Sleep Apnea Uptodate

April 25, 2021

Sleep Apnea Uptodate

The main types of sleep apnea are. It can be primary ie idiopathic csa or secondary.

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Approximately 25 percent of adults are at risk for sleep apnea of some degree.

Sleep apnea uptodate. Introduction obstructive sleep apnea osa is a disorder that is characterized by obstructive apneas and hypopneas due to repetitive collapse of the upper airway during sleep. Uptodate electronic clinical resource tool for physicians and patients that provides information on adult primary care and internal medicine allergy and immunology cardiovascular medicine. Recurrent central apneas are the hallmark feature of central sleep apnea csa.

Examples of secondary csa include csa associated with cheyne stokes breathing a medical condition a drug or substance or high altitude periodic breathing 1. Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. In patients with untreated obstructive sleep apnea osa insomnia complaints.

Central sleep apnea csa is a disorder characterized by repetitive cessation or decrease of both airflow and ventilatory effort during sleep. They occur when inhibitory input to the respiratory center of the brain exceeds excitatory input which may occur during sleep because sleep abolishes wakefulness related excitatory input. Obstructive sleep apnea the more common form that occurs when throat muscles relax.

If you snore loudly and feel tired even after a full night s sleep you might have sleep apnea. In central sleep apnea breathing is abnormal because of a change in the breathing control and rhythm. Untreated osa has many potential consequences and adverse clinical associations including excessive daytime sleepiness impaired daytime function metabolic dysfunction and an increased risk of cardiovascular.

Home sleep apnea testing in patients with a high pretest probability of moderate to severe uncomplicated osa ie absence of another condition known to increase the risk of sleep disordered breathing home sleep apnea testing hsat with an adequate device is an appropriate alternative to psg provided there is no suspicion for nonrespiratory sleep disorders eg narcolepsy the patient. Sleep apnea is a serious condition that can affect sleep quality a person s ability to safely perform normal daily activities and long term health. In this topic review the pathogenesis of central sleep apnea is discussed.

Sleep Apnea And Snoring 2nd Edition