Obstructive sleep apnoea: Difference between revisions

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* Male
 
* Male
   
== Clinical Presentation ==
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== Clinical Manifestations ==
   
 
* Can risk stratify using the [http://www.stopbang.ca/osa/screening.php STOP-Bang score for OSA]
 
* Can risk stratify using the [http://www.stopbang.ca/osa/screening.php STOP-Bang score for OSA]

Revision as of 19:36, 19 July 2020

Definition

  • Apnoea: cessation of breathing for 3+ second associated with a decrease in O2 by 3-4%

Etiology

Pathophysiology

Differential Diagnosis

Epidemiology

Risk Factors

  • Overweight/obesity
  • Male

Clinical Manifestations

  • Can risk stratify using the STOP-Bang score for OSA
  • History
    • Loud snoring
    • Witnessed apneic events while sleeping
  • Signs & Symptoms
    • Hypertension, bradyarrhytmias, atrial fibrillation, normal oxygenation (in general)
    • Retrognathia
    • Large neck
    • Large soft palate

Investigations

  • Labs
  • Imaging
  • Other
    • Sleep study
      • AHI (apnea-hypopnea index): number of apneic or hypopneic events per hour
        • Normal: AHI<5
        • Mild sleep apnea: 5≤AHI<15
        • Moderate sleep apnea: 15≤AHI<30
        • Severe sleep apnea: AHI≥30