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

From the Division of Sleep Medicine and Department of Neurology, Louisiana State University School of Medicine.

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


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

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


Chest. 2014;145(6):1437. doi:10.1378/chest.14-0604
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To the Editor:

We thank Drs Kumar and Chandra for their interest in our article1 and comments regarding other postulated pathophysiologic mechanisms for complex sleep apnea syndrome. Our article illustrates the emergence of central apneas during positive airway pressure titration in a patient without any past medical history.1 This case presentation is not intended to be a complete review of the literature. As stated in the International Classification of Sleep Disorders, Third Edition, despite many postulated mechanisms, there are no definitive data regarding either the cause of treatment-emergent central sleep apnea or the optimal management strategy for these patients.2

References

DelRosso LM, Harper MB, Hoque R. A man in his 50s develops 3-min central apneas during a titration study. Chest. 2014;145(2):404-406.
 
American Academy of Sleep Medicine. International Classification of Sleep Disorders.3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.
 

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References

DelRosso LM, Harper MB, Hoque R. A man in his 50s develops 3-min central apneas during a titration study. Chest. 2014;145(2):404-406.
 
American Academy of Sleep Medicine. International Classification of Sleep Disorders.3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.
 
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