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03-18-2009, 10:54 AM
Sleep Apnea Syndrome
A disorders characterized by repetitive periods of apnea (cessation of breathing) occurring during sleep.
Types
1- Central: there is no drive to breathing during the apnea.
2- Obstructive: transient obstruction of the upper airway usually the oropharynx prevents inspiratoty airflow.
Mixed apnea.
C/P
Usually it is observed by the sleep partner
Central No chest movement.
Peripheral Chest wall and abdominal movement can be detected during the attempts to move air through the obstructed airway.
Treatment
Central respiratory stimulant, phrenic Nr pace maker stimulates
diaphragm
Obstructive treatment cause, weight reduction, tracheostomy
Complication:
Arrhythemia, P++, Unexplained core pulmonale, sudden death.



Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)