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Cheyne-Stokes respiration: poor prognostic sign in a patient with heart failure
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  1. Aditya Badheka,
  2. Randi Durden,
  3. Veerajalandhar Allareddy
  1. Department of Pediatrics, University of Iowa Stead Family Children's Hospital, lowa City, Iowa, USA
  1. Correspondence to Dr Aditya Badheka, aditya-badheka{at}uiowa.edu

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Patients with congestive heart failure (CHF) have high incidence of sleep-disordered breathing. Two distinct types are known: obstructive sleep apnoea (OSA) and Cheyne-Stokes respiration (CSR).1 Effective heart failure treatment improves CSR but not OSA, indicating that the development of CSR is secondary to heart failure. CSR is characterised by recurrent episodes of central apnoea/hypopnoea interposed with periods of hyperpnoea with waning and waxing pattern of tidal volume. A 5-month-old girl who presented with acute onset of …

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