Case Report
Version 1
Preserved in Portico This version is not peer-reviewed
A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS)
Version 1
: Received: 6 May 2023 / Approved: 10 May 2023 / Online: 10 May 2023 (03:28:11 CEST)
A peer-reviewed article of this Preprint also exists.
Khalifa, A.; Spielmanns, M. A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS). Reports 2023, 6, 32. Khalifa, A.; Spielmanns, M. A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS). Reports 2023, 6, 32.
Abstract
Abstract: Obstructive sleep apnea (OSA) is well known to often improve with non-supine positioning as opposed to su¬pine positioning. Emerging research supports a role for sleep position management in patients with central sleep apnea (CSA) as well. We report a case of de novo Complex Sleep apnea Syndrome (CompSAS) in a 78-year-old female, who presented after a car accident due to unclear syncope. Diagnostic polysomnography (PSG) showed a moderate OSA. A CompSAS developed under Automatic positive airway pressure (APAP), while download data of 4 years showed a good adherence. No significant benefit was reported under Adaptive Servo Ventilation (ASV) and BiPAP-ST, while a reduction of CSA in non-supine position was noticed. Oxygen and sleep positional therapy (SPT) were considered resulting in a significant improvement of CSA and sleep quality. Further research on the prevalence of positional CSA is needed.
Keywords
Central sleep apnea; adaptive servo ventilation; oxygen therapy; sleep positional therapy
Subject
Medicine and Pharmacology, Pulmonary and Respiratory Medicine
Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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