Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
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Adaptive servoventilation (ASV) is often used to treat central sleep apnea (CSA) and complex sleep apnea syndrome (CompSAS). Both CompSAS and CSA may occur in the setting of CHF and with the use of chronic opioids. We hypothesized that ASV would be less successful in treatment of CSA and CompSAS secondary to opioid use than in CHF patients. ⋯ A commentary on this article appears in this issue on page 577.
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This case report including polysomnography shows reversal of central sleep apnea after opioid withdrawal. A patient using opioids for pain was diagnosed with central sleep apnea (CSA), but was not compliant with therapy. ⋯ Subsequent polysomnography showed no sleep disordered breathing. This is the first report of correction of CSA following opioid withdrawal confirmed by polysomnogram.