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Updated: Mar 24, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Current treatment approaches and trials in central sleep apnea
Rami N Khayat1, William T Abraham2
1Sleep Heart Program, The Ohio State University, Columbus, OH, United States.
Insights
Central sleep apnea (CSA) is common in heart failure with reduced ejection fraction (HFrEF) and lacks effective treatments. This review covers current CSA therapies and trials in HFrEF patients.
Area of Science:
- Cardiology
- Sleep Medicine
- Pulmonology
Background:
- Central sleep apnea (CSA) frequently co-occurs with heart failure with reduced ejection fraction (HFrEF).
- CSA in HFrEF patients is linked to adverse health outcomes.
- Current therapeutic options for CSA remain limited and not universally accepted.
Purpose of the Study:
- To review existing and emerging therapies for central sleep apnea (CSA).
- To analyze clinical trial data on the efficacy of CSA treatments in patients with HFrEF.
Main Methods:
- Literature review of published clinical trials.
- Synthesis of data on therapeutic interventions for CSA.
- Focus on studies involving patients with heart failure with reduced ejection fraction.
Main Results:
- Analysis of various treatment modalities for CSA.
- Evaluation of trial outcomes for CSA interventions in HFrEF.
- Identification of gaps in current treatment strategies.
Conclusions:
- There is a need for effective, evidence-based therapies for CSA in HFrEF.
- Further research and clinical trials are essential to establish optimal treatment guidelines.
Abstract:
Central sleep apnea (CSA) is one of the most common comorbidities in patients with heart failure with reduced ejection fraction and is associated with negative consequences. Despite several recent advances, there are currently no widely accepted therapies for CSA. In this review we will discuss available therapies for CSA and review the published trials addressing treatment of CSA in HFrEF patients.
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