What is Sleep Apnea
Sleep apnea is a sleep disorder
characterized by pauses in breathing during sleep. Each episode,
called an apnea, lasts long enough so that one or more breaths
are missed, and such episodes occur repeatedly throughout sleep.
The standard definition of any apneic event includes a minimum
10 second interval between breaths, with either a neurological
arousal, a blood oxygen desaturation of 3-4% or greater, or both
arousal and desaturation. Sleep apnea is diagnosed with
an overnight sleep test called a polysomnogram, or a "Sleep
Study".
Clinically significant levels of sleep apnea
are defined as five or more episodes per hour of any type of
apnea (from the polysomnogram). There are three distinct forms
of sleep apnea: central, obstructive, and complex (i.e., a
combination of central and obstructive) constituting 0.4%, 84%
and 15% of cases respectively. Breathing is interrupted by the
lack of respiratory effort in central sleep apnea; in
obstructive sleep apnea, breathing is interrupted by a physical
block to airflow despite respiratory effort. In complex
(or "mixed") sleep apnea, there is a transition from central to
obstructive features during the events themselves.
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