Central Sleep Apnea Syndrome

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Sleep apnea and heart failure: Part II: central sleep apnea.

In the first part of this 2-part review, we provided a synopsis of the cardiovascular effects of normal sleep and an overview of the diagnostic, pathophysiological, and therapeutic implications of obstructive sleep apnea (OSA) in the setting of heart failure (HF). In this second part, we turn our attention to central sleep apnea (CSA), commonly referred to as Cheyne-Stokes respiration. This bre...

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Treatment of Central Sleep Apnea Syndrome in Adults

The AASM has made an important update to the recommendation regarding use of adaptive servo-ventilation (ASV) for treatment of central sleep apnea syndromes (CSAS) related to chronic heart failure (CHF). This update stems from the May 2015 ResMed Field Safety Notice indicating that patients with symptomatic CHF and reduced left ventricular ejection fraction (LVEF ≤45%) using ASV for treatment o...

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Complex Sleep Apnea Syndrome

Complex sleep apnea is the term used to describe a form of sleep disordered breathing in which repeated central apneas (>5/hour) persist or emerge when obstructive events are extinguished with positive airway pressure (PAP) and for which there is not a clear cause for the central apneas such as narcotics or systolic heart failure. The driving forces in the pathophysiology are felt to be ventila...

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[Obstructive sleep apnea syndrome].

This is an overview for the non-specialist of the pathophysiology, workup and treatment of the obstructive sleep apnea syndrome. The mechanisms leading to upper airway closure during sleep are discussed, as well as the current theoretical and experimental concepts for the apnea-induced arousal response and the consequent changes in sleep architecture and quality. Epidemiological data are summar...

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Complex sleep apnea syndrome

Complex sleep apnea syndrome (CompSAS) is a distinct form of sleep-disordered breathing characterized as central sleep apnea (CSA), and presents in obstructive sleep apnea (OSA) patients during initial treatment with a continuous positive airway pressure (CPAP) device. The mechanisms of why CompSAS occurs are not well understood, though we have a high loop gain theory that may help to explain i...

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ژورنال

عنوان ژورنال: International Journal of Head and Neck Surgery

سال: 2019

ISSN: 0975-7899,0976-0539

DOI: 10.5005/jp-journals-10001-1367