II. Definitions
- Central Sleep Apnea
- Cessation of air flow and respiratory effort for at least 10 seconds
- Effects diaphragmatic or intercostal effort
III. Causes
- Decreased responsivity of central Chemoreceptors
- Increased responsiveness of Chemoreceptors
- High altitude
- Delayed transit of information
IV. Symptoms
- Insomnia
- Mild and intermittent snoring
- Major Depression
V. Management
- See Obesity-Hypoventilation Syndrome (Pickwickian syndrome)
- Positive Airways Pressure (BiPAP)
- Avoid CPAP (worsens Central Sleep Apnea)
- Use BiPap for patients with Central Sleep Apnea (by Sleep Study)
- Tricyclic Antidepressants
- Progesterone
- Acetazolamide