Treating Central Sleep Apnea With Cpap

Obstructive Sleep Apnea versus Central Sleep Apnea

Obstructive sleep apnea is when the airwaybecomes narrowed or obstructed and you're making the effort to breathe but we do notsee any flow in air movement coming from your nose or mouth. Where central sleep apnea occurswhere your brain forgets to tell your body to breathe. If we're looking at it from avery simplistic term and so we do not see the drive to breathe. So the first step isto come into the and be seen by one of our physicians in the sleep medicine .We'll go through a questionnaire and try to determine what risk factors we think you havefor sleep apnea such as obesity, snoring, daytime sleepiness and then if we think thatyou have a high risk for meeting those criteria

then we would set you up for a sleep studyeither in your home to do an overnight sleep study or in our laboratory, depending on yoursituation. The CPAP can be used to treat both conditions and, in some patients, that isenough. However, there are some patients that have more complex types of central sleep apneathat require more complicated types of machines to treat that condition. Obstructive sleepapnea actually has been linked to a lot of other problems such as high blood pressureand then, you know, difficulty functioning during the day. If it goes untreated for along period of time there's an increased risk of early heart problems and those types ofthings.

Central Sleep Apnea Treatment Obstructive Sleep Apnea

Central Sleep Apnea TreatmentObstructive Sleep Apnea.

Small Implant Makes Big Difference In Sleep Apnea

CLARK POWELL: There was a time when Leslie McGuire woulddread going to bed. Because of his sleep apnea, Leslie felt exhausted most of the day. And,at night, it didn't get much better. LESLIE MCGUIRE: Before I was diagnosed, I would wake up probablyfive or six times a night sitting on the side of the bed gasping for air. POWELL: For many, wearinga breathing mask at night can help, especially for those with obstructive sleep apnea, inwhich the airways tend to close. But the mask didn't work for Leslie. He has central sleepapnea, and when it came to finding a treatment for him, time was of the essence.

DR. WILLIAM ABRAHAM: This formof sleep apnea is particularly dangerous because it's associated with patients just stoppingbreathing periodically. POWELL: William Abraham is a cardiologist at the Ohio State UniversityWexner Medical Center. He says while we're sleeping, the brain continues to tell thebody to breathe. But, in central sleep apnea, that signal is faulty. So, to help those patients,s at Ohio State are implanting a pacemakerlike device just under the collarbone and runninga wire to the patient's diaphragm. At night, that wire signals the diaphragm, promptingpatients to breathe.

DR. ABRAHAM: What we saw were remarkable results. More than a 50% reduction in thenumber of events occurring per hour and more than a 90% reduction specifically in thoseevents related to central sleep apnea. It POWELL: It worked for Leslie, who says he now sleepsthrough the night and has more energy to spend his days with his wife. MCGUIRE: Besides her, thisis the best thing that's ever happened to me. Everything is changed. Everything is somuch better. POWELL: At Ohio State's Wexner Medical Center, this is Clark Powell reporting.

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