Diaphragmatic Motion During Cheyne-Stokes Respiration by Navigator Magnetic Resonance Imaging

Abstract

HomeCirculationVol. 112, No. 10Diaphragmatic Motion During Cheyne-Stokes Respiration by Navigator Magnetic Resonance Imaging Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUBDiaphragmatic Motion During Cheyne-Stokes Respiration by Navigator Magnetic Resonance Imaging Frederick L. Ruberg, Kraig V. Kissinger and Warren J. Manning Frederick L. RubergFrederick L. Ruberg From the Section of Cardiology, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine (F.L.R.), and the Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School (F.L.R., K.V.K., W.J.M.), Boston, Mass. Search for more papers by this author , Kraig V. KissingerKraig V. Kissinger From the Section of Cardiology, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine (F.L.R.), and the Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School (F.L.R., K.V.K., W.J.M.), Boston, Mass. Search for more papers by this author and Warren J. ManningWarren J. Manning From the Section of Cardiology, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine (F.L.R.), and the Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School (F.L.R., K.V.K., W.J.M.), Boston, Mass. Search for more papers by this author Originally published6 Sep 2005https://doi.org/10.1161/CIRCULATIONAHA.104.508671Circulation. 2005;112:e132A 66-year-old man with a history of cardiomyopathy was referred for cardiac MRI to evaluate ventricular function and coronary anatomy. Functional MRI studies demonstrated mildly depressed left ventricular systolic function and an ejection fraction of 48% (normal >59%). Coronary MRI was performed during free breathing with a diaphragmatic navigator positioned at the dome of the right hemidiaphragm. While the patient was sleeping, navigator monitoring (Figure) of diaphragmatic position demonstrated periods of apnea (A) alternating with periods of rapid breathing (RB) in a crescendo-decrescendo pattern of ventilation diagnostic of Cheyne-Stokes respiration. Cheyne-Stokes respiration, typically diagnosed by polysomnography and overnight oximety, is more commonly observed in NYHA class III-IV heart failure, results in sleep fragmentation, and is thought to be associated with an increased risk of cardiovascular morbidity and mortality. Download figureDownload PowerPointDiaphragmatic position (interface of “black” lung and “bright” liver represented on y axis) over time (x axis) with ≈7 min displayed. Note periods of rapid change in diaphragmatic position/breathing (RB) alternating with periods of apnea (A) observed in Cheyne-Stokes respiration.FootnotesCorrespondence to Frederick L. Ruberg, MD, Section of Cardiology, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine, 88 E Newton St, Boston, MA 02118. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited ByVan Aelst L, Voss S, Carai P, Van Leeuwen R, Vanhoutte D, Sanders-van Wijk S, Eurlings L, Swinnen M, Verheyen F, Verbeken E, Nef H, Troidl C, Cook S, Brunner-La Rocca H, Möllmann H, Papageorgiou A and Heymans S (2014) Osteoglycin Prevents Cardiac Dilatation and Dysfunction After Myocardial Infarction Through Infarct Collagen Strengthening, Circulation Research, 116:3, (425-436), Online publication date: 30-Jan-2015. September 6, 2005Vol 112, Issue 10 Advertisement Article InformationMetrics https://doi.org/10.1161/CIRCULATIONAHA.104.508671PMID: 16145007 Originally publishedSeptember 6, 2005 PDF download Advertisement SubjectsComputerized Tomography (CT)Heart Failure