pulmonary disorders
Obstructive Sleep Apnea (OSA)
Symptoms and Signs of Obstructive Sleep Apnea (OSA)
Although loud disruptive Snoring is reported by 85% of patients with obstructive sleep apnea, most people who snore do not have OSA. Other symptoms of OSA ( Choking, gasping, or snorting during sleep Restless and unrefreshing sleep Difficulty staying asleep Most patients are asleep and are unaware of these symptoms until informed by bed partners, roommates, or housemates. In the morning, some patients have a sore throat, dry mouth, or headache. During daily activities, patients may experience intrusive sleepiness, fatigue, and impaired concentration. The frequency of sleep complaints and the degree of daytime sleepiness do not correlate well with number of events or arousals from sleep. However, those with sleepiness are at greater risk of cardiovascular complications. Not all patients are sleepy. Physical examination may show signs of nasal obstruction, tonsillar hypertrophy, and abnormalities of pharyngeal structure. Anatomic risk factors for OSA should be noted. 1.Lee JJ, Sundar KM: Evaluation and management of adults with obstructive sleep apnea syndrome.Lung199(2):87-101, 2021. doi: 10.1007/s00408-021-00426-w 2.Strohl KP, Redline S. Recognition of obstructive sleep apnea.Am J Respir Crit Care Med154(2 Pt 1):279-89, 1996. doi: 10.1164/ajrccm.154.2.8756795. PMID: 8756795. 