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Psychophysiology of Asthmatic Patients at Night

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Respiratory Psychophysiology

Part of the book series: Wenner-Gren Center International Symposium Series ((WGS))

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Abstract

The observation that some asthmatic patients only wheeze at night was described three centuries ago (Floyer, 1698). This phenomenon has, however, only received systematic study in the last decade (Turner-Warwick, 1977; Morgan et al., 1987). There are a large number of possible factors which may account for the now well-documented change in respiratory function during the night in asthmatic patients (Shapiro, 1985). Several studies have shown asthmatic deaths to be more frequent at night (e.g. Benatar and Ainslie, 1986) and recent studies not specifically focussed on time of death of asthmatic patients have yielded similar indications (Potter et al, 1984). This circadian distribution of death from a particular cause is not unique to asthma (Marshall, 1977; Mitler et al., 1987). Specific changes in cardiovascular function both during the sleeping period and associated with the process of awakening have been invoked as causes of nocturnal death (Muller et al., 1985).

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References

  • Benatar, S.R. and Ainslie, G.M. (1986). Deaths from asthma in Capetown-1982. S.A.M.J., 69, 669–671.

    Google Scholar 

  • Catterall, J.R., Rhind, G.B., Stewart, I.C., Whyte, K.F., Shapiro, C.M. and Douglas, N.J. (1986). Effective sleep deprivation reduces overnight bronchoconstriction in nocturnal asthma. Thorax, 41, 676–680.

    Article  Google Scholar 

  • Floyer, J. (1698). A treatise of the asthma. Wilkin and Innys, London, 8th edition.

    Google Scholar 

  • Knuepfer, M.M., Stumpf, H. and Stock, G. (1986). Baroreceptor sensitivity during desyncrhonized sleep. Experimental Neurology, 92, 323–334.

    Article  Google Scholar 

  • Mancia, G. and Zanchetti, A. (1980). Cardiovascular regulation during sleep. In Physiology in sleep, (eds. J. Orem and CD. Barnes). Academic Press, London. PP 1–55.

    Chapter  Google Scholar 

  • Marshall, J. (1977). Diurnal variation in occurrence of strokes. Stroke, 8, 230–231.

    Article  Google Scholar 

  • Mitler, M.M., Hajdukovic, R.M., Shafor, R. and Kripke, D.F. (1986). The timing of medical catastrophes. Sleep Research, 15, 277.

    Google Scholar 

  • Morgan, A.D., Rhind, G.B., Conaughton, J.J., Catterall, J.R., Shapilo, C.M. and Douglas N.J. (1987). Breathing patterns during sleep in patients with nocturnal asthma. Thorax, 42, 600–603.

    Article  Google Scholar 

  • Muller, J.E., Stone, P.H., Turi, Z.G. et al. (1985). Circadian variation in the frequency of onset of acute myocardial infarction. N.Eng.J.Med., 313, 1315–1322.

    Article  Google Scholar 

  • Potter, P.C., Weinberg, E. and Shore, S.C.L. (1984). Acute severe asthma: a prospective study of the precipitating factors in 40 children. S.A.M.J., 66, 397–402.

    Google Scholar 

  • Shapiro, C.M., Moore, A.T., Mitchell, D. and Yodaiken, M.L. (1974). How well does man thermoregulate during sleep? Experientia, 30, 1279–1281.

    Article  Google Scholar 

  • Shapiro, C.M. and Rosendorff, C (1975). Hypothalamic blood flow during sleep. Electroenceph.Clin.Neurophysiol., 39, 365–369.

    Article  Google Scholar 

  • Shapiro, C.M. (1982). Autonomic nervous system dysfunction during REM sleep. In Sleep 1982. (ed. W.P. Koella). Karger, Basel, pp 80–88.

    Google Scholar 

  • Shapiro, C.M. (1985). Human metabolism and sleep. Unpublished Ph.D. Thesis, University of Edinburgh.

    Google Scholar 

  • Shapiro, C.M., Catterall, J.R., Montgomery, I., Raab, G.M. and Douglas, N.J. (1986). Do asthmatics suffer from bronchoconstriction during rapid eye movement sleep? B.M.J., 290, 1161–1164.

    Article  Google Scholar 

  • Turner-Warwick, M. (1977). On observing patterns of airflow obstruction Br J Dis Chest, 73, 357–366.

    Google Scholar 

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© 1988 The Wenner-Gren Center

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Shapiro, C.M., Douglas, N.J. (1988). Psychophysiology of Asthmatic Patients at Night. In: von Euler, C., Katz-Salamon, M. (eds) Respiratory Psychophysiology. Wenner-Gren Center International Symposium Series. Palgrave, London. https://doi.org/10.1007/978-1-349-10461-1_7

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