Germany Robin
Cardiovascular Division, University of Oklahoma College of Medicine, 800 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA.
Sleep Med Clin. 2017 Jun;12(2):255-264. doi: 10.1016/j.jsmc.2017.02.001. Epub 2017 Mar 31.
Central sleep apnea is common in heart failure and contributes to morbidity and mortality. Symptoms are often similar to those associated with heart failure and a high index of suspicion is needed. Testing is typically done in the sleep laboratory, but home testing equipment can distinguish between central and obstructive events. Treatments are limited. Mask-based therapies have been the primary treatment. Oxygen has some data but lacks long-term studies. Neurostimulation of the phrenic nerve is a new technology that has demonstrated improvement. Coordination of care between sleep specialists and cardiologists is important as the field of central sleep apnea continues to develop.
中枢性睡眠呼吸暂停在心力衰竭中很常见，并会导致发病和死亡。其症状通常与心力衰竭相关症状相似，因此需要高度怀疑。检测通常在睡眠实验室进行，但家用检测设备可以区分中枢性和阻塞性事件。治疗方法有限。基于面罩的疗法一直是主要治疗方法。吸氧有一些数据支持，但缺乏长期研究。膈神经的神经刺激是一项已证明有改善效果的新技术。随着中枢性睡眠呼吸暂停领域的不断发展，睡眠专家和心脏病专家之间的护理协调非常重要。
