PEDIATRICS Vol. 63 No. 3 March 1979, pp. 355-360
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Periodic Breathing in Infants With Near-Miss Sudden Infant Death Syndrome

Dorothy H. Kelly M.D.1 and Daniel C. Shannon M.D.1

1 Joseph S. Barr Pediatric intenisive Care Unit, Children's Service, Massachusetts General Hospital, and the Department of Pediatrics, Harvard, Meidcal School, Boston

Twelve-hour nocturnal home recordings of respiration and heart rates were obtained during sleep in 32 infants with near-miss sudden infant death syndrome (SIDS) and in 32 control infants, and the recordings were analyzed for periodic breathing. An episode of periodic breathing was defined as three or more apneic pauses of three or more seconds. The duration of respirations interrupting the pauses was 20 seconds or less. Analysis revealed a statistically significant difference (P < .001) between the two groups, using criteria of percent of periodic breathing episodes, number of periodic breathing episodes/100 min of recorded sleep time, average duration of all episodes, and duration of the longest episode of periodic breathiflg. It is concluded that periodic breathing is present in excessive amounts during sleep in infants with near-miss sudden infant death svndrome.

Submitted on June 6, 1978
Accepted on August 18, 1978




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