
Understanding Central Sleep Apnea
Unlike OSA, which is caused by a physical blockage in the airway, CSA is a neurological issue. The “central” part of the name refers to the central nervous system, which is responsible for controlling the muscles of breathing. This condition can be a side effect of other medical conditions, such as heart failure, stroke, or kidney failure. Symptoms are often similar to OSA and include pauses in breathing during sleep, shortness of breath upon waking, and excessive daytime sleepiness.
Our Diagnostic & Treatment Approach
An accurate diagnosis is essential for effective treatment. We will conduct a thorough consultation and may recommend in-lab polysomnography (sleep study) to monitor your breathing and brain activity during sleep. The data from the sleep study will help us differentiate between CSA and OSA. Your treatment plan will depend on the underlying cause and severity of the condition. Options may include addressing the underlying medical condition, using an adaptive servo-ventilation (ASV) device or Bi-PAP ST or remedē® phrenic nerve stimulation.
Take a Deep Breath, We Can Help
CSA can be a challenging condition, but with the right diagnosis and treatment, you can find relief and improve your sleep health. Our team is here to provide the expert care you need.
Schedule a consultation today to discuss your symptoms and take the first step toward better breathing.
FAQs About CSA
Q: What is the main difference between OSA and CSA?
A: The difference is the cause. OSA is caused by a physical obstruction in the airway, such as the tongue or throat muscles relaxing too much. CSA is caused by a failure of the brain to signal the breathing muscles to work. While both cause you to stop breathing during sleep, the treatment for each is very different.
Q: Can a CPAP machine treat CSA?
A: CPAP therapy is highly effective for OSA but is generally not the first-line treatment for CSA. Instead, a device called an adaptive servo-ventilation (ASV) machine is often used. It is a more advanced machine that adapts to your breathing patterns to provide the right amount of pressure at the right time.
Q: What causes Central Sleep Apnea?
A: CSA is often a symptom of another medical condition. The most common causes are congestive heart failure, certain neurological diseases like Parkinson’s, and as a side effect of opioid medication.