Worthington Endodontist

Obstructive Sleep Apnea in AdultsWorthington, OH

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Diagnosis and Treatment

Obstructive sleep apnea is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. This results in fragmented, nonrestful sleep that can lead to symptoms such as morning headache and daytime sleepiness.

Obstructive sleep apnea affects persons of all ages, with an increasing prevalence adults over 60 years of age. The exact prevalence is unknown but is estimated to be between 2% and 14%. There are many health conditions associated with obstructive sleep apnea, including:

  • Hypertension
  • Coronary artery disease
  • Cardiac arrhythmias
  • Depression
  • Insulin Resistance and Diabetes

Loud snoring, gasping during sleep, obesity, and enlarged neck circumference are predictive clinical features. Screening questionnaires can be used to assess for the risk of sleep apnea, although they are not diagnostic. The diagnostic standard for obstructive sleep apnea is nocturnal polysomnography in a sleep laboratory. Home sleep apnea tests can be performed for certain patients but are generally considered less accurate, but more convenient for the patient. Continuous positive airway pressure is the first-line treatment; adherence rates are variable and seem to improve with early patient education and support. Other treatment modalities include weight reduction, oral appliance therapy, and surgery to correct anatomic obstructions, although there is insufficient evidence to support these types of surgeries. Bariatric surgery can improve sleep parameters and symptoms in obese patients with obstructive sleep apnea and can result in remission in many patients.

Obstructive sleep apnea (OSA) is a common, chronic disorder that disrupts breathing during sleep. It affects persons of all ages but especially those middle-aged and older.1 Patients with OSA temporarily stop or decrease their breathing (apnea or hypopnea, respectively) repeatedly during sleep.2-5 This cessation or decrease in breathing is the result of repetitive partial or complete obstruction of the airway caused by narrowing of the respiratory passages.4,6–8 These breathing disruptions can awaken a person or prevent deep, restful sleep. The effects of fragmented sleep on daytime fatigue and sleepiness are widely recognized.3,6 Untreated obstructive sleep apnea triple the risk of having a heart attack.

sleep apnea graphic

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The Heart Attack Stroke Prevention Center of Central Ohio is located at 350 West Wilson Bridge Road Suite 320-A Worthington, OH 43085.

(614) 360-9386