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Sleep and respiration: a postscript.

M H Kryger, D P White, C W Zwillich

    Clinics in Chest Medicine
    |December 1, 1985
    PubMed
    Summary
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    Advances in diagnosing sleep apnea (a sleep disorder) show shorter sleep studies may suffice. Central sleep apnea can paradoxically occur with unusually high or low breathing drives.

    Area of Science:

    • Sleep Medicine
    • Respiratory Physiology

    Background:

    • Sleep apnea syndrome diagnosis and treatment have evolved.
    • Understanding breathing patterns during sleep is crucial.

    Purpose of the Study:

    • To review recent advances in sleep apnea diagnosis and therapy.
    • To highlight new findings regarding central sleep apnea.

    Main Methods:

    • Review of recent scientific literature on sleep apnea.
    • Analysis of diagnostic criteria and treatment selection for sleep apnea syndrome.

    Main Results:

    • Shorter polysomnographic studies may be adequate for diagnosing many sleep apnea patients.
    • Central sleep apnea can occur in patients with blunted or increased chemical drives to breathe.

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    Conclusions:

    • Diagnostic approaches for sleep apnea are becoming more efficient.
    • The understanding of central sleep apnea pathophysiology is expanding.