The methylxanthines, cromolyn sodium, and other agents. In: Gilman AG, Rall TW, Nies AS, Taylor P, eds. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 8th ed. New York: Pergamon Pr; 1990. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Iowa College of Medicine; Iowa City, IA 52242 (Somers)University of Iowa College of Medicine; Iowa City, IA 52242 (Pesek) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoTheophylline Therapy for Near-Fatal Cheyne–Stokes Respiration: A Case Report Catherine A. Pesek , Ryan Cooley , Krzysztof Narkiewicz , Mark Dyken , Neal L. Weintraub , and Virend K. Somers Theophylline Therapy for Near-Fatal Cheyne-Stokes Respiration Don D. Sin and T. Douglas Bradley Theophylline Therapy for Near-Fatal Cheyne-Stokes Respiration Edgar J. Geigel and Alejandro D. Chediak Metrics 2 November 1999Volume 131, Issue 9Page: 714KeywordsBreathingCongestive heart failureLungsPatientsPhosphodiesterasesReasoningResearch laboratoriesRespirationSleep apneaThorax Issue Published: 2 November 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...