Obstructive apnea/hypopea syndrome of sleep: criteria of severity, pathogenesis, clinical manifestations and methods of diagnosis
Abstract
Obstructive sleep apnea / hypopnea is a common disease with a known pathogenesis, etiology, risk factors. Until recently, to determine the extent of SOAS index of apnea / hypopnea was estimated, but the predictive value of the index of apnea / hypopnea index (AHI) for the assessment of the severity and risk stratification of SOAS of is low. Clinically, the severity of SOAS is not always correlated with AHI, since it is necessary to consider all the complications and conditions that occurred on the background of SOAS.
References
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21. Djonlagic I., Saboisky J., Carusona A. Increased sleep fragmentation leads to impaired off -line consolidation of motor memories in humans // PLoS One. – 2012. - №7. – Р. 34106.
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26. Malhotra A., Orr J. E., Owens R.L. On the cutting edge of obstructiv e sleep apnoea: where next? // Rapid Review. – 2015. – Vol. 3. – Р. 397-402.
27. Management of obstructive sleep apnoea/hypopnoea syndrome in adults. A national clinical guideline [article online], 2003. — URL: http://www.sign.ac.uk/uidelines/fulltext/73/index. html. [Cited: 2016.06.01]
28. Marin J.M., Gascon J.M., Carrizo S., Gispert J. Prevalence of sleep apnoea syndrome in the Spanish adult population // Int J Epidemiol. – 1997. – Vol. 26. – Р. 381-386.
29. NICE technology appraisal guidance 139, march 2008. Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome, Diagnosis and treatment of obstructive sleep apnea in adults, Institute for Clinical Systems Improveme. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI), 2008.
30. Peppard P.E., Young T., Barnet J.H., et al. Increased prevalence of sleep-disordered breathing in adults // Am J Epidemio. – 2013. – Vol. 177. – Р. 1006–1014.
31. Punjabi N.M., Newman A, Young T., et al. Sleep disordered breathing and cardiovascular disease: an outcome-based definition of hypopneas // Am J. Respir Crit Care Med. – 2008. – Vol. 177 (10). – Р.1150–1155.
32. Punjabi N.M., Beamer B.A. Alterations in glucose disposal in sleepdisordered breathing // Am J Respir Crit Care Med. – 2009. – Vol. 179. – Р. 235–240.
33. Rahangdale S., Yeh S.Y., Novack V., et al. The infl uence of intermittent hypoxemia on platelet activation in obese patients with obstructive sleep apnoea // J Clin Sleep Med. – 2011. – Vol. 7 (2). – Р. 172–178.
34. Shahar E., Whitney C.W., Redline S., et al. Sleep disordered breathing and cardiovascular disease: cross–sectional results of the Sleep Heart Health Study // Am J Respir Crit Care Med. – 2000. – Vol. 163. – Р. 19-25.
35. Sleep–related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force // Sleep. – 1999. – Vol. 22. – Р. 667-689.
36. Thornton A.T., Singh P., Ruehland W.R., Rochford P.D. AASM criteria for scoring respiratoryevents: interaction between apnea sensor and hypopnea definition // Sleep. – 2012. – Vol. 35 (3). – Р. 425-432.
37. Young T., Palta M., Dempsey J., et al. The occurrence of sleep-disordered breathing among middle-aged adults // N Engl J Med. – 1993. - №3. – Р. 1230–1235.
38. Young T., Finn L., Peppard P.E., Szklo–Coxe M., et al. Sleep Disordered Breathing and Mortality: Eighteen–Year Follow–up of the Wisconsin Sleep Cohort // Sleep. – 2009.– Vol. 31 (8). – P.1071–1078.
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3. Vein A.M. Wakefulness and sleep. – Moscow: Nauka, 1970. – 127 p. (in Russian)
4. Vein A.M., Hecht K. Son of man. Physiology and pathology. – Moscow: Meditsina, 1989. – 272 p. (in Russian)
5. Vein A.M. Sleep Medicine (lecture) // Kremlevskaya meditsina. Clinichaskij Vestnik. – 1998. - №5 (extra is.). – P. 70-72. (in Russian)
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7. Zilber A.P. Sleep apnea syndrome. – Petrozavodsk: PGU Publishing, 1994. – 184 p. (in Russian)
8. Zimin Y.V., Buzunov R.V. Cardiovascular disorders in obstructive sleep apnea syndrome: whether they are an independent risk factor for mortality in patients with this disease? // Kardiologia. – 1997. – Vol. 37. N9. – P. 85-97. (in Russian)
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10. Kalinkin A.L. Polysomnogram // Funktsionalnaya Diagnostika. – 2004. - № 2. – P. 61-65. (in Russian)
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20. Djonlagic I., Guo M., Matteis P., et al. Untreated sleep-disordered breathing: links to aging-related decline in sleep-dependent memory consolidation// PLoS One. – 2014. - № 9. – P. e85918.
21. Djonlagic I., Saboisky J., Carusona A. Increased sleep fragmentation leads to impaired off -line consolidation of motor memories in humans // PLoS One. – 2012. - №7. – Р. 34106.
22. Guilleminault C., Demen W.C. Sleep apnoea syndromes – N.Y.: Alan R. Liss Inc. 1978.
23. Heinzer R., Vat S., Marques-Vidal P., et al. Prevalence of sleepdisordered breathing in the general population: the HypnoLaus study// Lancet Respir Med. – 2015. - № 3. – Р. 310–318.
24. Johns M.W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale // Sleep. – 1991. – Vol. 14(6). – Р. 540-545.
25. Lindberg E., Elmasry A., Gislason T., et al. Evolution of sleep apnea syndrome in sleepy snorers: a population-based prospective study// Am J Respir Crit Care Med. – 1999. – Vol. 159. – Р. 6024-6027.
26. Malhotra A., Orr J. E., Owens R.L. On the cutting edge of obstructiv e sleep apnoea: where next? // Rapid Review. – 2015. – Vol. 3. – Р. 397-402.
27. Management of obstructive sleep apnoea/hypopnoea syndrome in adults. A national clinical guideline [article online], 2003. — URL: http://www.sign.ac.uk/uidelines/fulltext/73/index. html. [Cited: 2016.06.01]
28. Marin J.M., Gascon J.M., Carrizo S., Gispert J. Prevalence of sleep apnoea syndrome in the Spanish adult population // Int J Epidemiol. – 1997. – Vol. 26. – Р. 381-386.
29. NICE technology appraisal guidance 139, march 2008. Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome, Diagnosis and treatment of obstructive sleep apnea in adults, Institute for Clinical Systems Improveme. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI), 2008.
30. Peppard P.E., Young T., Barnet J.H., et al. Increased prevalence of sleep-disordered breathing in adults // Am J Epidemio. – 2013. – Vol. 177. – Р. 1006–1014.
31. Punjabi N.M., Newman A, Young T., et al. Sleep disordered breathing and cardiovascular disease: an outcome-based definition of hypopneas // Am J. Respir Crit Care Med. – 2008. – Vol. 177 (10). – Р. 1150–1155.
32. Punjabi N.M., Beamer B.A. Alterations in glucose disposal in sleepdisordered breathing // Am J Respir Crit Care Med. – 2009. – Vol. 179. – Р. 235–240.
33. Rahangdale S., Yeh S.Y., Novack V., et al. The infl uence of intermittent hypoxemia on platelet activation in obese patients with obstructive sleep apnoea // J Clin Sleep Med. – 2011. – Vol. 7 (2). – Р. 172–178.
34. Shahar E., Whitney C.W., Redline S., et al. Sleep disordered breathing and cardiovascular disease: cross–sectional results of the Sleep Heart Health Study // Am J Respir Crit Care Med. – 2000. – Vol. 163. – Р. 19-25.
35. Sleep–related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force // Sleep. – 1999. – Vol. 22. – Р. 667-689.
36. Thornton A.T., Singh P., Ruehland W.R., Rochford P.D. AASM criteria for scoring respiratoryevents: interaction between apnea sensor and hypopnea definition // Sleep. – 2012. – Vol. 35 (3). – Р. 425-432.
37. Young T., Palta M., Dempsey J., et al. The occurrence of sleep-disordered breathing among middle-aged adults // N Engl J Med. – 1993. - №3. – Р. 1230–1235.
38. Young T., Finn L., Peppard P.E., Szklo–Coxe M., et al. Sleep Disordered Breathing and Mortality: Eighteen–Year Follow–up of the Wisconsin Sleep Cohort // Sleep. – 2009.– Vol. 31 (8). – P.1071–1078.
2. Вейн А.М., Елигулашвили Т.С., Полуэктов М.Г. Синдром апноэ во сне. – М.: Эйдос Медиа, 2002. – 310 с.
3. Вейн А.М. Бодрствование и сон. – М.: Наука, 1970. – 127 с.
4. Вейн А.М., Хехт К. Сон человека. Физиология и патология. – М.: Медицина, 1989. – 272с
5. Вейн А.М. Медицина сна (лекция) // Кремлевская медицина. Клинический вестник. – 1998. - №5 (дополнительный номер). – С. 70–72.
6. Вейн А.М., Елигулашвили Т.С., Полуэктов М.Г. Синдром апноэ во сне и другие расстройства дыхания, связанные со сном: клиника, диагностика, лечение. – М.: Эйдос Медиа, 2002.
7. Зильбер А.П. Синдромы сонного апноэ. – Петрозаводск: Издательство ПГУ, 1994. – 184 с.
8. Зимин Ю.В., Бузунов Р.В. Сердечно-сосудистые нарушения при синдроме обструктивного сонного апноэ: действительно ли они являются самостоятельным фактором риска смертности больных с этим заболеванием? // Кардиология. – 1997. – Т. 37. N9. – С.85-97.
9. Калинкин А.Л. Кардиоваскулярные осложнения и прогностическое значение обструктивного апноэ сна // Доктор.Ру. – 2014. - № 2. – С. 72-75.
10. Калинкин А.Л. Полисомнографическое исследование // Функциональная диагностика. – 2004. - № 2. – С. 61-65.
11. Калинкин А.Л. Синдром обструктивного апноэ сна – фактор риска артериальной гипертонии // Артериальная гипертензия. – 2003. – Т. 9. № 2. – С. 37-41.
12. Кунельская Н.Л., Тардов М.В., Ивойлов А.Ю. Синдром обструктивных апноэ сна: возрастные аспекты // Медицинский совет. – 2014. - № 3. – С. 67-69.
13. Лопатин А.С., Бузунов Р.В., Смушко А.М. и др. Храп и синдром обструктивного апноэ во сне // Российская ринология. – 1998. - № 4. – С.17–32.
14. Полуэктов М.Г. Синдром обструктивного апноэ во сне. Современные представления и роль // Ожирение и метаболизм. – 2005. - №1. – С. 2.
15. Ротарь O.П., Свиряев Ю.В., Звартау Н.Э. и др. Распространенность синдрома апноэ/гипопноэ во сне среди пациентов с сердечно-сосудистой патологией. // Бюллетень научно-исследовательского института кардиологии им. В.А. Алмазова. – 2004. - № 2 (1). – С. 91-94.
16. Тардов М.В. Храп и синдром обструктивного апноэ во сне // Русский медицинский журнал. – 2011. - № 6. – С. 415.
17. Шнайдер Н.А., Кантимирова Е.А., Алексеева О.В. Современные подходы к диагностики апноэ-гипопноэ сна // Вестник клинической больницы № 51. – 2014. - №5. – С. 37-41.
18. American Academy of Neurology Therapeutics and Technology Assessment Subcommittee. Assessment: techniqnes associated with the diagnosis and management of sleep disorders // Neurology. – 1992. – Vol. 42. – P. 269-275.
19. American Electroencephalographic Society Ad Hoc Guidelines Committee, Robin L. Gilmore, Chairman. Guidelines // J. Clin. Neurophysiol. – 1994. – Vol. 11. – P. 2-126
20. Djonlagic I., Guo M., Matteis P., et al. Untreated sleep-disordered breathing: links to aging-related decline in sleep-dependent memory consolidation// PLoS One. – 2014. - № 9. – P. e85918.
21. Djonlagic I., Saboisky J., Carusona A. Increased sleep fragmentation leads to impaired off -line consolidation of motor memories in humans // PLoS One. – 2012. - №7. – Р. 34106.
22. Guilleminault C., Demen W.C. Sleep apnoea syndromes – N.Y.: Alan R. Liss Inc. 1978.
23. Heinzer R., Vat S., Marques-Vidal P., et al. Prevalence of sleepdisordered breathing in the general population: the HypnoLaus study// Lancet Respir Med. – 2015. - № 3. – Р. 310–318.
24. Johns M.W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale // Sleep. – 1991. – Vol. 14(6). – Р. 540-545.
25. Lindberg E., Elmasry A., Gislason T., et al. Evolution of sleep apnea syndrome in sleepy snorers: a population-based prospective study// Am J Respir Crit Care Med. – 1999. – Vol. 159. – Р. 6024-6027.
26. Malhotra A., Orr J. E., Owens R.L. On the cutting edge of obstructiv e sleep apnoea: where next? // Rapid Review. – 2015. – Vol. 3. – Р. 397-402.
27. Management of obstructive sleep apnoea/hypopnoea syndrome in adults. A national clinical guideline [article online], 2003. — URL: http://www.sign.ac.uk/uidelines/fulltext/73/index. html. [Cited: 2016.06.01]
28. Marin J.M., Gascon J.M., Carrizo S., Gispert J. Prevalence of sleep apnoea syndrome in the Spanish adult population // Int J Epidemiol. – 1997. – Vol. 26. – Р. 381-386.
29. NICE technology appraisal guidance 139, march 2008. Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome, Diagnosis and treatment of obstructive sleep apnea in adults, Institute for Clinical Systems Improveme. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI), 2008.
30. Peppard P.E., Young T., Barnet J.H., et al. Increased prevalence of sleep-disordered breathing in adults // Am J Epidemio. – 2013. – Vol. 177. – Р. 1006–1014.
31. Punjabi N.M., Newman A, Young T., et al. Sleep disordered breathing and cardiovascular disease: an outcome-based definition of hypopneas // Am J. Respir Crit Care Med. – 2008. – Vol. 177 (10). – Р.1150–1155.
32. Punjabi N.M., Beamer B.A. Alterations in glucose disposal in sleepdisordered breathing // Am J Respir Crit Care Med. – 2009. – Vol. 179. – Р. 235–240.
33. Rahangdale S., Yeh S.Y., Novack V., et al. The infl uence of intermittent hypoxemia on platelet activation in obese patients with obstructive sleep apnoea // J Clin Sleep Med. – 2011. – Vol. 7 (2). – Р. 172–178.
34. Shahar E., Whitney C.W., Redline S., et al. Sleep disordered breathing and cardiovascular disease: cross–sectional results of the Sleep Heart Health Study // Am J Respir Crit Care Med. – 2000. – Vol. 163. – Р. 19-25.
35. Sleep–related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force // Sleep. – 1999. – Vol. 22. – Р. 667-689.
36. Thornton A.T., Singh P., Ruehland W.R., Rochford P.D. AASM criteria for scoring respiratoryevents: interaction between apnea sensor and hypopnea definition // Sleep. – 2012. – Vol. 35 (3). – Р. 425-432.
37. Young T., Palta M., Dempsey J., et al. The occurrence of sleep-disordered breathing among middle-aged adults // N Engl J Med. – 1993. - №3. – Р. 1230–1235.
38. Young T., Finn L., Peppard P.E., Szklo–Coxe M., et al. Sleep Disordered Breathing and Mortality: Eighteen–Year Follow–up of the Wisconsin Sleep Cohort // Sleep. – 2009.– Vol. 31 (8). – P.1071–1078.
REFERENCES
1. Buzunov R.V., Legeyda I.V., Tsaryova E.V. Snoring and obstructive sleep apnea syndrome in adults and children: A Practical Guide for Physicians. – Moscow, 2013. (in Russian)
2. Vein A.M., Eligulashvili T.S., Polouektov M.G. Sleep apnea syndrome. – Moscow: Eidos Media, 2002. – 310 p. (in Russian)
3. Vein A.M. Wakefulness and sleep. – Moscow: Nauka, 1970. – 127 p. (in Russian)
4. Vein A.M., Hecht K. Son of man. Physiology and pathology. – Moscow: Meditsina, 1989. – 272 p. (in Russian)
5. Vein A.M. Sleep Medicine (lecture) // Kremlevskaya meditsina. Clinichaskij Vestnik. – 1998. - №5 (extra is.). – P. 70-72. (in Russian)
6. Vein A.M., Eligulashvili T.S., Polouektov M.G. Sleep apnea and other breathing disorders associated with sleep: clinical features, diagnosis, treatment. – Moscow: Eidos Media, 2002. (in Russian)
7. Zilber A.P. Sleep apnea syndrome. – Petrozavodsk: PGU Publishing, 1994. – 184 p. (in Russian)
8. Zimin Y.V., Buzunov R.V. Cardiovascular disorders in obstructive sleep apnea syndrome: whether they are an independent risk factor for mortality in patients with this disease? // Kardiologia. – 1997. – Vol. 37. N9. – P. 85-97. (in Russian)
9. Kalinkin A.L. Obstructive Sleep Apnea: Cardiovascular Complications and Prognostic Significance // Doktor.Ru. – 2014. - № 2. – P. 72-75.
10. Kalinkin A.L. Polysomnogram // Funktsionalnaya Diagnostika. – 2004. - № 2. – P. 61-65. (in Russian)
11. Kalinkin A.L. Obstructive sleep apnea syndrome is a risk factor for arterial hypertension // Arterialnaya Hipertenzia. – 2003. – Vol. 9 (2). – P. 37–41. (in Russian)
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Published
2018-04-17
How to Cite
АЛЕКСЕЕВА, Ольга Владимировна et al.
Obstructive apnea/hypopea syndrome of sleep: criteria of severity, pathogenesis, clinical manifestations and methods of diagnosis.
Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 140, n. 1, p. 91-97, apr. 2018.
ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/230>. Date accessed: 28 jan. 2026.
Issue
Section
Lectures
