Abstract
Sleep apnea/sleep-disordered breathing (SDB) is an under recognized condition in the primary care clinic. Patients with multiple comorbid conditions and coexisting sleep apnea can lead to increasing cardiovascular mortality and morbidity. Diagnosing respiratory sleep disorders via clinical signs and symptoms can be challenging; however, use of advanced diagnostic techniques can reliably help with a diagnosis. There are many approaches to treatment of sleep apnea, but compliance with treatment is always a limitation.
References
Colten HR, Altevogt BM, editors. Sleep disorders and sleep deprivation: an unmet public health problem. The National Academies Collection: Reports funded by National Institutes of Health. Washington, DC. 2006.
American Academy of Sleep Medicine. International classification of sleep disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.
Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328(17):1230–5.
McEvoy RD, Antic NA, Heeley E, Luo Y, Ou Q, Zhang X, et al. CPAP for prevention of cardiovascular events in obstructive sleep apnea. N Engl J Med. 2016;375(10):919–31.
Senthilvel E, Auckley D, Dasarathy J. Evaluation of sleep disorders in the primary care setting: history taking compared to questionnaires. J Clin Sleep Med. 2011;7(1):41–8.
Johns MW. Reliability and factor analysis of the Epworth sleepiness scale. Sleep. 1992;15(4):376–81.
Neelapu BC, Kharbanda OP, Sardana HK, Balachandran R, Sardana V, Kapoor P, et al. Craniofacial and upper airway morphology in adult obstructive sleep apnea patients: A systematic review and meta-analysis of cephalometric studies. Sleep Med Rev. 2016;
Chai-Coetzer CL, Antic NA, McEvoy RD. Ambulatory models of care for obstructive sleep apnoea: Diagnosis and management. Respirology. 2013;18(4):605–15.
Grover M, Mookadam M, Armas D, Bozarth C, Castleberry T, Gannon M, et al. Identifying patients at risk for obstructive sleep apnea in a primary care practice. J Am Board Fam Med. 2011;24(2):152–60.
Redline S, Yenokyan G, Gottlieb DJ, Shahar E, O'Connor GT, Resnick HE, et al. Obstructive sleep apnea-hypopnea and incident stroke: the sleep heart health study. Am J Respir Crit Care Med. 2010;182(2):269–77.
Ren R, Li Y, Zhang J, Zhou J, Sun Y, Tan L, et al. Obstructive sleep apnea with objective daytime sleepiness is associated with hypertension. Hypertension. 2016;68(5):1264–70.
Calik MW. Treatments for obstructive sleep apnea. J Clin Outcomes Manag. 2016;23(4):181–92.
Dieltjens M, Vanderveken OM, Heyning PH, Braem MJ. Current opinions and clinical practice in the titration of oral appliances in the treatment of sleep-disordered breathing. Sleep Med Rev. 2012;16(2):177–85.
Strollo PJ Jr, Soose RJ, Maurer JT, de Vries N, Cornelius J, Froymovich O, et al. Upper-airway stimulation for obstructive sleep apnea. N Engl J Med. 2014;370(2):139–49.
Sukhal S, Khalid M, Tulaimat A. Effect of wakefulness-promoting agents on sleepiness in patients with sleep apnea treated with CPAP: a meta-analysis. J Clin Sleep Med. 2015;11(10):1179–86.
Lee JJ, Sahu N, Rogers R, Soose RJ. Severe obstructive sleep apnea treated with combination hypoglossal nerve stimulation and oral appliance therapy.. Journal of Dental. Sleep Med. 2015;2(4):185–6.
Tefft BC, Safety AFFT. Prevalence of motor vehicle crashes involving drowsy drivers, United States, 2009—2013. Washington, DC: AAA Foundation for Traffic Safety; 2014.
Eckert DJ, Jordan AS, Merchia P, Malhotra A. Central sleep apnea: Pathophysiology and treatment. Chest. 2007;131(2):595–607.
Javaheri S. Sleep disorders in systolic heart failure: a prospective study of 100 male patients. The final report. Int J Cardiol. 2006;106(1):21–8.
Pepin JL, Borel JC, Janssens JP. Obesity hypoventilation syndrome: an underdiagnosed and undertreated condition. Am J Respir Crit Care Med. 2012;186(12):1205–7.
Van Ryswyk E, Antic NA. Opioids and sleep-disordered breathing. Chest. 2016;150(4):934–44.
Barateau L, Lopez R, Dauvilliers Y. Management of narcolepsy. Curr Treat Options Neurol. 2016;18(10):43.
Liira J, Verbeek JH, Costa G, Driscoll TR, Sallinen M, Isotalo LK, et al. Pharmacological interventions for sleepiness and sleep disturbances caused by shift work. Cochrane Database Syst Rev. 2014;8:CD009776.
Wijemanne S, Jankovic J. Restless legs syndrome: clinical presentation diagnosis and treatment. Sleep Med. 2015;16(6):678–90.
Hukins CA. Obstructive sleep apnea - management update. Neuropsychiatr Dis Treat. 2006;2(3):309–26.
Grimm W, Koehler U. Cardiac arrhythmias and sleep-disordered breathing in patients with heart failure. Int J Mol Sci. 2014;15(10):18693–705.
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Nalamati, J., Damania, D. (2018). Sleep Apnea. In: Sydney, E., Weinstein, E., Rucker, L. (eds) Handbook of Outpatient Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-68379-9_14
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