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.

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
753
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
797
Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
773
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure

Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
727
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
961
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
782