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OSA – DVLA Advice — SCE Neurology MCQ

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HardSleep DisordersOSA – DVLA AdviceSCE Neurology

A 65-year-old has symptomatic chronic heart failure with a left ventricular ejection fraction of 35%. Polysomnography confirms predominant central sleep apnoea. Which treatment should be avoided because of the heart-failure phenotype?

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Correct answer: B — Adaptive servo-ventilation for the central sleep apnoea syndrome

Adaptive servo-ventilation should not be used for predominant central sleep apnoea in symptomatic chronic heart failure with reduced ejection fraction because of the adverse outcome signal in this phenotype. Management should focus on optimising heart failure and specialist sleep assessment.

Reference: NICE NG202, obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome: https://www.nice.org.uk/guidance/ng202/chapter/Recommendations