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

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 desogest...

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Main Authors: Caroline Sevoz-Couche, Maxime Patout, Beny Charbit, Thomas Similowski, Christian Straus
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Respiratory Research
Subjects:
Online Access:https://doi.org/10.1186/s12931-023-02625-w
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author Caroline Sevoz-Couche
Maxime Patout
Beny Charbit
Thomas Similowski
Christian Straus
author_facet Caroline Sevoz-Couche
Maxime Patout
Beny Charbit
Thomas Similowski
Christian Straus
author_sort Caroline Sevoz-Couche
collection DOAJ
description 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
first_indexed 2024-03-07T14:44:38Z
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spelling doaj.art-5cfdcd886e0344169964d85bd8b043952024-03-05T20:02:38ZengBMCRespiratory Research1465-993X2024-02-012511610.1186/s12931-023-02625-wHigher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory responseCaroline Sevoz-Couche0Maxime Patout1Beny Charbit2Thomas Similowski3Christian Straus4Sorbonne Université, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et CliniqueSorbonne Université, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et CliniqueFaculté de Médecine, EA 3801, Université de Reims Champagne ArdenneSorbonne Université, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et CliniqueSorbonne Université, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et CliniqueAbstract 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 NCT01243697https://doi.org/10.1186/s12931-023-02625-wHypoventilation syndromeDesogestrelAutonomic nervous systemHeart rate variability
spellingShingle Caroline Sevoz-Couche
Maxime Patout
Beny Charbit
Thomas Similowski
Christian Straus
Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response
Respiratory Research
Hypoventilation syndrome
Desogestrel
Autonomic nervous system
Heart rate variability
title Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response
title_full Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response
title_fullStr Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response
title_full_unstemmed Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response
title_short Higher baseline heart rate variability in CCHS patients with progestin-associated recovery of hypercapnic ventilatory response
title_sort higher baseline heart rate variability in cchs patients with progestin associated recovery of hypercapnic ventilatory response
topic Hypoventilation syndrome
Desogestrel
Autonomic nervous system
Heart rate variability
url https://doi.org/10.1186/s12931-023-02625-w
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