Central sleep apnea: misunderstood and mistreated!
Author(s) -
Jerome A. Dempsey
Publication year - 2019
Publication title -
f1000research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.099
H-Index - 60
ISSN - 2046-1402
DOI - 10.12688/f1000research.18358.1
Subject(s) - central sleep apnea , neurochemical , medicine , sleep (system call) , positive airway pressure , obstructive sleep apnea , apnea , airway , continuous positive airway pressure , open peer review , sleep apnea , physiology , neuroscience , intensive care medicine , anesthesia , plant biology , polysomnography , biology , botany , computer science , operating system
Central sleep apnea is prevalent in patients with heart failure, healthy individuals at high altitudes, and chronic opiate users and in the initiation of "mixed" (that is, central plus obstructive apneas). This brief review focuses on (a) the causes of repetitive, cyclical central apneas as mediated primarily through enhanced sensitivities in the respiratory control system and (b) treatment of central sleep apnea through modification of key components of neurochemical control as opposed to the current universal use of positive airway pressure.
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