Table 1.
Study | Study Design | Population | Inclusion Criteria | Dose of Acetazolamide | Comparison |
---|---|---|---|---|---|
Central | |||||
DeBacker et al, 199520 | Pre-post study | 14 | CSA | 250 mg orally at night for 1 month | N/A |
Fontana et al, 201122 | Pre-post study | 12 | Hunter-Cheyne-Stokes breathing with AHI > 15 events/h and heart failure (LVEF < 50%). Patients with NYHA IV, acute coronary syndromes within the previous 6 month, glomerular filtration rate < 30 ml/min or pulmonary disease were excluded | 250 mg twice a day orally for 4 days | N/A |
Ginter and Sankari, 202036 | Randomized crossover study | 16 | CSA with either chronic spinal cord injury (> 6 months) at or above the T6 level or able-bodied control | 500 mg 2 times a day orally for 3 days | N/A |
Javaheri, 200624 | Randomized crossover study | 12 | CSA with AHI ≥ 15 events/h, Hunter-Cheyne-Stokes breathing, systolic heart failure with LVEF < 35%, and NYHA II or III | 3.5 mg/kg orally at night for 6 days | Placebo (potassium chloride 30 mEq) |
Naghan et al, 201925 | Randomized crossover study | 10 | CSA caused by opioid drug | 250 mg orally at night for 6 days | Placebo |
Ulrich et al, 201529 | Randomized crossover study | 23 | SBD and precapillary pulmonary hypertension or CTEPH, PaO2 ≥ 7.3 kPa during daytime. Patients with predominantly OSA, more than mild lung disease, or concomitant left ventricular disease were excluded | 250 mg twice a day orally for 1 week | Placebo |
Verbraecken et al, 199830 | Pre-post study | 8 | CSA | 250 mg orally at night for 1 month | N/A |
White et al, 198231 | Pre-post study | 6 | 5 patients with CSA, 1 with OSA | 250 mg 4 times a day for at least 7 days | N/A |
Obstructive | |||||
Eskandari et al, 201821 | Randomized crossover study | 13 | OSA with AHI > 15 events/h, treated systemic hypertension, BMI ≤ 35 kg/m2 and ESS score > 6 | 250 mg orally twice a day for initial 3 days and 3 times a day for the following 2 weeks | AZT + CPAP and CPAP |
Whyte et al, 198832 | Randomized crossover study | 10 | OSA with AHI ≥ 15 events/h, with at least 2 of the following symptoms: daytime somnolence, loud snoring, unsatisfying nocturnal sleep, or recurrent nocturnal awakening | 250 mg orally twice a day for 1st week and 250 mg 4 times a day for 2nd week | Placebo |
Unknown or Mixed Type | |||||
Apostolo et al, 201419 | Pre-post study | 18 | Heart failure with LVEF < 40%, NYHA II or III, PB during exercise | 500 mg intravenous 3 times a day | N/A |
Inoue et al, 199923 | Pre-post study | 75 | Sleep apnea | Mean of 351.2 mg/day orally for mean 39.5 days | No |
Sakamoto et al, 199526 | Pre-post study | 20 | Sleep apnea | 250 mg orally for 10 patients, 500 mg orally for 8 patients, and 750 mg orally for 2 patients for 17–115 days | N/A |
Sharp et al, 198527 | Pre-post study | 10 | 4 patients with OSA, 2 with CSA, 4 with MSA | 500–1,000 mg daily for 4–7 days | N/A |
Tojima et al, 198828 | Pre-post study | 9 | 8 patients with OSA, 1 with CSA and Hunter-Cheyne-Stokes breathing | 250 mg daily orally for 7–8 days | N/A |
AHI = apnea-hypopnea index, BMI = body mass index, CPAP = continuous positive airway pressure, CSA = central sleep apnea, CTEPH = chronic thromboembolic pulmonary hypertension, ESS = Epworth Sleepiness Scale, LVEF = left ventricular ejection fraction, MSA = mixed sleep apnea, N/A = not available, NYHA = New York Heart Association, OAI = obstructive apnea index, OSA = obstructive sleep apnea, PaO2 = arterial pressure of oxygen, PB = periodic breathing.