Browse > Article
http://dx.doi.org/10.15324/kjcls.2019.51.1.119

Case of a Change in the Polysomnograpy Results after Using Continuous Positive Airway Pressure in a Patient with Obstructive Sleep Apnea  

Kim, Dae Jin (Department of Neurology, Pusan National University Yangsan Hospital)
Mun, Sue Jean (Department of Otorhinolaryngology-Head & Neck Surgery, Pusan National University Yangsan Hospital)
Choi, Jeong Su (Department of Integrated Biomedical and Life Sciences, Graduate School, Korea University)
Lee, Min Woo (Research Institute of Health Sciences, Korea University)
Cho, Jae Wook (Department of Neurology, Pusan National University Yangsan Hospital)
Publication Information
Korean Journal of Clinical Laboratory Science / v.51, no.1, 2019 , pp. 119-123 More about this Journal
Abstract
Obstructive sleep apnea (OSA) is a sleep disorder with no breathing symptoms due to repetitive upper airway resistance. OSA is a disease that can have significant effects on the cerebral cardiovascular system. Active treatment is needed to prevent these complications. The use of continuous positive airway pressure (CPAP), the standard therapy of OSA, has comparative therapeutic effects. On the other hand, there is no comparison report of the polysomnography (PSG) results before and after CPAP therapy without using a mask. This paper reports a patient who was diagnosed as OSA and used CPAP every night for more than 2 years. The patient showed a decrease in the apnea-hypopnea index from 64.7/h to 12.9/h. In addition, other sleep-related indicators improved significantly. The daily use of CPAP as a treatment for OSA for more than 2 years may improve the PSG results. Constant follow up of PSG will be needed to adjust the appropriate CPAP pressure to patients because there might be a change in the Apnea-Hypopnea Index and other sleep-related indicators for constant CPAP users for at least 2 years.
Keywords
Apnea-hypopnea index; Continuous positive airway pressure; Obstructive sleep apnea;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Caples SM, Rowley Ja, Prinsell JR, Pallanch JF, Elamin MB, Katz SG, et al. Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep. 2010;33:1396-1407. http://doi.org/10.1093/sleep/33.10.1396.   DOI
2 Lee CH, Hong SL, Rhee CS, Kim SW, Kim JW. Analysis of upper airway obstruction by sleep videofluoroscopy in obstructive sleep apnea: a large population-based study. Laryngoscope. 2012;122:237-241. http://doi.org/10.1002/lary.22344.   DOI
3 Moos DD. Obstructive sleep apnea and sedation in the endoscopy suite. Gastroenterol Nurs. 2006;29:456-463.   DOI
4 Deacon NL, Sande SA, McEvoy DR, Catcheside PG. Daytime loop gain is elevated in obstructive sleep apnea but not reduced by CPAP treatment. J Appl Physiol. 2018;125:1490-1497. http://doi.org/10.1152/japplphysiol.00175.2018.   DOI
5 Younes M, Ostrowski M, Thompson W, Leslie C, Shewchuk W. Chemical control stability in patients with obstructive sleep apnea. Am J Respir Crit Care Med. 2001;163:1181-1190. http://doi.org/10.1164/ajrccm163.5.2007013.   DOI
6 Yun CH. A diagnosis and treatment of obstructive sleep apnea syndrome. J Kor Sleep Research Soc. 2004;1:34-40. http://doi.org/10.13078/jksrs.04006.   DOI
7 Shahar E, Whitney CW, Redline S, Lee ET, Newman AB, Nieto FJ, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the sleep heart health study. Am J Respir Crit Care Med. 2001:163:19-25. http://doi.org/10.1164/ajrccm.163.1.2001008.   DOI
8 Li J, Li MX, Liu SN, Wang JH, Huang M, Wang M, et al. Is brain damage really involved in the pathogenesis of obstructive sleep apnea? Neuroreport. 2014;25:593-595. http://doi.org/10.1097/WNR.0000000000000143.   DOI
9 Kusida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J Jr, et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep. 2005;28:499-521. https://doi.org/10.1093/sleep/28.4.499.   DOI
10 Salloum A, Rowley JA, Mateika JH, Chowdhuri S, Omran Q, Badr MS. Increased propensity for central apnea in patients with obstructive sleep apnea: effect of nasal continuous positive airway pressure. Am J Respire Crit Care Med. 2010;181:189-193. http://doi.org/10.1164/rccm.200810-1658OC.   DOI
11 Weaver TE, Chasens ER. Continuous positive airway pressure treatment for sleep apnea in older adults. Sleep Med Rev. 2007;11:99-111. https://doi.org/10.1016/j.smrv.2006.08.001.   DOI
12 Kim CS. The association between blood pressure and obstructive sleep apnea-hypopnea syndrome. Korean J Clin Lab Sci. 2014;46:106-110. http://doi.org/10.15324/kjcls.2014.46.3.1063.   DOI
13 Kapur VK, Auckley DH, Chowdhuri S, Kuhlmann DC, Mehra R, Ramar K, et al. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017;13:479-504. http://doi.org/10.5664/jcsm.6506.   DOI
14 Gay P, Weaver T, Loube D, Iber C, Positive airway pressure task force, Standards of practice committee, et al. Evaluation of positive airway pressure treatment for sleep related breathing disorders in adults. Sleep. 2006;3:381-401. http://doi.org/10.1093/sleep/29.3.381.
15 Frideman M, Ibrahim H, Joseph NJ. Staging of obstructive sleep apnea/hypopnea syndrome: A guide to appropriate treatment. Laryngoscope. 2004;114:454-459. https://doi.org/10.1097/00005537-200403000-00013.   DOI
16 Peppard PE, Toung T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA. 2000;284:3015-3021. http://doi.org/10.1001/jama.284.23.3015.   DOI
17 Kushida CA, Morgenthaler TI, Littner MR, Alessi CA, Bailey D, Coleman J Jr, et al. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005. Sleep. 2006;29:240-243. http://doi.org/10.1093/sleep/29.2.240.   DOI
18 Aurora RN, Casey KR, Kristo D, Auerbach S, Bista SR, Chowdhuri S, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep. 2010;33:1408-1413. http://doi.org/10.1093/sleep/33.10.1408.   DOI