Cardiology - Case Reports
April 1, 2021
Vol. 91 No. 2 (2021)
https://doi.org/10.4081/monaldi.2021.1757

Exertional and nocturnal periodic breathing after successful cardiac transplantation. A case report

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heart transplantation, Cheyne-Stoke respiration, exertional periodic breathing
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Ugo Corrà
ugo.corra@icsmaugeri.it
https://orcid.org/0000-0002-9229-3298
Division of Cardiology, Istituti Clinici Scientifici Maugeri IRCCS, Rehabilitation Center Veruno, Italy.
Fabiana Isabella Gambarin
https://orcid.org/0000-0002-9481-2928
Division of Cardiology, Istituti Clinici Scientifici Maugeri IRCCS, Rehabilitation Center Veruno, Italy.
Marco Gnemmi
https://orcid.org/0000-0003-2227-6705
Division of Cardiology, Istituti Clinici Scientifici Maugeri IRCCS, Rehabilitation Center Veruno, Italy.
Massimo Pistono
https://orcid.org/0000-0001-7310-3690
Division of Cardiology, Istituti Clinici Scientifici Maugeri IRCCS, Rehabilitation Center Veruno, Italy.

We present a case report of a heart failure patient who underwent cardiopulmonary exercise testing and sleep screening 12 months before and after heart transplantation (HTx). Severe Cheyne-Stokes respiration (CSR) with central sleep apnoea (CSA) was identified either before and after HTx, while periodic breathing during exercise vanished. We suggest that optimization of hemodynamics and medical therapy (low dose of diuretic) did not withdraw the central mechanisms underlying the diathesis for CSR-CSA. While periodic breathing during exercise reversal may support a closer link with an exertional central hemodynamic. This observation indirectly neglects the possible unifying mechanistic background of CSR and periodic breathing, during exercise, in this setting.

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How to Cite



“Exertional and Nocturnal Periodic Breathing After Successful Cardiac Transplantation. A Case Report”. 2021. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1757.
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