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학술저널
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저널정보
한양대학교 의과대학 Hanyang Medical Reviews Hanyang Medical Reviews Vol.33 No.4
발행연도
2013.1
수록면
227 - 232 (6page)

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초록· 키워드

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Obstructive sleep apnea is a prevalent disease and contributes to consequences like hypertension,diabetes, stroke, cardiac disease, daytime sleepiness, decreased productivity,mood change, and quality of life. The mortality and morbidity due to consequences are relatedto severity of obstructive sleep apnea. The severity of obstructive sleep apnea is measuredby apnea-hypopnea index or respiratory disturbance index. The diagnosis of obstructivesleep apnea is made by polysomnographic findings and/or one of its symptoms(daytime symptoms like unintentional sleep episode during wakefulness, daytime sleepiness,unrefreshing sleep, insomnia, or fatigue, nighttime symptoms like breath holding,gasping, or choking, or bed partner’s report about loud snoring, breath stopping). Due tohigh cost, inconvenience, and availability of in-lab polysomnogrpahy, simple diagnostictools are suggested. Portable polysomnography has advantages including low cost, homemonitoring, and convenience. But portable polysomnography has limitations like safety issues,lead malfunction, sensitivity, and specificity. Moreover, in some patients, portablepolysomnography cannot be applied. The standard suggested diagnostic methods andavailable alternative tools are reviewed.

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