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Obstructive sleep apnea (OSA)

Modified on Tue, Mar 7, 2023 at 10:18 PM

A sleep disorder called obstructive sleep apnea (OSA) is characterized by recurrent episodes of partial or total obstruction of the upper airway while a person is asleep, leading to decreased or absent blood oxygen levels. 

In the United States alone, it is a common condition that affects about 25 million adults. Diagnostic Research: OSA is typically diagnosed using a combination of clinical assessment and sleep research. The following are a few of the diagnostic tests used to determine OSA: 

  • A thorough sleep study called polysomnography (PSG) involves keeping track of a number of physiological factors while a person sleeps, including brain waves, heart rate, breathing patterns, oxygen levels, and muscle activity. PSG is regarded as the ideal method for identifying OSA. 

  • Home Sleep Apnea Testing (HSAT): This can be done in the patient's home and is a streamlined version of PSG. Utilizing a portable device to track breathing patterns and oxygen levels while you sleep is part of HSAT.

Presentation: 

  • Loud snoring,

  • breathing pauses during sleep,

  •  gasping or choking sensations during sleep,

  • excessive daytime sleepiness,

  • morning headaches, and

  • difficulty concentrating are some of the most typical OSA symptoms.

  • Not everyone who has OSA will experience all of these symptoms, though.

Risks: High blood pressure, heart disease, stroke, type 2 diabetes, and depression are just a few of the health issues that OSA is linked to as having an increased risk of developing. Due to excessive daytime sleepiness, it can also exacerbate pre-existing health conditions and raise the risk of accidents. 

Examples of treatments: The severity of OSA and its underlying cause will determine how it is treated. Typical forms of treatment include: Continuous Positive Airway Pressure (CPAP): When someone uses CPAP, a machine that continuously blows air into their nose or mouth while they sleep is used. The air pressure keeps the airway open and lessens or prevents apneic episodes. 

Surgery: In order to improve airflow, surgery for OSA may involve removing extra tissue from the throat or reconstructing the upper airway. When all other treatments have failed or when the OSA is brought on by physical abnormalities that can be treated surgically, surgical options may be considered. 

Modifications to one's lifestyle: In some cases, OSA severity can be lessened by making lifestyle changes like losing weight, exercising, and refraining from alcohol and sedatives.


 In conclusion, OSA is a common sleep disorder that, if left untreated, can have negative effects on one's health. Depending on the severity of the condition and the underlying cause, the diagnosis typically entails a combination of clinical evaluation and sleep studies, and treatment options range from CPAP to surgery. It's crucial to speak with a healthcare provider to decide the best course of action if you think you might have OSA. 



References

Strollo, Jr, et al. New England Journal of Medicine 334 No. 2, 1996.

Sean, M., et al. Annals of Internal Medicine 142 No. 3, 2005.

Flemons, W. Ward. "Obstructive sleep apnea. New England Journal of Medicine 347 No. 7, 2002.

Punjabi, Naresh M. "The epidemiology of adult obstructive sleep apnea. Proceedings of the American Thoracic Society 5 No. 2, 2008.

Matthew, L., and D. Brass. "Obstructive sleep apnea Steven. Neurology International 3 No. 3, 2011.

Sigrid, C., and M. Rosen. "Obstructive sleep apnea in adults Ilene. New England Journal of Medicine 380 No. 15, 2019.

Robert, D. Ballard, and S. Nelson. "Obstructive sleep apnea Harold. Journal of Allergy and Clinical Immunology 112 No. 4, 2003.

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