ABSTRACT
BACKGROUND: Obstructive sleep apnea syndrome (OSAS) is a frequent sleep-related breathing disorder being associated with cardiovascular, metabolic and neurobehavioral consequences. Most patients with OSAS are untreated because they are not timely diagnosed. AIM: to determine the association of sleep symptoms and body mass index in patients with OSAS diagnosed by polysomnography. MATERIAL AND METHODS: We studied 144 patients aged 47 ± 14 years (75% males) in whom a polysomnography was done. These patients answered a sleep symptom questionnaire and the Epworth sleepiness scale. Their weight and body mass index was also recorded. RESULTS: Snoring and the presence of pauses during breathing were the symptoms with the higher sensitivity to predict the presence of OSAS. Body mass index was significantly higher among patients with OSAS. No differences in the Epworth scale were observed between patients with and without OSAS. CONCLUSIONS: Snoring and apneas while sleeping are symptoms that should lead to the suspicion of the presence of OSAS.
Subject(s)
Sleep Apnea, Obstructive/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Analysis of Variance , Body Mass Index , Female , Humans , Male , Middle Aged , Polysomnography , Retrospective Studies , Sensitivity and Specificity , Severity of Illness Index , Snoring , Surveys and Questionnaires , Young AdultABSTRACT
Background: Obstructive sleep apnea syndrome (OSAS) is a frequent sleep-related breathing disorder being associated with cardiovascular, metabolic and neurobehavioral consequences. Most patients with OSAS are untreated because they are not timely diagnosed. Aim: to determine the association of sleep symptoms and body mass index in patients with OSAS diagnosed by polysomnography. Material and Methods: We studied 144 patients aged 47 ± 14 years (75% males) in whom a polysomnography was done. These patients answered a sleep symptom questionnaire and the Epworth sleepiness scale. Their weight and body mass index was also recorded. Results: Snoring and the presence of pauses during breathing were the symptoms with the higher sensitivity to predict the presence of OSAS. Body mass index was significantly higher among patients with OSAS. No differences in the Epworth scale were observed between patients with and without OSAS. Conclusions: Snoring and apneas while sleeping are symptoms that should lead to the suspicion of the presence of OSAS.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Sleep Apnea, Obstructive/diagnosis , Snoring , Severity of Illness Index , Body Mass Index , Surveys and Questionnaires , Analysis of Variance , Sensitivity and Specificity , PolysomnographyABSTRACT
Cardiac rate and rhythm due to autonomic activation, may occur during epileptic seizures. They are probably a consequence of the spreading seizure activity to structures involved in the autonomic control of cardiac rhythm. Sinus tachycardia is the most frequent finding (90%). letal bradycardia is rare and Ufe threatening asystoles require cardiac pacemaker insertion. We report two patients with a right frontal seizure associated to bradycardia, during simultaneous EEG/ECG monitoring. Interictal autonomic function tests showed preserved sympathetic and cardiac vagal responses. Normal interictal autonomic function tests, suggested a transient failure of sympatho-vagal balance .
Subject(s)
Bradycardia/etiology , Epilepsy/complications , Adult , Bradycardia/diagnosis , Child , Electroencephalography , Humans , Male , Seizures/complicationsABSTRACT
Cardiac rate and rhythm due to autonomic activation, may occur during epileptic seizures. They are probably a consequence of the spreading seizure activity to structures involved in the autonomic control of cardiac rhythm. Sinus tachycardia is the most frequent finding (90 percent). Letal bradycardia is rare and life threatening asystoles require cardiac pacemaker insertion. We report two patients with a right frontal seizure associated to bradycardia, during simultaneous EEG/ECG monitoring. Interictal autonomic function tests showed preserved sympathetic and cardiac vagal responses. Normal interictal autonomic function tests, suggested a transient failure of sympatho-vagal balance.
