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Related Concept Videos

Sleep Apnea01:21

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
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Chronic Obstructive Pulmonary Disease-V: Management01:29

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Chronic Obstructive Pulmonary Disease01:22

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
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Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure01:16

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Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
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Challenges in Obstructive Sleep Apnea Management in Elderly Patients.

Aude Joskin1, Marie Bruyneel1,2

  • 1Department of Pulmonary Medicine, Saint-Pierre University Hospital, Brussels, Belgium and Université Libre de Bruxelles, 1000 Brussels, Belgium.

Journal of Clinical Medicine
|January 8, 2025
PubMed
Summary

Obstructive sleep apnea (OSA) is increasingly diagnosed in older adults, presenting unique challenges like insomnia and comorbidities. Continuous positive airway pressure (CPAP) offers benefits but requires strategies to improve adherence in this population.

Keywords:
OSA phenotypic traitscognitioncontinuous positive airway pressureelderlyobstructive sleep apneapatient-centered sleep diagnosticspersonalized sleep medicine

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Area of Science:

  • Gerontology
  • Sleep Medicine
  • Cardiology

Background:

  • Obstructive sleep apnea (OSA) is increasingly prevalent in the aging population.
  • Older adults with OSA often exhibit less pronounced sleepiness but more insomnia symptoms.
  • Comorbidities, including cardiometabolic and cognitive conditions, are common in elderly OSA patients.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and treatment of OSA in the elderly.
  • To highlight the challenges and benefits of Continuous Positive Airway Pressure (CPAP) therapy in older individuals.
  • To emphasize the need for tailored strategies and future research for elderly OSA patients.

Main Methods:

  • Review of current clinical practices and literature regarding OSA in the elderly.
  • Discussion of diagnostic methods, including polygraphy and polysomnography.
  • Analysis of CPAP efficacy and adherence factors in older populations.

Main Results:

  • OSA in the elderly presents with distinct symptoms (less sleepiness, more insomnia) and frequent comorbidities.
  • CPAP is effective for improving nighttime symptoms, sleepiness, mood, and cognition, and preventing cardiovascular events in severe OSA.
  • CPAP adherence decreases with age, particularly in those over 80 and with cognitive impairment.

Conclusions:

  • CPAP should be offered to elderly OSA patients, with strategies to overcome adherence barriers.
  • Therapeutic education, adapted masks, and telemonitoring are potential support methods.
  • Further prospective studies are needed to identify elderly patients who benefit most from OSA treatment.