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Schlaf und Atmung in der Höhe

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Alpin- und Höhenmedizin

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Zusammenfassung

Die Schlafstruktur in der Höhe ist im Wesentlichen unverändert gegenüber der im Flachland, aber der Schlaf wird häufig unterbrochen durch respiratorische Arousals (Schlafunterbrechungen). REM und Tiefschlaf nehmen zugunsten von Leichtschlaf leicht ab. Cheyne-Stokes-Atmung dominiert die Atmung im Schlaf in großen Höhen. Für die Ausprägung der Cheyne-Stokes-Atmung sind individuelle Unterschiede beim Atemantrieb bzw. dem „loop gain“ maßgeblich. Schnarchen und Schlafapnoe nehmen zunächst in mittleren bis großen Höhen zu. Dies muss bei Personen mit den entsprechenden schlafbezogenen Atmungsstörungen vor Beginn einer Höhentour bedacht werden. Acetazolamid verbessert den Schlaf in der Höhe durch indirekte Reduktion der respiratorischen Arousals bei Reduktion der Cheyne-Stokes-Atmung.

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Literatur

  • Anholm JD, Powles AC, Downey R 3rd, Houston CS, Sutton JR, Bonnet MH, Cymerman A (1992) Operation Everst II: arterial oxygen saturation and sleep at extreme altitude. AM Rev Respir Dis 145:817–826

    Article  CAS  Google Scholar 

  • Anslie PN, Lucas SJE, Burgess KR (2013) Breathing and sleep at high altitude. Respir Physiol 188:233–256

    Google Scholar 

  • Barash IA, Beatty C, Powell FL, Prisk GK, West JB (2001) Nocturnal oxygen enrichement of room air at 3800 meter altitude improves sleep architecture. High Alt Med Biol 2:525–533

    Article  CAS  Google Scholar 

  • Beaumont M, Batejat D, Pierard C, Van Beers P, Phillipe M, Leger D, Savourey G, Jouanin JC (2007) Zaleplon and zolpidem objectively alleviate sleep disturbances in mountaineers at 3613 meter altitude. Sleep 30:1527–1533

    Article  Google Scholar 

  • Buhl H (2005) Achttausend drunter und drüber. Malik, München

    Google Scholar 

  • Burgess KR, Johnson P, Edwards N, Cooper J (2004) Acute mountain sickness is associated with sleep desaturation at high altitude. Respirology 9: 485–492

    Article  Google Scholar 

  • Day TA, Wilson RJ (2009) A negative interaction between central and peripheral respiratory chemoreceptors may underlie sleep – induced respiratory instability: a novel hypothesis. J Physiol 578: 843–857

    Google Scholar 

  • Dubowitz G (1998) Effect of temazepam on oxygen saturation and sleep quality at high altitude: randomised placebo controlled crossover trial. BMJ 316:587–589

    Article  CAS  Google Scholar 

  • Williams ES (1959) Sleep and wakefulness at high altitudes. Br Med J 24:197–198

    Article  CAS  Google Scholar 

  • Hackett PH, Roach RC, Harrison GL, Schoene RB, Mills WJ Jr (1987) Respiratory stimulants and sleep periodic breathing at high altitude. Almitrine versus acetazolamid. Am Rev Respir Dis 135:896–898

    Article  CAS  Google Scholar 

  • Jafarian S, Gorouhi F, Taghva A, Lotfi J (2008) High-altitude sleep disturbance: results of the Groningen Sleep Quality Questionaire survey. Sleep Med 9:446–449

    Article  Google Scholar 

  • Koch R, Punter E, Gatterer H, Flatz M, Burtscher M (2008) Application of CPAP improves oxygenation during normobaric and hypobaric hypoxia. Wien Med Wochenschr 158:156–159

    Article  Google Scholar 

  • Küpper T, Schöffl V, Netzer N (2008) Cheyne Stokes breathing at high altitude: a helpful response or a troublemaker? Sleep Breath 12:123–127

    Article  Google Scholar 

  • Küpper TE, Strohl KP, Hoefer M, Gieseler U, Netzer CM, Netzer NC (2008) Low-dose theophylline reduces symptoms of acute mountain sickness. J Travel Med 15:307–314

    Article  Google Scholar 

  • Lahiri S, Barnard P (1983) Role of arterial chemoreflex in breathing during sleep at high altitude. Prog Clin Biol Res 136:75–85

    Google Scholar 

  • Lassere E (1979) High altitude insomnia. Efficacy of flunitrazepam. Nouv Presse Med 8:2577–2578

    Google Scholar 

  • Luks AM (2008) Which medications are safe and effective for improving sleep at high altitude. High Alt Med Biol 9:195–198

    Article  CAS  Google Scholar 

  • Milledge JS (1987) The ventilatory response to hypoxia: how much is good for a mountaineer? Postgrad Med J 63:169–172

    Article  CAS  Google Scholar 

  • Mosso A (1898) Life of men at the high Alps. Fisher Unwin Publishers, London

    Google Scholar 

  • Neubauer JA, Sunderram J (2004) Oxygen sensing neurons in the central nervous system. J Appl Physiol 96:367–374

    Article  CAS  Google Scholar 

  • Netzer NC, Strohl KP (1999) Sleep and breathing in recreational climbers at an altitude of 4200 and 6400 meters: observational study of sleep and patterning of respiration during sleep in a group of recreational climbers. Sleep Breath 3:75–82

    Google Scholar 

  • Nickol AH, Leverment J, Richards P, Seal P, Harris GA, Cleland J, Dubovitz G, Collier DJ, Milledge J, Stradling JR, Morell MJ (2006) Temazepam at high altitude reduces periodic breathing without impairing next day performance: a randomized cross over double blind study. J Sleep Res 15:445–454

    Article  Google Scholar 

  • Normand H, Barragan M, Benoit O, Bailliart O, Raynaud J (1990) Periodic breathing and O2 saturation in relation to sleep stages at altitude. Aviat Space Environ Med 6:229–235

    Google Scholar 

  • Paccard-Egger C (1943) Michel Gabriel Paccard und der Montblanc. Gaiser und Haldimann, Basel

    Google Scholar 

  • Rechtschaffen A, Kales A (1968) A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Brain Information Service, Brain Research Institute, UCLA, Los Angeles

    Google Scholar 

  • Reite M, Jackson D, Cahoon RL, Weil JV (1975) Sleep physiology at high altitude. Electroencaphalogr Clin Neurophysiol 38:463–471

    Article  CAS  Google Scholar 

  • Sutton JR, Houston CS, Mansell AL, McFadden MD, Hackett PM, Rigg JR, Powles AC (1979) Effect of acetazolamide on hypoxemia during sleep at high altitude. N Engl J Med 301:1329–1331

    Article  CAS  Google Scholar 

  • Weil JV (1985) Sleep at high altitude. Clin Chest Med 6:615–621

    Google Scholar 

  • Wickramasinghe H, Anholm JD (1999) Sleep and breathing at high altitude. Sleep Breath 3:89–102

    Article  Google Scholar 

  • Woods DR, Allen S, Betts TR, Gardiner D, Montgomery H, Morgan JM, Roberts PR (2008) High altitude arrhythmias. Cardiology 111:239–246

    Article  CAS  Google Scholar 

  • Wu T, Kayser B (2006) High altitude adaptation in Tibetans. High Alt Med Biol 7:193–208

    Article  Google Scholar 

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Authors and Affiliations

  1. EURAC Research, Institut für alpine Notfallmedizin, Bozen, Italien

    Prof. Dr. med. N. C. Netzer

Authors
  1. Prof. Dr. med. N. C. Netzer
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Correspondence to N. C. Netzer .

Editor information

Editors and Affiliations

  1. Universität Salzburg, Kaprun, Austria

    Franz Berghold

  2. Europäische Akademie Bozen, Bruneck, Italy

    Hermann Brugger

  3. Universität Innsbruck, Thaur, Austria

    Martin Burtscher

  4. Medizinische Universität Graz, Graz, Austria

    Wolfgang Domej

  5. Schweizerische Gesellschaft für Gebirgsmedizin REGA, Lauterbrunnen, Switzerland

    Bruno Durrer

  6. Universität München, Martinsried, Deutschland

    Rainald Fischer

  7. Krankenhaus der Barmherzigen Brüder, Abt. für Anästhesie u. Intensivmedizin, Paracelsus Medizinische Universität Salzburg, Salzburg, Austria

    Peter Paal

  8. Bayerische Bergwacht, Siegsdorf, Deutschland

    Wolfgang Schaffert

  9. Institut für Sport-, Alpinmedizin und Gesundheitstourismus, Innsbruck, Austria

    Wolfgang Schobersberger

  10. Dept. Anästhesie, Intensivmedizin u. Reanimation, Spital Grabs, Grabs, Switzerland

    Günther Sumann

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© 2019 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Netzer, N.C. (2019). Schlaf und Atmung in der Höhe. In: Berghold, F., et al. Alpin- und Höhenmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56396-0_38

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  • DOI: https://doi.org/10.1007/978-3-662-56396-0_38

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56395-3

  • Online ISBN: 978-3-662-56396-0

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