Apnea

Central Sleep Apnea

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Central Sleep Apnea

  • See Also
  1. Sleep Apnea
  2. Obstructive Sleep Apnea
  • Definitions
  1. Central Sleep Apnea
    1. Cessation of air flow and respiratory effort for at least 10 seconds
    2. Effects diaphragmatic or intercostal effort
  • Causes
  1. Decreased responsivity of central Chemoreceptors
    1. Chronic Obstructive Pulmonary Disease
    2. Obesity-Hypoventilation Syndrome (Pickwickian syndrome)
  2. Increased responsiveness of Chemoreceptors
    1. High altitude
  3. Delayed transit of information
    1. Cerebrovascular Accident
    2. Congestive Heart Failure
  • Symptoms
  1. Insomnia
  2. Mild and intermittent snoring
  3. Major Depression
  • Management
  1. Avoid CPAP - it worsens Central Sleep Apnea
  2. Tricyclic Antidepressants
  3. Progesterone
  4. Acetazolamide