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The AASM also publishes clinical practice guidelines, position papers, position statements, and consensus statements and papers to provide recommendations to clinicians for the evaluation, diagnosis, treatment and follow-up of sleep and circadian rhythm sleep-wake disorders. The clinical practice guidelines are developed by a task force of ...
The management of obstructive sleep apnea was improved with the introduction of continuous positive airway pressure (CPAP), first described in 1981 by Colin Sullivan and associates in Sydney, Australia. [120] The first models were bulky and noisy, but the design was rapidly improved and by the late 1980s, CPAP was widely adopted.
Without treatment, the sleep deprivation and lack of oxygen caused by sleep apnea increases health risks such as cardiovascular disease, aortic disease (e.g. aortic aneurysm), [163] high blood pressure, [164] [165] stroke, [166] diabetes, clinical depression, [167] weight gain, obesity, [64] and even death.
The respiratory disturbance index (RDI)—or respiratory distress Index—is a formula used in reporting polysomnography (sleep study) findings. Like the apnea-hypopnea index (AHI), it reports on respiratory distress events during sleep, but unlike the AHI, it also includes respiratory-effort related arousals (RERAs). [1]
[5] [15] In the 1960s, various further discoveries were made that led to the distinction between obstructive sleep apnea and sleep hypoventilation. [16] The term "Pickwickian syndrome" has fallen out of favor because it does not distinguish obesity hypoventilation syndrome and sleep apnea as separate disorders (which may coexist). [16] [17]
The guidelines attempt to address the prevention and management of obesity at both the individual and population levels in both children and adults. [5] The European Union published clinical practice guidelines in 2008 in an effort to address the rising rates of obesity in Europe. [107] Australia came out with practice guidelines in 2004. [106]
Central sleep apnea in heart failure's epidemiology is relevant, as sleep apnea and heart failure have both been associated in people with paroxysmal nocturnal dyspnea. [12] According to the study, researchers were able to conclude that ~70% of people with heart failure had breathing disorders while they slept, while half of that ~70% also ...
Sleep apnea, obstructive sleep apnea, obstruction of the airway during sleep, causing lack of sufficient deep sleep, often accompanied by snoring. Other forms of sleep apnea are less common. [89] Obstructive sleep apnea (OSA) is a medical disorder that is caused by repetitive collapse of the upper airway (back of the throat) during sleep.