Evidence map›Paper›PMID 40217818›Full record

ReviewJournal of clinical medicine2025

Central Sleep Apnea in Adults: An Interdisciplinary Approach to Diagnosis and Management-A Narrative Review.

Alpár Csipor Fodor, Dragoș Huțanu, Corina Eugenia Budin, Maria Beatrice Ianoși, Delia Liana Rachiș, Hédi-Katalin Sárközi, Mara Andreea Vultur, Gabriela Jimborean

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Excessive Daytime Sleepiness and Risk of Sleep Apnea: A Retrospective Analysis of Peruvian Adults.Clinical practice and epidemiology in mental health : CP & EMH · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alpár Csipor FodorPulmonology Department, County Emergency Hospital Miercurea-Ciuc, 530173 Miercurea-Ciuc, Romania.
Dragoș HuțanuPulmonology Department, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0009-0003-0882-870X
Corina Eugenia BudinPathophysiology Department, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0000-0002-7785-0121
Maria Beatrice IanoșiPulmonology Clinic, Mureș County Clinical Hospital, 540011 Târgu Mureș, Romania.
Delia Liana RachișPulmonology Clinic, Mureș County Clinical Hospital, 540011 Târgu Mureș, Romania.
Hédi-Katalin SárköziPulmonology Department, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.
Mara Andreea VulturPulmonology Department, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0009-0002-1695-6990
Gabriela JimboreanPulmonology Department, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.ORCID 0009-0000-1990-6767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central sleep apnea (CSA) is a heterogeneous group of sleep-related breathing disorders characterized by intermittent absence of respiratory effort during sleep. CSA results from impaired neurological signaling from the respiratory centers to the respiratory muscles, leading to airflow cessation for at least 10 s. Major causes include heart failure, opioid use, central neurological disorders, and altitude exposure. This review outlines the pathophysiology of CSA, emphasizing ventilatory instability and brainstem dysfunction as key mechanisms. It details the classification of CSA subtypes, including Cheyne-Stokes respiration, high-altitude CSA, and drug-induced CSA. Clinical manifestations range from excessive daytime sleepiness to cardiovascular complications. Diagnostic approaches encompass polygraphy, polysomnography, and various laboratory tests to evaluate comorbidities. Treatment requires a multidisciplinary approach, addressing underlying conditions while utilizing positive airway pressure (PAP) therapy, adaptive servo-ventilation (ASV), supplemental oxygen, and pharmacological interventions. Newer modalities, such as phrenic nerve stimulation, offer promising outcomes for CSA management. This review underscores the necessity of an individualized, interdisciplinary strategy to improve patient outcomes in CSA.

Indexed as

central sleep apneaCheyne-stokes Apneasleep apnea

Identifiers

PMID40217818
PMCPMC11990021

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.