How To Get An Accurate Diagnosis And Treatment Plan For Childhood Sleep Apnea
Fortunately, sleep apnea is a treatable condition. The first step is to get an accurate diagnosis of sleep apnea. Although it is sometimes possible to make a diagnosis through clinical features alone, the gold standard for diagnosis of sleep apnea is polysomnography, commonly known as a sleep study. During polysomnography, sleep doctors will monitor brain waves, eye movements, heart and respiration patterns, blood oxygen levels, movements during sleep, and snoring. This can help your Seattle sleep specialist make an accurate diagnosis of sleep apnea.
Following diagnosis of sleep apnea, there are several potential treatment options. First, your sleep doctor can determine if there is a physiological reason for your childs sleep problems. For instance, enlarged tonsils are a common cause of this condition. As a result, tonsillectomy may be an appropriate treatment for some children. Weight loss may also be recommended if your childs body weight may be contributing to the sleep problem.
If enlarged tonsils or adenoids are not contributing to the sleep apnea, your Seattle sleep doctor may recommend the use of a continuous positive airway pressure machine. CPAP therapy involves the use of a mask to deliver oxygen throughout the night. It is the best way to ensure that your child gets enough oxygen to fuel the brain and body during sleep.
If you think your child has sleep apnea, please schedule an appointment with Sound Sleep Health in Seattle . Call us at 279-7151 today.
Longing For More Sleep
There is a common misconception that there is an exact amount of sleep that the body requires. The necessary hours of sleep can vary, as some people can require as little as five hours or as much as nine hours to function optimally. In addition, too little or too much sleep can cause problems. The classic example is someone who sleeps in on the weekends. Although one may think getting more sleep than usual would leave a person feeling well rested, sleeping an extra 2 to 3 hours can actually cause the person to feel groggy and less rested. For my migraine patients, both under- and oversleeping can serve as triggers for more migraines. Naps can also be detrimental to sleep hygiene, as they often lead to poor sleep that evening.
Snoring Vs Obstructive Sleep Apnea
ByHarvey Foreman | Submitted On August 10, 2010
Sleep takes up approximately one-third or maybe more of the typical person’s lifetime. Regardless of whether individuals wish for peaceful slumber, various kinds of sleep-related health problems lower the quality as well as quantity of sleep. Snoring is regarded as the most prevalent reason for insomnia. But other types of sleep issues could prove far more hazardous. Even deadly.
Snoring is actually broken down into 2 types: Obstructive sleep apnea and another condition scientists refer to as Primary snoring. Obstructive sleep apnea manifests itself in Noisy, increased loud breathing, disrupted by air blockages along with repeated gasping for air. Additional signs and symptoms consist of extreme drowsiness during the day and difficulty concentrating. Furthermore, it has been discovered that this condition is much more prevalent in males than in females.
Primary Snoring, on the other hand, is quite different. It is extremely common and is also not related to apnea attacks in any way. Primary snoring could possibly be an early indicator for individuals that may ultimately have obstructive sleep apnea. This kind of development has been known to be more probable in individuals ages 35-40 as well as that put on excess weight.
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Timely Diagnosis And Treatment
In an interview with Medical News Today, Dr. Ryan Soose, director of the UPMC Sleep Division, said: Weve known for a long time that untreated sleep apnea patients are more likely to develop high blood pressure, heart disease, and a number of other health conditions. But the risk of sudden death reported in this study is eye-opening and makes a timely diagnosis and treatment even more pressing.
The effects of the nervous system on the human sleep cycle may explain the association between sleep apnea and the increased rate of sudden death.
Because of the intermittent lack of oxygen that people with sleep apnea experience, the central nervous system may be over-aroused to increase airflow. In turn, this can cause increases in both the systolic and diastolic blood pressure of an individual.
In addition, someone with sleep apnea will experience oxidative stress , which can contribute to an imbalance of antioxidants in the body. This imbalance can damage cells and speed up the aging process, causing numerous health problems over time.
Every time closes off, its very similar to if someone is being choked, Coller explains. This can happen hundreds of times in one night, causing the person stress and fragmentation of their sleep.
Dr. Soose agreed:
Sleep Apnea Congenital Heart Disease May Be Deadly Mix For Hospitalized Infants
Infants often aren’t screened for sleep apnea, but a new study suggests the disorder may be tied to an increased risk of death in infants with congenital heart disease.
Researchers at the University of Arizona College of MedicineTucson have found that hospitalized infants with congenital heart disease and central sleep apnea are four times more likely to die during their stay in the hospital than infants with congenital heart disease alone. Their findings are published this week in the Journal of Clinical Sleep Medicine.
“We were surprised that together these two conditions had such a strong association with death,” says Sairam Parthasarathy, MD, a professor in the Department of Medicine and a sleep specialist who contributed to the new study.
For the project, researchers mined through data from the Kids’ Inpatient Database, the national database that collects pediatric discharge information from more than 4,100 U.S. community hospitals.
Between 1997 and 2012, the team found that 4,968 infants with congenital heart disease age 1 year or younger were diagnosed with sleep apnea.
Sleep apnea presents itself in several different forms, including central sleep apnea and obstructive sleep apnea. In central sleep apnea, the body temporarily pauses or decreases breathing efforts during sleep. Obstructive sleep apnea arises when the throat muscles temporarily relax and block the airway.
Dr. Combs admitted that gaps in knowledge remain.
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What Does The Evidence Show
Keeping these reservations in mind, what does the evidence show so far? First, there is a general agreement that patients with severe sleep apnoea having an AHI 30events·h1 have higher mortality rates than patients with no or mild forms of sleep apnoea. Furthermore, effective treatment of these patients, particularly with nCPAP, is associated with reduced mortality. Compliance, however, appears to be an important factor, but more information is needed to determine the minimum number of hours of nCPAP use per night needed to reduce mortality risk. There is also a general agreement among studies that lung disease is a significant predictor of mortality in sleep apnoea. It is not clear at this time, however, if co-existence of sleep apnoea and other diseases, such as stroke or ischaemic heart disease, is associated with a higher risk of mortality than the risk associated with stroke or heart disease without sleep apnoea. Certainly more research is needed to answer this question.
In conclusion, mortality studies of sleep apnoea syndrome have generally shown that severe sleep apnoea constitutes an important mortality risk that can be reduced by proper treatment. Moreover, in view of the higher mortality risks in younger patients, diagnosis and treatment of the syndrome should be carried out at the earliest age possible.
Study Shows That People With Sleep Apnea Have A High Risk Of Death
WESTCHESTER, Ill. A study in the August 1 issue of the journal Sleep shows that people with severe sleep apnea have a much higher mortality risk than people without sleep apnea, and this risk of death increases when sleep apnea is untreated.
Results show that people who have severe sleep apnea, which involves frequent breathing pauses during sleep, have three times the risk of dying due to any cause compared with people who do not have sleep apnea. This sleep apnea risk is represented by an adjusted hazard ratio of 3.2 after controlling for age, sex and body mass index. When 126 participants who reported regular use of continuous positive airway pressure therapy were removed from the statistical analysis, the hazard ratio for all-cause mortality related to severe sleep apnea rose to 4.3.
We found that both men and women with sleep apnea in the general population not patients mostly undiagnosed and untreated, had poorer survival compared with persons without sleep apnea, given equal BMI, age and sex, said principal investigator and lead author Terry Young, PhD, professor of epidemiology at the University of Wisconsin-Madison.
According to Young, most previous studies of sleep apnea and mortality have involved patients referred for a clinical sleep diagnostic evaluation the mortality risk for sleep apnea in the general population has not been previously reported.
The study was supported by grants from the National Institutes of Health.
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Obstructive Sleep Apnea Can Still Cause Death
However, just because you wont suffocate from sleep apnea, this doesnt mean that you cant die from it! Unfortunately, research indicates that thousands of deaths are caused every year by untreated sleep apnea. This is because sleep apnea significantly raises the risk of a number of potentially fatal conditions, particularly heart attacks and strokes. The stress of repeatedly lowering oxygen levels damages the body, particularly the cardiovascular system. The lack of restful sleep also causes stress and leaves the body unable to heal and maintain its tissues.
This is why its so important not to simply ignore the signs of possible sleep apnea. If you get treatment, you can significantly reduce your risk of a number of serious health conditions.
A Study Of 3000 Children With Obstructive Sleep Apnoea Reveals That These Kids Are 65 Times More Likely To Die Prematurely Than Other Children
Children who suffer obstructive sleep apnoea experience repetitive pauses in breathing during sleep. This interrupts their sleep, which can lead to irritability, poor concentration and slower growth.However, these children often have other and more serious ailments to deal with.
A new study reveals that children with obstructive sleep apnoea have a 6.5 times higher mortality rate than other children.
Results surprised researchers
This is the first systematic study of mortality after children have been diagnosed , and we were surprised to see that it was this high, says the lead author of the study, Professor Poul Jørgen Jennum, the head of research at the Clinical Neurophysiological Research Unit at Glostrup Hospital, Denmark.
Our study also shows that children with sleep apnoea are more prone to illness both before and after being diagnosed.
The study is published in the journal Thorax.
Long pauses in breathing
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Yes You Can Die From Sleep Apnea Carrie Fisher Did
- Yes, you can die from sleep apnea. Carrie Fisher did.
News of the official cause of death of iconic Star Wars actress Carrie Fisher has swept the Internet, leaving open many unanswered questions. The headlines suggesting Fishers death at age 60 was caused by obstructive sleep apnea are giving many people reason to pause.
Can you actually die from sleep apnea?
Its unclear to the American Sleep Apnea Association whether Fisher had been diagnosed with and/or was actively treating her sleep apnea. We are attempting to learn more so that we may help educate others about diagnosis of and treatments for this very common medical condition.
While the ASAA is focused on public awareness, education, and advocacy for sleep apnea, we have taken on a new initiativeto help find a cure for sleep apneaso that the deaths of Carrie Fisher and others can be avoided in the future. However, this work does not happen without support Please donate now to the ASAA and join us in finding a cure for sleep apnea!
Serious Consequences Of Sleep Apnea
While these symptoms can potentially affect a persons quality of life, they can also have even more serious consequences.
Researchers at Penn State performed a systematic review of the literature and identified 22 studies focusing on obstructive sleep apnea, cardiac death, and sudden death. The team analyzed the combined data of these studies by meta-analysis.
The quantitative analysis included a combined total of over 42,000 individuals across the world. The mean age of participants was 62 years old, and 64% were men.
The meta-analysis showed that individuals with obstructive sleep apnea were approximatelytwice as likely to experience sudden death than those who did not have the sleep condition. The study also identified that obstructive sleep apnea resulted in a nearly twofold risk of cardiovascular death that increased with age.
According to Dr. John S. Oh, assistant professor in the Department of Surgery at Penn State Health Milton S. Hershey Medical Center and one of the study authors, many patients do not realize the seriousness of an apnea diagnosis.
Obstructive sleep apnea is a common condition that can have fatal consequences, stresses Dr. Oh.
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Sleep Apnea Can Have Deadly Consequences
The condition is on the rise because the most frequent cause is obesity, which continues its unrelenting climb among American adults.
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Although the woman in her 50s had been effectively treated for depression, she remained plagued by symptoms that often accompany it: fatigue, sleepiness and lethargy, even though she thought she was getting enough sleep.
With depression no longer causing her persistent symptoms, her psychiatrist advised her to consult a sleep specialist.
Sure enough, a night in the sleep lab at the University of Pennsylvanias Perelman School of Medicine revealed that while the woman was supposedly asleep, she experienced micro-awakenings about 18 times an hour, resulting in sleep that restored neither body nor brain. All night long, she would stop breathing for more than 10 seconds at a time, followed by a mini-arousal and a snore as she gasped for breath to raise the depleted oxygen level in her blood.
Diagnosis: Obstructive sleep apnea, an increasingly common yet often missed or untreated condition that can result in poor quality of life, a risk of developing heart disease, stroke, diabetes and even cancer, and perhaps most important of all, a threefold increased risk of often-fatal motor vehicle accidents.
Sleep Apnea Increases Risk Of Sudden Death Cardiovascular Conditions
HERSHEY, Pa. A study by Penn State College of Medicine researchers reveals that people living with obstructive sleep apnea , a condition that occurs when a persons airway becomes blocked while they are asleep, are twice as likely to experience sudden death compared to people living without OSA. The researchers also found that OSA, which is estimated to affect upwards of 1 billion people worldwide, increases a person’s risk of developing certain cardiovascular conditions including hypertension, coronary artery disease and congestive heart failure.
The research team studied more than 42,000 patients worldwide and conducted a systematic review of sleep apnea-related studies published through January 2020. The researchers found that people with OSA have a greater risk of dying suddenly from various causes, including cardiovascular death. According to the researchers, this risk increases with age.
Patients with sleep apnea experience shallow or interrupted breathing, which disrupts their sleep, said Anna Ssentongo, doctor of public health student and principal investigator on the study. Our research shows this condition can be life-threatening. Those with OSA were at a nearly twofold higher risk of sudden death and cardiovascular mortality compared to those without OSA. Future studies are needed to identify treatments and interventions that can optimize survival.
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Risk Factors Associated With Sleep Apnea
Obstructive Sleep Apnea, the most common form of sleep apnea, is a condition in which the upper respiratory system intermittently constricts to block the flow of oxygen into the lungs. This constriction forces the body to work hard in order to breathe and, consequently, causes the body to shift from deep, restful sleep to light sleep in order to bring air in. This lack of sleep tends to accumulate until individuals start to operate with a significant sleep deficit.
While individuals of all ages can develop sleep apnea, common sleep apnea risk factors include:
- Obesity/High Body Mass Index
- Heavy Snoring
Getting Used To Your Cpap Device
Ease into it. Start by using your CPAP device for short periods. Try wearing it for a half hour or an hour while sitting up in bed watching TV or reading a book. Once youve gotten used to that, try using it lying down or when napping.
Use the ramp setting. Most devices can be programmed to start slowly and gradually increase air pressure. The goal is to be asleep before the machine reaches your prescribed pressure setting. Most people find this makes falling asleep much easier and more comfortable.
Reset the machine if air flow wakes you. If a high-pressure stream of air wakes you up, turn the CPAP device on and off to restart the ramp setting.
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Diagnosing And Treating Sleep Apnea For Better Health
Its important to treat sleep apnea, because it can have long-term consequences for your health. While there have been some high-profile deaths linked to sleep apneasuch as with Judge Antonin Scalia Jun says that the true risk is from damage done over time.
Obstructive sleep apnea can range from mild to severe, based on a measurement system called the apnea-hypopnea index . The AHI measures the number of breathing pauses that you experience per hour that you sleep.
Obstructive sleep apnea is classified by severity:
- Severe obstructive sleep apnea means that your AHI is greater than 30
- Moderate obstructive sleep apnea means that your AHI is between 15 and 30
- Mild obstructive sleep apnea means that your AHI is between 5 and 15
Johns Hopkins Home Care
We provide high quality, individualized care for patients of all ages where you feel most comfortable your home or community. Our services and equipment are designed to help you regain and retain a level of independence.
Whether or not you need treatment for sleep apnea depends on its severity, whether or not you have symptoms such as sleepiness and other health conditions. For example, if you have risk factors for heart disease, your doctor might opt to treat you even for mild sleep apnea. On the other hand, if you have a severe case of sleep apnea, your doctor might insist on treatment even if youre not sleepy.
Not very relaxing, right? Luckily, its treatable.