Central sleep apnea (CSA)
Central sleep apnea is a less common but serious sleep disorder where breathing repeatedly stops during sleep — not because the airway is blocked, but because the brain temporarily fails to send the correct signals to breathe.
Q: What is central sleep apnea?
It is a condition where the brain does not consistently send signals to the breathing muscles during sleep, causing pauses in breathing.
Q: How is it different from obstructive sleep apnea?
In central sleep apnea, the airway stays open, but there is no effort to breathe.
Q: Do people with central sleep apnea snore?
Snoring is less common than in obstructive sleep apnea, but it can still occur.
Q: Who is at higher risk?
People with heart failure, prior stroke, brain disorders, opioid use, or those living at high altitude are at higher risk.
Q: Can central sleep apnea cause daytime fatigue?
Yes, repeated breathing pauses disrupt sleep quality and reduce oxygen levels, leading to exhaustion and brain fog.
Q: Is it dangerous?
Yes, especially when linked to heart disease, because it can worsen cardiovascular strain and increase mortality risk.
Q: How is it diagnosed?
It is diagnosed through a sleep study (polysomnography), which shows breathing pauses without airway obstruction.
Q: How is it treated?
Treatment focuses on the underlying cause and may include adaptive servo-ventilation (ASV), CPAP in selected cases, oxygen therapy, or medication adjustments.