Underlying Mechanisms for Coexisting Central and Obstructive Sleep Apnea: Nocturnal PaCO<sub>2</sub> and Poor Sleep Quality Are Key Issues
Author(s) -
Olivier Contal,
JeanLouis Pépin,
JeanChristian Borel,
Fabrice Espa,
Stephen Perrig,
Lise-Margrit Lücker,
Dan Adler,
JeanPaul Janssens,
Frédéric Lador
Publication year - 2015
Publication title -
respiration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.264
H-Index - 81
eISSN - 1423-0356
pISSN - 0025-7931
DOI - 10.1159/000375315
Subject(s) - medicine , hyperventilation , obstructive sleep apnea , central sleep apnea , sleep (system call) , anesthesia , apnea , nocturnal , cardiology , polysomnography , computer science , operating system
Coexisting central and obstructive sleep apnea is a challenging clinical situation. We report a case exhibiting an overnight shift from obstructive to central events. The central sleep apnea component was related to sleep instability, hyperventilation and low nocturnal PaCO2. Both types of respiratory events were successfully treated with adaptive servoventilation.
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