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. 2023 Feb 27;2023(2):CD012922. doi: 10.1002/14651858.CD012922.pub2

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.