{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T05:38:19Z","timestamp":1790487499833,"version":"4.1.0"},"reference-count":5,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report the case of a 71\u2010year\u2010old obese continuous positive airway pressure (CPAP)\u2010treated man who developed an acute cardiac failure (ACF) triggered by atrial fibrillation. CPAP data downloaded from the CPAP software (Rescan\u00ae) retrospectively demonstrated the progressive development of a high residual central apnoea\u2013hypopnoea index (AHI) with Cheyne\u2013Stokes respiration (CSR). The AHI decreased after cardioversion allowing normalization of cardiac rhythm and function. Raw data extracted from CPAP software showed a gradual decrease in the periodic breathing cycle length related to a simultaneous improvement in left ventricular ejection fraction (LVEF) after cardioversion. During this clinical period of respiratory instability in the presence of cardiac failure, CSR episodes were exacerbated by ventilation overshoots followed by micro\u2010arousals induced by leaks. This might explain the high night to night variability of CSR occurrence in susceptible patients with impaired cardiac function. Beyond attempts to improve cardiac function, leak reduction might represent an important target for CSR management.<\/jats:p>","DOI":"10.1002\/rcr2.666","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T09:37:13Z","timestamp":1600767433000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Interrelated atrial fibrillation and leaks triggering and maintaining central sleep apnoea and periodic breathing in a <scp>CPAP<\/scp>\u2010treated patient"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6302-1130","authenticated-orcid":false,"given":"Arnaud","family":"Prigent","sequence":"first","affiliation":[{"name":"Groupe M\u00e9dical de Pneumologie Polyclinique Saint\u2010Laurent  Rennes France"},{"name":"Centre du sommeil Polyclinique Saint\u2010Laurent  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Laure","family":"Serandour","sequence":"additional","affiliation":[{"name":"SLB Pharma  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9gis","family":"Luraine","sequence":"additional","affiliation":[{"name":"Groupe M\u00e9dical de Pneumologie Polyclinique Saint\u2010Laurent  Rennes France"},{"name":"Centre du sommeil Polyclinique Saint\u2010Laurent  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean S\u00e9bastien","family":"Poineuf","sequence":"additional","affiliation":[{"name":"Groupe M\u00e9dical de Pneumologie Polyclinique Saint\u2010Laurent  Rennes France"},{"name":"Centre du sommeil Polyclinique Saint\u2010Laurent  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Bosseau","sequence":"additional","affiliation":[{"name":"Service de cardiologie Polyclinique Saint Laurent  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Louis","family":"P\u00e9pin","sequence":"additional","affiliation":[{"name":"HP2 Laboratory, Inserm Unit 1042 University Grenoble Alpes  Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/17476348.2019.1604226"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7852"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31381-3"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2562"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.3166"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.666","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T15:53:09Z","timestamp":1693842789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,22]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1002\/rcr2.666"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.666","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,22]]},"assertion":[{"value":"2020-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e00666"}}