Obstructive sleep apnea in therapeutic practice


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Abstract

Obstructive respiratory sleep disorders are usually covered by the term obstructive sleep apnea/hypopnea syndrome (OSAHS). Prevalence of OSAHS in general population reaches 14%. In population of Europe and North America OSAHS occurs in each seventh and may run with such complications as day drowse, hypodynamia, obesity, hypertension, coronary heart disease, arrhythmia. The article proposes algorithms of diagnosis and step-by-step correction of OSAHS (patent N 2197893, 23.05.2000) the efficacy of which has been proved for the last 10 years in 2586 patients.

About the authors

Sergey L'vovich Babak

ФГУ "НИИ пульмонологии" ФМБА России

Email: sergbabak@mail.ru
д-р мед. наук, зав. клинической лаб. НИИ пульмонологии, тел.: 8-495-465-52-64; ФГУ "НИИ пульмонологии" ФМБА России

Lev Arkad'evich Golubev

ФГУ "НИИ пульмонологии" ФМБА России

Email: levgol@mail.ru
канд. мед. наук, ст. науч. сотр. клинической лаб. НИИ пульмонологии; ФГУ "НИИ пульмонологии" ФМБА России

Marina Valentinovna Gorbunova

ФГУ "НИИ пульмонологии" ФМБА России

Email: mgorb@mail.ru
канд. мед. наук, науч. сотр. клинической лаб. НИИ пульмонологии; ФГУ "НИИ пульмонологии" ФМБА России

Aleksandr Grigor'evich Chuchalin

ФГУ "НИИ пульмонологии" ФМБА России

акад. РАМН, проф., д-р мед. наук, дир. ФГУ "НИИ пульмонологии" ФМА России, тел.: 8-495-465-52-64; ФГУ "НИИ пульмонологии" ФМБА России

S L Babak

State Research Institute of Pulmonology, Moscow

State Research Institute of Pulmonology, Moscow

L A Golubev

State Research Institute of Pulmonology, Moscow

State Research Institute of Pulmonology, Moscow

M V Gorbunova

State Research Institute of Pulmonology, Moscow

State Research Institute of Pulmonology, Moscow

A G Chuchalin

State Research Institute of Pulmonology, Moscow

State Research Institute of Pulmonology, Moscow

References

  1. Qureshi A., Lee-Chiong T. L. Medical treatment of obstructive sleep apnea. Semin. Respir. Crit. Care Med. 2005; 26 (1): 96- 108.
  2. Kreiger J. Respiratory physiology; breathing in normal subjects. In: Kryger M. et al., eds. Principles and practice of sleep medicine. Philadelphia: WB Saunders; 2000. 229-241.
  3. Peppard P. E., Young T., Palta M., Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension. N. Engl. J. Med. 2000; 342: 1378-1384.
  4. Weitzenblum E., Chaouat A., Kessler R. et al. Overlap syndrome: obstructive sleep apnea in patients with chronic obstructive pulmonary disease. Proc. Am. Thorac. Soc. 2008; 5 (2): 237-241.
  5. Yasuma F., Murohara T., Hayano J. Long-term efficacy of acetazolamide on Cheyne-Stokes respiration in congestive heart failure. Am. J. Respir. Crit. Care Med. 2006; 174; 479.
  6. Morgenthaler T. I., Kapen S., Lee-Chiong T. et al. Standards of Practice Committee; American Academy of Sleep Medicine. Practice parameters for the medical therapy of obstructive sleep apnea. Sleep 2006; 29: 1031-1035.
  7. Shneerson J. Managing sleep disorders. Practitioner 2003; 247 (1644): 231-235.
  8. Fogel R. B., Malhotra A., Pillar G. et al. Genioglossal activation in patients with obstructive sleep apnea versus control subjects: mechanisms of muscle control. Am. J. Respir. Crit. Care Med. 2001; 164: 2025-2030.
  9. Oliven A., O'Hearn D. J., Boudewyns A. N. et al. Upper airway response to electrical stimulation of the genioglossus in obstructive sleep apnea. J. Appl. Physiol. 2003; 95: 2023-2029.
  10. Oostveen E., Vanderveken O., Verbruecken J. et al. Progressive upper airway narrowing occurs during expiration prior to obstructive, central and mixed apneas. Am. J. Respir. Crit. Care Med. 2005; 2: A610.
  11. Oostveen E., MacLeod D., Lorino H. et al. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur. Respir. J. 2003; 22: 1026- 1041.
  12. Schwab R. J., Pasirstein M., Pierson R. et al. Identificaion of upper airway anatomic risk factors for obstructive sleep apnea with volumetric magnetic resonance imaging. Am. J. Respir. Crit. Care Med. 2003; 168: 522-530.
  13. De Backer J., Gorle C., Vanderveken O. et al. Assessment of a mandibular advancement device (MAD) in a sleep apnea patient using computational fluid dynamics (CFD). Am. J. Respir. Crit. Care Med. 2005; 2: A491.
  14. Vanderveken O., Oostveen E., Boudewyns A. N. et al. Quantification of pharyngeal patency in patients with sleep-disordered breathing. ORL J. Otorhinolaryngol. Relat. Spec. 2005; 67: 168-179.
  15. Stradling J. R., Davies R. J. Sleep. 1. Obstructive sleep apnoea/ hypopnoea syndrome: definitions, epidemiology, and natural history. Thorax 2004; 59: 73-78.

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