Challenging Circadian Rhythm Disorder Cases - 27/06/19
Résumé |
The complex interplay of the sleep and circadian systems, which are substantially differentially regulated, provides for plasticity that is expressed in health and disease. The classic circadian rhythm disorders are readily recognizable, but atypical forms can be identified by actigraphy and melatonin profilometry. Although the dim-light melatonin onset test maps the start of the biological night, 24-hour mapping can define the limits of the biological night, whereas other forms of strategic testing can identify conditions such as iatrogenic hypermelatoninemia. Routine testing in clinical practice can expand the range of identifiable circadian rhythm disorders.
Le texte complet de cet article est disponible en PDF.Keywords : Circadian, Biological night, Actigraphy, Melatonin profile
Plan
| Disclosure: Dr R.J. Thomas is coinventor and patent holder of the ECG-derived sleep spectrogram, which may be used to phenotype sleep quality and central/complex sleep apnea. The technology is licensed by Beth Israel Deaconess Medical Center to MyCardio, LLC. He is also coinventor and patent holder of the Positive Airway Pressure Gas Modulator, being developed for treatment of central/complex sleep apnea. He is a consultant to Jazz Pharmaceuticals and GLG Councils and was a consultant in software development for DeVilbiss-Drive. Dr M. Pogach reports no conflicts and has nothing to declare. |
Vol 37 - N° 3
P. 579-599 - août 2019 Retour au numéro
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- Philip Cheng, Christopher Drake
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- Sabra M. Abbott, Phyllis C. Zee
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