Diagnosis of Obstructive Sleep Apnea Syndrome

Yoo-Sam Chung

doi:10.7599/hmr.2013.33.4.227

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Chung: Diagnosis of Obstructive Sleep Apnea Syndrome

Review Article

Hanyang Medical Reviews 2013; 33(4): 227-232.

Published online: 25 November 2013

DOI: https://doi.org/10.7599/hmr.2013.33.4.227

Diagnosis of Obstructive Sleep Apnea Syndrome

Yoo-Sam Chung

Department of Otolaryngology, Asan Medical Center, Univerisity of Ulsan College of Medicine, Seoul, Korea.

Correspondence to: Yoo-Sam Chung. Department of Otolaryngology, Asan Medical Center, Univerisity of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea. Tel: +82-2-3010-3710, Fax: +82-2-489-2773, entysc@gmail.com

Received 28 August 2013 Revised 17 October 2013 Accepted 25 October 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 related to severity of obstructive sleep apnea. The severity of obstructive sleep apnea is measured by apnea-hypopnea index or respiratory disturbance index. The diagnosis of obstructive sleep 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 to high cost, inconvenience, and availability of in-lab polysomnogrpahy, simple diagnostic tools are suggested. Portable polysomnography has advantages including low cost, home monitoring, and convenience. But portable polysomnography has limitations like safety issues, lead malfunction, sensitivity, and specificity. Moreover, in some patients, portable polysomnography cannot be applied. The standard suggested diagnostic methods and available alternative tools are reviewed.

Keywords: Sleep Apnea, Obstructive, Sleep Apnea Syndromes, Snoring, Diagnosis, Polysomnography

Figures and Tables

Table 1

Indication of polysomnography in diagnosis of obstructive sleep apnea

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