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Symptoms

By Mayo Clinic staff

Common signs and symptoms of central sleep apnea include:

  • Observed episodes of stopped breathing or abnormal breathing patterns during sleep
  • Abrupt awakenings accompanied by shortness of breath
  • Shortness of breath that's relieved by sitting up
  • Difficulty staying asleep (insomnia)
  • Excessive daytime sleepiness (hypersomnia)
  • Difficulty concentrating
  • Mood changes
  • Morning headaches
  • Snoring

Although snoring indicates some degree of increased obstruction to airflow, snoring also may be heard in the presence of central sleep apnea. However, snoring may not be as prominent with central sleep apnea as it is with obstructive sleep apnea.

When to see a doctor
Consult a medical professional if you experience, or if your partner observes, any signs or symptoms of central sleep apnea, particularly the following:

  • Shortness of breath that awakens you from sleep
  • Intermittent pauses in your breathing during sleep
  • Difficulty staying asleep
  • Excessive daytime drowsiness, which may cause you to fall asleep while you're working, watching television or even driving

Ask your doctor about any sleep problem that leaves you chronically fatigued, sleepy and irritable. Excessive daytime drowsiness (hypersomnia) may be due to other disorders, such as narcolepsy or obstructive sleep apnea.

References
  1. NINDS sleep apnea information page. National Institute of Neurological Diseases and Stroke. http://www.ninds.nih.gov/disorders/sleep_apnea/sleep_apnea.htm. Accessed April 18, 2013.
  2. Badr MS. Central sleep apnea: Risk factors, clinical presentation, and diagnosis. http://www.uptodate.com/home. Accessed April 4, 2013.
  3. Javaheri S. Central sleep apnea. Clinics in Chest Medicine. 2010;31:235.
  4. Central sleep apnea. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/pulmonary_disorders/sleep_apnea/central_sleep_apnea.html?qt=central%20sleep%20apnea&alt=sh. Accessed April 18, 2013.
  5. What is sleep apnea? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/. Accessed April 17, 2013.
  6. Malhotra A, et al. What is central sleep apnea? Respiratory Care. 2010;55:1168.
  7. Badr MS. Central sleep apnea: Pathogenesis. http://www.uptodate.com/home. Accessed April 18, 2013.
  8. Malhotra A, et al. Cheyne-Stokes breathing and obstructive sleep apnea in heart failure. http://www.uptodate.com/home. Accessed April 19, 2013.
  9. Leung RS, et al. Mechanisms of sleep-disordered breathing: Causes and consequences. Pflugers Archiv. 2012;463:213.
  10. Millman RP, et al. Polysomnography in obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 16, 2013.
  11. Badr MS. Central sleep apnea: Treatment. http://www.uptodate.com/home. Accessed April 4, 2013.
  12. Dave NB. Initiation of positive airway pressure therapy for obstructive sleep apnea in adults. http://www.uptodate.com/home. Accessed April 12, 2013.
  13. Find a sleep center near you. American Academy of Sleep Medicine. http://www.sleepcenters.org/. Accessed April 4, 2013.
  14. U.S. News best hospitals 2012-2013. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings. Accessed April 4, 2013.
  15. Olson EJ (expert opinion). Mayo Clinic, Rochester, Minn. April 29, 2013.
DS00995 June 28, 2013

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