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sleep disordered breathing (SDB)

See: 1) sleep apnea 2) obstructive sleep apnea Etiology: - see sleep apnea & obstructive sleep apnea - risk factors in children [1] a) increased waist circumference (children) b) cervical adenopathy c) nasal turbinate hypertrophy d) nasal drainage e) chronic sinusitis f) long palate g) tonsil size not a risk factor - opiates (central sleep apnea) [4] Epidemiology: - minority ethnicity is risk factor - 25% of school children [1] Clinical manifestations: - snoring Special laboratory: - polysomnography may show hypopnea or apnea Complications: - elevated systolic blood pressure - increased risk of cognitive impairment or dementia [2] - increased risk of ischemic stroke & impairment of stroke recovery [5] - may be associated with accelerated aging [6]

Specific

sleep apnea snoring upper airway resistance syndrome

General

sleep disorder

References

  1. Bixler EO et al Sleep disordered breathing in children in a general population sample: Prevalence and risk factors. Sleep 2009 Jun 1; 32:731. PMID: 19544748
  2. Yaffe K, Laffan AM, Harrison SL et al Sleep-disordered breathing, hypoxia, and risk of mild cognitive impairment and dementia in older women. JAMA. 2011 Aug 10;306(6):613-9. PMID: 21828324
  3. Gooneratne NS, Richards KC, Joffe M, Sleep disordered breathing with excessive daytime sleepiness is a risk factor for mortality in older adults. Sleep. 2011 Apr 1;34(4):435-42. PMID: 21461321
  4. Rose AR, Catcheside PG, McEvoy RD et al Sleep disordered breathing and chronic respiratory failure in patients with chronic pain on long term opioid therapy. J Clin Sleep Med. 2014 Aug 15;10(8):847-52. do PMID: 25126029 Free PMC Article
  5. Hermann DM, Bassetti CL Role of sleep-disordered breathing and sleep-wake disturbances for stroke and stroke recovery. Neurology. August 3, 2016 PMID: 27488603 http://www.neurology.org/content/early/2016/08/03/WNL.0000000000003037.short - Brown DL, Shafie-Khorassani F, Kim S et al Sleep-Disordered Breathing Is Associated With Recurrent Ischemic Stroke. Stroke. 2019;50(3):571-576 PMID: 30744545
  6. Brooks M Sleep-Disordered Breathing Tied to Accelerated Aging Medscape - Jun 13, 2019. https://www.medscape.com/viewarticle/914374