Complex Sleep Apnea - 10/11/13

Doi : 10.1016/j.jsmc.2013.07.006

Richard J. Castriotta, MD ^a,^b,^⁎ , Ruckshanda Majid, MD ^a,^c
^a Division of Pulmonary and Sleep Medicine, University of Texas Medical School at Houston, 6431 Fannin Street, MSB 1.274, Houston, TX 77030, USA
^b Sleep Disorders Center, Memorial Hermann Hospital - Texas Medical Center, 6411 Fannin Street, Houston, TX 77030, USA
^c Harris Health Sleep Disorders Center, Quentin Meese Community Hospital, 3601 North Mac Gregor Way, Houston, TX 77004, USA

^∗Corresponding author.

Resumen

Complex sleep apnea entails the combination of obstructive and central sleep apnea during the same polysomnographic study. Treatment-emergent central sleep apnea during administration of positive airway pressure for obstructive sleep apnea is the most common form of complex sleep apnea. In most cases of treatment-emergent complex sleep apnea without cardiovascular comorbidity or opioid use, the central component may resolve with use of continuous positive airway pressure sufficient to eliminate the obstructive component. Effective treatment of persistent complex sleep apnea can be achieved with the use of adaptive servoventilation.

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Keywords : Complex sleep apnea, Central sleep apnea, Obstructive sleep apnea, Cheyne-Stokes respiration, Adaptive servoventilation (ASV), Continuous positive airway pressure (CPAP), Bilevel positive airway pressure (BPAP), Periodic breathing