II. Definitions
- Central Apnea
- Cessation of air flow and respiratory effort for at least 10 seconds
III. Causes
- Decreased responsivity of central Chemoreceptors
- Chronic Obstructive Pulmonary Disease
- Pickwickian syndrome
- Increased responsivity of Chemoreceptors
- High altitude
- Delayed transit of information
IV. Symptoms
- Insomnia
- Mild and intermittent snoring
- Major Depression
V. Management
- Avoid CPAP - it worsens Central Sleep Apnea
- Tricyclic Antidepressants
- Progesterone
- Acetazolamide