Cheyne-Stokes Respiration in Patients with First-Ever Lacunar Stroke

Author:

Bonnin-Vilaplana Marc1,Arboix Adrià23,Parra Olga13,García-Eroles Luis4,Montserrat Josep M.35,Massons Joan2

Affiliation:

1. Service of Pneumology Division, Department of Neurology, Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Viladomat 288, 08029 Barcelona, Spain

2. Cerebrovascular Division, Department of Neurology, Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Viladomat 288, 08029 Barcelona, Spain

3. CIBER de Enfermedades Respiratorias (CibeRes-CB06/06), Instituto de Salud Carlos III, Sinesio Delgado 4, 28029 Madrid, Spain

4. Unidad de Organización, Planificación, y Sistemas de Información, Consorci Sanitari del Maresme, Carretera de Cirera s/n, 08034 Mataró, Spain

5. Sleep Unit, Service of Pneumology, Department of Medicine, Hospital Clínic, Universitat de Barcelona, Casanovas 143, 08036 Barcelona, Spain

Abstract

The aim of this single-center prospective study was to assess the presence of Cheyne-Stokes respiration (CSR) and CSR-related variables in 68 consecutive patients with radiologically proven first-ever lacunar stroke undergoing a respiratory sleep study using a portable respiratory polygraph within the first 48 hours of stroke onset. CSR was diagnosed in 14 patients (20.6%). Patients with CSR as compared with those without CSR showed a significantly higher mean (standard deviation, SD) apnea-hypopnea index (AHI) (34.9 (21.7) versus 18.5 (14.4),P=0.001) and central apnea index (13.1 (13.8) versus 1.8 (3.4),P=0.0001) as well as higher scores of the Barthel index and the Canadian Neurological scale as a measure of stroke severity, and longer hospital stay. CSR was present in one of each five patients with lacunar stroke. The presence of CSR was associated with a trend towards a higher functional stroke severity and worse prognosis.

Publisher

Hindawi Limited

Subject

Behavioral Neuroscience,Psychiatry and Mental health,Cognitive Neuroscience,Clinical Psychology

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