Paroxysmal nocturnal dyspnoea and periodic respiration

Lancet. 1979 Dec 22-29;2(8156-8157):1315-7. doi: 10.1016/s0140-6736(79)92809-5.


Patterns of breathing at night were recorded in 4 patients with heart-failure. 2 had periodic breathing while awake and in 2 it developed after they fell asleep. In all 4 the phase of hyperventilation disturbed sleep. These cases also illustrate other problems caused by periodic respiration in heart-failure, which range from tiredness during the day to an inability to sleep for more than a few minutes. Nocturnal waking in the hyperventilation phase of Cheyne-Stokes breathing should be differentiated from paroxysmal nocturnal dyspnoea caused by episodes of pulmonary oedema at night.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cheyne-Stokes Respiration / physiopathology*
  • Circadian Rhythm
  • Dyspnea / etiology*
  • Female
  • Heart Failure / physiopathology
  • Humans
  • Male
  • Myocardial Infarction / physiopathology
  • Respiration Disorders / physiopathology*
  • Respiration*
  • Rheumatic Heart Disease / physiopathology
  • Sleep Stages / physiology
  • Sleep Wake Disorders / etiology