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Postgraduate Education Corner: Pulmonary, Critical Care, and Sleep Pearls |

A Man in His 50s Develops 3-Min Central Apneas During a Titration StudyCentral Apnea on Bilevel Positive Airway Pressure

Lourdes M. DelRosso, MD; Michael B. Harper, MD; Romy Hoque, MD
Author and Funding Information

From the Division of Sleep Medicine and Department of Neurology (Drs DelRosso and Hoque), and Department of Family Medicine (Dr Harper), Louisiana State University School of Medicine, Shreveport, LA.

Correspondence to: Lourdes DelRosso, MD, Division of Sleep Medicine, Department of Neurology, Louisiana State University School of Medicine, Shreveport, LA 71130; e-mail: lourdesdelrosso@me.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(2):404-406. doi:10.1378/chest.13-1020
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A man in his 50s presented with snoring, witnessed apnea, and excessive daytime sleepiness; his Epworth Sleepiness Scale Score was 13 of 24. He did not have any past medical history. He denied smoking tobacco, abusing alcohol, using illicit drugs, or having gastroesophageal reflux, chest pain, dyspnea, dysphagia, dysarthria, or headaches. His only medication was tamsulosin 0.4 mg/d.

De BackerWA. Central sleep apnoea, pathogenesis and treatment: an overview and perspective. Eur Respir J. 1995;8(8):1372-1383.GilmartinGSDalyRWThomasRJ. Recognition and management of complex sleep-disordered breathing. Curr Opin Pulm Med. 2005;11(6):485-493.MorgenthalerTIKagramanovVHanakVDeckerPA. Complex sleep apnea syndrome: is it a unique clinical syndrome?Sleep. 2006;29(9):1203-1209.KuzniarTJPusalavidyasagarSGayPCMorgenthalerTI. Natural course of complex sleep apnea–a retrospective study. Sleep Breath. 2008;12(2):135-139.JavaheriSSmithJChungE. The prevalence and natural history of complex sleep apnea. J Clin Sleep Med. 2009;5(3):205-211.HoffmanMSchulmanDA. The appearance of central sleep apnea after treatment of obstructive sleep apnea. Chest. 2012;142(2):517-522.KuzniarTJMorgenthalerTI. Treatment of complex sleep apnea. Chest. 2012;142(4):1049-1057.

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