Sleep disorders breathing in chronic heart failure. Is adaptive servoventilation really the answer?

摘要

Despite much research, Continuous Positive Airway Pressure (CPAP) therapy is still the gold standard in initial treatment for central sleep apneas syndromes (CSAS) related to congestive heart failure (CHF). Additionally, adaptive servoventilation (ASV) may be an option for these patients.1 CPAP emergent central apnea also known as complex sleep apnea syndrome (CompSAS) has been defined as the development of frequent central apneas or Cheyne–Stokes respiratory (CSR) pattern after introduction of CPAP therapy.