1. Study characteristics.
Study design (publication type) | Participants | Age (years) | Definition of CSA | Comparators | Duration of intervention period (washout) |
Bonnet 1990 Cross‐over (full report) |
5 men with primary CSA | Average 70 (range 65–74) | Central apnoeas were scored when there was an event of complete absence of chest movement from both chest leads and a complete absence of airflow throughout the event (lasting >10 seconds). | Triazolam 0.125 mg versus triazolam 0.250 mg (once daily) versus placebo |
3 days (≥ 1 week) |
Giannoni 2020a Cross‐over (full report) |
16 men with systolic heart failure (LVEF < 50%) and moderate‐severe CSA |
Mean 71.3 (SD 5.8) | Echocardiographic evidence of LVEF < 50% and nocturnal AHI ≥ 15 events/hour | Buspirone 15 mg (3 times daily) versus placebo | 1 week (1 week) |
Javaheri 1996 Cross‐over (full report) |
15 men with compensated heart failure (LVEF ≤ 45%) and AHI > 10 events/hour | Not reported (adults) |
Polysomnograms showed periodic breathing, with > 10 episodes of apnoea and hypopnoea/hour. | Theophylline 3.3 mg/kg (twice daily) versus placebo | 5 days (1 week) |
Javaheri 2006 Cross‐over (full report) |
12 men with systolic heart failure whose initial polysomnograms showed CSB with AHI > 15 events/hour | Mean 66 (SD 6) | Systolic heart failure (initial polysomnograms showed CSB with an AHI > 15 events/hour) | Acetazolamide 3.5 mg/kg (once daily) versus placebo | 6 days (2 weeks) |
Sorokina 2019a RCT (abstract) |
18 people (mostly men) with CSA associated with CHF | Not reported (adults) |
AHI > 15 events/hour by echocardiographic evidence were considered as living with CSA. CHF ranged from II to III NYHA functional classes. | Standard medical treatment + acetazolamide 250 mg versus standard medical treatment without acetazolamide |
Not reported; follow‐up was 12 months |
AHI: apnoea‐hypopnoea index; CHF: chronic heart failure; CSA: central sleep apnoea; CSB: Cheyne‐Stokes breathing; LVEF: left ventricular ejection fraction; NYHA: New York Heart Association; SD: standard deviation.