Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response

先天性中枢性低通气综合征(CCHS)患者在孕激素治疗后,高碳酸血症通气反应恢复,其基线心率变异性较高。

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Abstract

After a fortuitous observation of two cases of chemosensitivity recovery in women with congenital central hypoventilation syndrome (CCHS) who took desogestrel, we aimed to evaluate the ventilatory response to hypercapnia of five CCHS patients with or without treatment consisting of desogestrel (DESO) or levonorgestrel (LEVO). Only two patients became responsive to hypercapnia under treatment, according to their basal vagal heart rate variability. These results suggest that heart rate variability may be promising tool to discriminate patients susceptible to become responsive to hypercapnia under DESO-LEVO treatment.Clinical Trials Identifier NCT01243697.

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