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Sleep apnoea syndrome in Nepal
Ramesh Chokhani1, Vikas Pathak, Rajan Kanth
1Department of Medicine, Nepal Medical College, Kathmandu, Nepal.
Nepal Medical College Journal : NMCJ
|November 22, 2005
Summary
Sleep apnoea syndrome is prevalent in Nepal, with snoring and daytime sleepiness as common symptoms. Obesity and hypertension are significant risk factors and co-morbidities in affected Nepalese patients.
Area of Science:
- Sleep Medicine
- Pulmonology
- Cardiology
Background:
- Sleep apnoea syndrome is a recognized disorder.
- Understanding its clinical profile in diverse populations is crucial.
Purpose of the Study:
- To analyze the clinical profiles of Nepalese patients diagnosed with sleep apnoea syndrome.
- To identify common symptoms, risk factors, and co-morbidities in this population.
Main Methods:
- Retrospective analysis of sleep studies from 89 diagnosed patients.
- Clinical evaluation including symptoms, risk factors, co-morbidities, and physical examination.
- Polysomnography to confirm diagnosis and assess severity (Apnoea-Hypopnoea Index).
Main Results:
- Sleep apnoea syndrome is not uncommon in Nepal.
- Common symptoms include snoring, excessive daytime sleepiness, frequent awakenings, nocturia, and choking spells.
- Obesity is the primary risk factor; hypertension (66.3%), COPD (43.2%), and cardiac diseases (19.1%) are frequent co-morbidities.
Conclusions:
- Sleep apnoea syndrome presents with characteristic symptoms and is associated with significant risk factors and co-morbidities in Nepalese patients.
- The disorder may contribute to cardiovascular issues and complicate existing COPD.
- Further research into sleep apnoea in Nepal is warranted.