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ISSN 1405-8871 (Print)

2018, Number 3

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Aten Fam 2018; 25 (3)

Obstructive Sleep Apnea Syndrome in Adults: from Clinical Suspicion to Diagnostic Approach

Talayero PJA

Language: Spanish
References: 26
Page: 123-128
PDF size: 609.04 Kb.


ABSTRACT

Obstructive sleep apnea is the most prevalent sleep respiratory disorder in the world. Its incidence has been increasing because of the growing problem of obesity. Currently, it is underdiagnosed in the medical field by a low clinical suspicion and ignorance of an adequate diagnostic approach. The objective of this review is to provide the tools to recognize the risk factors and the pathology clinical picture to treat patients in a timely manner. This will save costs to the health system and the patient, in addition to avoiding long-term cardiovascular complications if not treated.


REFERENCES

  1. Garvey J, Pengo M, Drakatos P, Kent B. Epidemiological aspects of obstructive sleep apnea. J Thorac Dis 2015;7(5):920-29.

  2. Torre-Bouscoulet L, Vázquez-García JC, Muiño A, Márquez M, López M, et al. And platino Group. Prevalence of sleep related symptoms in four latin american cities. J Clin Sleep Med. 2008;4(6):579-85.

  3. Shahar E, Whitney C, Redline S, Lee E., Newman A, et al. Sleep disordered breathing and cardiovascular disease: Cross sectional studies of the Sleep Heart Health Study. Am J Respir Crit Care Med 2001;163:19-25.

  4. Stoohs R. Upper aireway resistance syndrome. Dtsh Arztebl 2007;104(12):A784-9.

  5. Palombini L, Guilleminault C, Poyares D, Tufik S, Togeiro S. Treatment of upper resistance síndrome in adults: where do we stand? Sleep Science 2015;8:42-48.

  6. Berry R, Budhiraja R, Gottlieb D, Gozal D, Iber C, et al. Rules for scroing respiratory event in sleep: Update of 2007 AASM manuel for the scoring of sleep and associated events. Deliberations of the sleep apnea definitions task forcé of the American Academy of Sleep Medicine. J Clin Sleep Med 2012;8(5):597-619.

  7. Berry R, Brooks R, Gamaldo C, Harding S, Lloyd R., et al. The AASM Manual for the scoring of sleep and associated events. Rules, terminology and technical specifications. Version 2.2. American Academy of Sleep Medicine 2015.

  8. Isono S, et al. Interaction of cross-sectional area, driving pressure, and airflow of passive velopharynx. J Appl Physiol 83:851–59, 1997.

  9. Dempsey J, Veasey S, Morgan B, O´Donnell C. Pathophysyiology of sleep apnea. Pyhsiol Rev 2010;90:47-112

  10. Carrillo JL, Arredondo F. Reyes M, Castorena A, Vázquez JC, Torre-Bouscoulet L. Síndrome de apnea obstructiva del sueño en población adulta. Neumol Cir Torax 2010;29(2):103-115.

  11. Woodson BT, Franco R. Physiology of sleep disordered breathing. Otolaryngol Clin North Am 2007;40:691-711.

  12. Refolfi S, et al. Relationship between Overnight Rostral Fluid Shift and Obstructive Sleep Apnea in Nonobese Men. Am J Resp Cirt Care Med 2009;179:241-46.

  13. Bradley TD, et al. Right and left ventricular functional impairment and sleep apnea. Clin Chest Med 1992;13:459-479.

  14. Shamsuzzaman AS, Gersh BJ, Somers VK. Obstructive sleep apnea: implications for cardiac and vascular disease. jama 2003;290:1906-1914.

  15. Floras J., Phil D. Hypertension and sleep apnea. Canadian Journal of Cardiology 2015; 31:889-97.

  16. Tishler PV, Larkin EK, Schluchter MD, Redline S. Incidence of sleep- disordered breathing in an urban adult population: the relative importance of risk factors in the development of sleep-disordered breathing. jama 2003;289:2230-2237.

  17. Szymańska M, Mizerski G, Kiciński P. Complex relationships between endocrinopathies and obstructive sleep apnea syndrome. Eur J Clin Exp Med 2017;15(3):268-72.

  18. Patel SR. Shared genetic risk factors for obstructive sleep apnea and obesity. J Appl Physiol 2005;99: 1600-1606.

  19. Olivi H. Apnea del sueño: cuadro clínico y estudio diagnóstico. Rev Med Clin Condes 2013;24(3):359-73.

  20. Hernandez C, Durán-Cantolla J, Lloeberes P, González M. Novedades en la epidemiología, historia natural, el diagnóstico y el tratamiento del síndrome de apneas-hipopneas durante el sueño. Arch Bronconeumol 2009;45(Supl 1):3-10.

  21. Kryger. Principles and Practice of Sleep Medicine. Fifth edition 2011

  22. Sánchez de la Torre M, Bonsignore M, Barbé F. Cardiosvascular disease: pathophysiological mechanisms. European Respiratory Society Monograph 2015;67:37-50.

  23. Pillar G, Shehadeh N. Abdominal fat and sleep apnea. The chicken or the egg? Diabetes Care 2008;(31)Supl2:S303-S309

  24. Rubio Sánchez P. Métodos de evaluación de la excesiva somnolencia diurna. Vigilia-Sueño 2003;15(2):118-24.

  25. Flemons WW. Clinical practice. Obstructive sleep apnea. N Engl J Med 2002;347:498-504.

  26. Epstein L, Kristo D, Strollo P, Friedman N, Malhotra A, et al. Clinical guideline for the evaluation, management and log-term care of obstructive sleep apnea in adults. J Clin Sleep Med 2009;5(3):263-276.




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