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Adult obstructive sleep apnoea

The Lancet (British edition), 2014-02, Vol.383 (9918), p.736-747 [Peer Reviewed Journal]

Elsevier Ltd ;2014 Elsevier Ltd ;2015 INIST-CNRS ;Copyright © 2014 Elsevier Ltd. All rights reserved. ;Copyright Elsevier Limited Feb 22, 2014 ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(13)60734-5 ;PMID: 23910433 ;CODEN: LANCAO

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Title:
Adult obstructive sleep apnoea
Author: Jordan, Amy S, Dr ; McSharry, David G, MB ; Malhotra, Atul, Prof
Subjects: Accidents, Traffic ; Adenoids - pathology ; Adult ; Age Factors ; Biological and medical sciences ; Continuous Positive Airway Pressure ; Electroencephalography ; Female ; General aspects ; Humans ; Hypertension - etiology ; Hypertrophy - complications ; Internal Medicine ; Male ; Medical sciences ; Menopause ; Obesity - complications ; Palatine Tonsil - pathology ; Pneumology ; Polysomnography ; Respiratory system : syndromes and miscellaneous diseases ; Risk Assessment ; Risk Factors ; Sex Factors ; Sleep apnea ; Sleep Apnea, Obstructive - complications ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - etiology ; Sleep Apnea, Obstructive - physiopathology ; Sleep Apnea, Obstructive - therapy ; Sleep deprivation ; Sleep Stages ; Smoking - adverse effects ; Studies ; Water-Electrolyte Imbalance - complications ; Weight Loss
Is Part Of: The Lancet (British edition), 2014-02, Vol.383 (9918), p.736-747
Description: Summary Obstructive sleep apnoea is an increasingly common disorder of repeated upper airway collapse during sleep, leading to oxygen desaturation and disrupted sleep. Features include snoring, witnessed apnoeas, and sleepiness. Pathogenesis varies; predisposing factors include small upper airway lumen, unstable respiratory control, low arousal threshold, small lung volume, and dysfunctional upper airway dilator muscles. Risk factors include obesity, male sex, age, menopause, fluid retention, adenotonsillar hypertrophy, and smoking. Obstructive sleep apnoea causes sleepiness, road traffic accidents, and probably systemic hypertension. It has also been linked to myocardial infarction, congestive heart failure, stroke, and diabetes mellitus though not definitively. Continuous positive airway pressure is the treatment of choice, with adherence of 60–70%. Bi-level positive airway pressure or adaptive servo-ventilation can be used for patients who are intolerant to continuous positive airway pressure. Other treatments include dental devices, surgery, and weight loss.
Publisher: Kidlington: Elsevier Ltd
Language: English
Identifier: ISSN: 0140-6736
EISSN: 1474-547X
DOI: 10.1016/S0140-6736(13)60734-5
PMID: 23910433
CODEN: LANCAO
Source: ProQuest One Psychology
AUTh Library subscriptions: ProQuest Central
MEDLINE

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Adult obstructive sleep apnoea

Elsevier Ltd ;2014 Elsevier Ltd ;2015 INIST-CNRS ;Copyright © 2014 Elsevier Ltd. All rights reserved. ;Copyright Elsevier Limited Feb 22, 2014 ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(13)60734-5 ;PMID: 23910433 ;CODEN: LANCAO

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