Sleep Apnoea Flashcards
1
Q
what is it
A
intermittent upper airway collapse in sleep
recurrent sleep arousal
2
Q
what are symptoms
A
excessive daytime sleepiness
personality change
cognitive impairment
major impact on daytime function
3
Q
what are causes
A
obesity enlarged tonsils stroke MS opiates alcohol
4
Q
how is it diagnosed
A
overnight sleep study (oximetry, airflow, thoracic movement monitored, full polysomnography)
epworth sleepiness score (normal <10/24)
5
Q
how is it treated
A
correction of treatable factors
CPAP - delivered by nasal mark during sleep
mandibular advancement device (gum shield - improves snoring)
surgery - scar up back of throat to make tougher and resist collapse
6
Q
what are complications
A
raised CRP
impaired endothelial and glucose function
independent risk factor for hypertension
