Cheyne-Stokes Respirations

  • Cheyne- Stokes respirations are characterized by periods of increasing hyperpnea that peak, then slow to an apneic period, followed by resumption of breathing and hyperpnea.
  • Seen in patients with severe heart failure and stroke.
 

Patient 1:

This is an older patient with severe heart failure.

Patient 2:

This is a young man with severe aortic regurgitation.

This patient also has a classic decrescendo diastolic murmur, Austin-Flint murmur, Corrigan’s sign, bounding peripheral pulses, and Quincke’s pulse.

Patient 3:

This patient with a history of methamphetamine use disorder presented with severe dyspnea and no edema. Exam revealed JVP to his temples, a palpable, audible and visible summation gallop as well as severe mitral regurgitation. When he slept he had marked Cheyne-Stokes respirations.