Investigations of breathing disorders related to sleep from A to Z

Česká verzia

Authors: Ing. Miloš Bělehrad ¹; doc. MUDr. Tomáš Kára, Ph.D. ^1,2; MUDr. Pavel Matuška, Ph.D.; Fccp ¹; Mgr. Hana Kličková ¹; Bc. Erika Nečasová ¹; Jana Košťálová ¹; Ilona Hrubá ¹; doc. MUDr. Miroslav Novák, CSc. ^1,2; Ing. Pavel Leinveber ^1,2; MUDr. Pavel Homolka; Ph.D. ^1,3; MUDr. Filip Souček ^1,2; MUDr. Ondřej Ludka; Ph.D. ^1,2; doc. MUDr. Miroslav Moráň; Ph.D. ^1,5; Ing. Pavel Jurák, CSc. ^1,6; Prof. MUDr. Jiří Vítovec, CSc. ²; Prof. MUDr. Miroslav Souček, CSc. ^1,7
Authors place of work: Mezinárodní centrum klinického výzkumu – Kardiovaskulární spánkové výzkumné centrum LF MU a FN u sv. Anny v Brně ¹; Mezinárodní centrum klinického výzkumu – I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně ²; Klinika tělovýchovného lékařství a rehabilitace LF MU a FN u sv. Anny v Brně ³; Interní kardiologická klinika LF MU a FN Brno ⁴; Neurologická klinika LF MU a FN Brno ⁵; Ústav přístrojové techniky AV ČR v Brně ⁶; II. interní klinika LF MU a FN u sv. Anny v Brně milos. belehrad@fnusa. cz ⁷
Published in the journal: Kardiol Rev Int Med 2013, 15(2): 79-86
Category:

Summary

Investigations of breathing disorders related to sleep from A to Z. Sleep related breathing disorders occur in 30– 70% of patients with cardiovascular diseases. Yet our physicians and patients have only limited opportunities to establish the possibilities of diagnosis of sleep related breathing disorders and how such investigations are conducted. This article briefly describes the various investigative methods of sleep related breathing disorders – oximetry, polygraphy and polysomnography – and their advantages and limitations. It also details our own experience with each of these methods, as obtained by the professionals working in the Cardiovascular Sleep Research Centre CSRC. It also describes the actual course of each examination “step by step” and the methods of measurement and evaluation (scoring) of individual signals, together with practical examples of different types of sleep related breathing disorders – obstructive, central and mixed sleep apnoea/ hypopnoea. Additionally, it states the basic criteria for treatment indications for various forms of sleep apnoea.

Keywords:
polygraphy – polysomnography – obstructive sleep apnoea – central sleep apnoea

Zdroje

1. Iber C, Ancoli- Israel S, Chesson A et al. American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. 1st ed. Westchester, Illinois; American Academy of Sleep Medicine 2007.

2. A Technologists Handbook for Understanding and Implementing the AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology, and Technical Specifications. Westchester, Illinois: American Academy of Sleep Medicine, 2009. Library of Congress Control Number: 2009907029.

3. Nevšímalová S, Šonka K. Poruchy spánku a bdění. 2. dopl. a přeprac. vyd. Praha: Galén 2007: 345. ISBN 978- 80- 7262- 500- 0.