Opportunities for diagnosis and treatment of nocturnal hypoxia in outpatient clinic


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Abstract

Sleep disordered breathing is an important medical and socio-economic issue. A lot of evidence exists for the impact of sleep apnea on the pathogenesis of cardiovascular diseases, occupational injuries, as well as all-cause mortality. Detection of this type of pathology is challenging due to the complexity and high cost of the procedures. The nocturnal polysomnography was considered as a «gold standard» in the management of any sleep disorders for a long time. However, the development of technology simplified diagnostic equipment and make it possible to diagnose sleep disordered breathing in outpatient department. In this article we reviewed 3-phase approach to the diagnosis and treatment of sleep apnea. Also we describe our own cost-effective experience of implementing of screening examination for sleep apnea in outpatient clinic, using the continuous pulse oximetry monitoring.

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  1. Бузунов Р.В., Иванова И.Л., Кононов Ю.Н. и др. Компьютерная пульсоксиметрия в диагностике нарушений дыхания во сне: Учебное пособие. - Ижевск: ИГМА, 2013. - 40 с.
  2. Бузунов Р.В., Легейда И.В., Царева Е.В. Храп и синдром обструктивного апноэ сна у взрослых и детей: Практическое руководство для врачей. - М., 2013. - 124 с.
  3. Курлыкина Н.В., Певзнер А.В., Литвин А.Ю. и др. Возможности лечения больных с длительными ночными асистолиями и синдром обструктивного апноэ сна созданием постоянного положительного давления воздуха в верхних дыхательных путях // Кардиология. - 2009. - Т. 49, № 6. - С. 36-42.
  4. Chobanian A.V., Bakris G.L., Black H.R. et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure: the JNC7 report // J.A.M.A. - 2003. - Vol. 289. - P. 2560-2572.
  5. Franklin K.A., Nilsson J.B., Sahlin C., Naslund U. Sleep apnoea and nocturnal angina // Lancet. - 1996.- Vol. 345, N 8957. - P. 1085-1087.
  6. Horstmann S., Hess C.W., Bassetti C. et al. Sleepiness-related accidents in sleep apnea patients // Sleep. - 2000. - Vol. 23, N 3. - P. 383-389.
  7. Katsumata K., Okada K., Miyao M., Katsumata Y. High incidence of sleep apnea syndrome in a male diabetic population // Diabetes Res. Clin. Pract. - 1991. - Vol. 13, N 1. -P. 45-51.
  8. Lin C.C., Tsan K.W., ChenP.J. The relationship between sleep apnea syndrome and hypothyroidism // Chest. - 1992. - Vol. 102, N 6. - P. 1663-1667.
  9. Lindberg E. Epidemiology of OSA // Eur. Respir. Mon. - 2010. - Vol. 50. - P. 51-68.
  10. Lindberg E., Gislason T. Epidemiology of sleep-related obstructive breathing // Sleep. Med. Rev. - 2000. - Vol. 4, N 5. - P. 411-433.
  11. Marin J.M., Carrizo S.J., Vicente E., Augusti A.G. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observation study // Lancet. - 2005. - Vol. 365, N 9464. - P. 1046 -1053.
  12. Marshall N.S., Wong K.K.H., Liu P.Y., Cullen S.R.J. et al. Sleep Apnea as an Independent Risk Factor for All-Cause Mortality: The Busselton Health Study // Sleep. - 2008. - Vol. 31, N 8. - P. 1079-1085.
  13. Schulz R., Blau A., Borgel J. Sleep apnoea in heart failure // Eur. Respir. J. - 2007. - Vol. 29, N 6. - P. 1201-1205.
  14. Teran-Santos J., Jimenez-Gomez A., Cordero-Guevara J. The associacion between sleep apnea and the risk of traffic accidents // N. Engl. J. Med. - 1999. - Vol. 340, N 11. - P. 847-851.
  15. Wilcox I., McNamara S.G. et al. Syndrome Z: the interaction of sleep apnea, vascular risk factors and heart disease // Thorax. - 1998. -Vol. 53, N 3. - P. 5-28.
  16. Young T., Blustein J., Finn L., Palta M. Sleep-disordered breathing and motor vehicle accidents in a population-based sample of employed adults // Sleep. - 1997. - Vol. 20, N 8. -P. 608-613.
  17. Young T., Palta M., Dempsey J. et al. The occurrence of sleep-disordered breathing among middle-aged adults // N. Engl. J. Med. - 1993. -Vol. 328, N 17. - P. 1230-1235.

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