Sleep apnea - a major public health problem

Article Abstract:

Obstructive sleep apnea may be a serious public health concern. This disorder is characterized by interruptions in respiratory airflow while sleeping. These interruptions are caused by a collapse of the upper respiratory tract at the level of the pharynx. The development of obstructive sleep apnea is usually preceded by narrowing of the upper respiratory tract with a long history of snoring. Individuals suffering from sleep apnea are often sleepy during the day. Excessive daytime sleepiness is caused by interruption of deeper levels of sleep and the effect of reduced oxygen levels on brain function. Sleep apnea may also cause hypertension in some individuals. A research study found that an estimated 9% of men and 4% of women may experience sleep apnea and hypopnea, or incomplete interruption of airflow. Sleep apnea is easily treated by continuous positive airway pressure supplied through a nose mask.

Demographic aspects

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Driving with sleep apnea

Article Abstract:

All states should adopt policies for dealing with people with sleep apnea who drive and should disseminate these policies to doctors. People with sleep apnea stop breathing temporarily several times during the night, which often disrupts their sleep. They may develop sleep deprivation and daytime sleepiness. A 1999 study found that people with sleep apnea were more likely to have traffic accidents while driving. The American Thoracic Society has recommended that all doctors report patients to the department of motor vehicles if a patient with sleep apnea has a traffic accident and continues to drive without treatment.

Health aspects, Risk factors, Traffic accidents

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Atrial overdrive pacing for the obstructive sleep apnea-hypopnea syndrome

Article Abstract:

The effect of atrial overdrive pacing (AOP) after 24 hours and after one month in patients with the obstructive sleep apnea-hypopnea syndrome is evaluated and compared with the use of nasal continuous positive airway pressure (n-CPAP). It is found that nasal continuous positive airway pressure therapy is highly effective for the treatment of the obstructive sleep apnea-hypopnea syndrome, whereas AOP has no significant effect.

Care and treatment, United States, Usage, Pacemakers

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