[Sleep apnea year 2006: review of publications in Archivos de Bronconeumología].
نویسندگان
چکیده
Sleep apnea-hypopnea syndrome (SAHS) is characterized by recurrent episodes of upper airway collapse, which may be complete (apnea) or partial (hypopnea). The direct consequences of upper airway collapse are falls in oxygen saturation levels and arousals, which are, in turn, responsible for excessive daytime sleepiness and neurological and psychiatric disorders.1,2 The prevalence of SAHS has been estimated to be about 4% to 6% in men and 2% to 4% in women.3,4 Underdiagnosis of SAHS is a universal problem5; in Spain, it is estimated that fewer than 10% of cases are diagnosed, and, consequently, treated.6 SAHS is usually diagnosed by polysomnography, although portable respiratory polygraphs may be used for selected patients.5,7-9 Several studies have demonstrated an association between sleep apnea and high blood pressure,4,10-14 cardiovascular and cerebrovascular disease,15-18 and traffic accidents.19-22 Continuous positive airway pressure (CPAP) is considered the treatment of choice for SAHS cases with the most pronounced symptoms,23,24 as it has been shown to improve clinical symptoms (especially daytime sleepiness), quality of life, and the apnea-hypopnea index (AHI),25-29 and also to reduce traffic accidents,30 the frequency of cardiovascular events, and even mortality.18 For all the reasons mentioned, SAHS is considered to be a public health problem of the first order.8,31
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عنوان ژورنال:
- Archivos de bronconeumologia
دوره 44 11 شماره
صفحات -
تاریخ انتشار 2008