Complex sleep apnea syndrome in stroke patients

摘要

We would like to thank Dr. Sacchetti and co-workers for their interest in our article [1]. Sacchetti et al. raise the question whether a stroke may transform, in selected patients, an obstructive sleep apnea syndrome (OSAHS) into a complex-sleep apnea syndrome (Comp-SAS) and postulate that the appearance of central respiratory events may represent a stable consequence of stroke, and may complicate the treatment approach to sleep apnea. This hypothesis is supported by their preliminary data showing mixed (obstructive and central) apneas four months after the stroke. This high prevalence of central and mixed respiratory events in stable phase after stroke is higher than that found in other studies, about the time course of sleep breathing disorders and central periodic breathing in stroke patients [2,3]. These data also contradict in part the attenuation of central respiratory events within week or a few months after the stroke described by the same authors or in OSAHS patients with CompSAS [4].