OBSTRUCTIVE SLEEP APNEA Flashcards
1
Q
15-30% of males
10-15% of females
Most common among older males and postmenopausal
women
most often with comorbidities like TIID, CHF, obesity
-daytime sleepiness, snoring, choking, gasping during sleep, morning headaches, obesity most common clinical finding
A
OSA
2
Q
gold standard for OSA diagnosis?
A
polysomnography with criteria:
apnea, greater than 90% decrease in airflow
-obstructive vs central apnea
hypopnea with diminished airflow for 10 seconds
obstructive respiratory events
3
Q
bed side screening for OSA?
A
STOP BANG snoring tiredness observed apnea blood pressure
BMI
age
neck circumference
gender
4
Q
benefits of CPAP?
A
blood pressure
alertness and mood
insulin insensitivity
5
Q
complications?
A
drowsy driving neuropsychiatric dys cardiovascular and cerebrovascular mortality pulmonary hypertension RHF metabolic syndrome and T2DM NAFLD
6
Q
indications for testing?
A
excessive daytime sleepiness and habitual loud snoring witnessed apnea systemic hypertension
