On the cutting edge of obstructive sleep apnoea: where next?

被引:66
作者
Malhotra, Atul [1 ]
Orr, Jeremy E. [1 ]
Owens, Robert L. [1 ]
机构
[1] Univ Calif San Diego, Pulm Crit Care & Sleep Med Div, La Jolla, CA 92037 USA
关键词
POSITIVE AIRWAY PRESSURE; HYPOGLOSSAL-NERVE-STIMULATION; TUMOR-ASSOCIATED MACROPHAGES; BLOOD-PRESSURE; MUSCLE RESPONSIVENESS; AROUSAL THRESHOLD; PULMONARY-DISEASE; REM-SLEEP; CPAP; MULTICENTER;
D O I
10.1016/S2213-2600(15)00051-X
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Obstructive sleep apnoea is a common disease that is now more widely recognised because of the rise in prevalence and the increasingly compelling data that shows major neurocognitive and cardiovascular sequelae. At the same time, the clinical practice of sleep medicine is changing rapidly, with novel diagnostics and treatments that have established a home-based (rather than laboratory-based) management approach. We review the most recent insights and discoveries in obstructive sleep apnoea, with a focus on diagnostics and therapeutics. As will be discussed, management of obstructive sleep apnoea could soon transition from a so-called one size fits all approach to an individualised approach.
引用
收藏
页码:397 / 403
页数:7
相关论文
共 70 条
[51]   A crossover randomised controlled trial of oral mandibular advancement devices for obstructive sleep apnoea-hypopnoea (TOMADO) [J].
Quinnell, Timothy G. ;
Bennett, Maxine ;
Jordan, Jake ;
Clutterbuck-James, Abigail L. ;
Davies, Michael G. ;
Smith, Ian E. ;
Oscroft, Nicholas ;
Pittman, Marcus A. ;
Cameron, Malcolm ;
Chadwick, Rebecca ;
Morrell, Mary J. ;
Glover, Matthew J. ;
Fox-Rushby, Julia A. ;
Sharples, Linda D. .
THORAX, 2014, 69 (10) :938-945
[52]  
Rahangdale S, 2011, J CLIN SLEEP MED, V7, P172
[53]   Enhanced Upper-Airway Muscle Responsiveness Is a Distinct Feature of Overweight/Obese Individuals without Sleep Apnea [J].
Sands, Scott A. ;
Eckert, Danny J. ;
Jordan, Amy S. ;
Edwards, Bradley A. ;
Owens, Robert L. ;
Butler, James P. ;
Schwab, Richard J. ;
Loring, Stephen H. ;
Malhotra, Atul ;
White, David P. ;
Wellmani, Andrew .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 190 (08) :930-937
[54]   An Official American Thoracic Society Statement: Continuous Positive Airway Pressure Adherence Tracking Systems The Optimal Monitoring Strategies and Outcome Measures in Adults [J].
Schwab, Richard J. ;
Badr, Safwan M. ;
Epstein, Lawrence J. ;
Gay, Peter C. ;
Gozal, David ;
Kohler, Malcolm ;
Levy, Patrick ;
Malhotra, Atul ;
Phillips, Barbara A. ;
Rosen, Ilene M. ;
Strohl, Kingman P. ;
Strollo, Patrick J. ;
Weaver, Edward M. ;
Weaver, Terri E. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 188 (05) :613-620
[55]   Acute Upper Airway Responses to Hypoglossal Nerve Stimulation during Sleep in Obstructive Sleep Apnea [J].
Schwartz, Alan R. ;
Barnes, Maree ;
Hillman, David ;
Malhotra, Atul ;
Kezirian, Eric ;
Smith, Philip L. ;
Hoegh, Thomas ;
Parrish, Daniel ;
Eastwood, Peter R. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2012, 185 (04) :420-426
[56]   Sleep-disordered breathing and cardiovascular disease: Cross-sectional results of the sleep heart health study [J].
Shahar, E ;
Whitney, CW ;
Redline, S ;
Lee, ET ;
Newman, AB ;
Nieto, FJ ;
O'Connor, GT ;
Boland, LL ;
Schwartz, JE ;
Samet, JM .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 163 (01) :19-25
[57]   Evaluation of Right Ventricular Remodeling Using Cardiac Magnetic Resonance Imaging in Co-Existent Chronic Obstructive Pulmonary Disease and Obstructive Sleep Apnea [J].
Sharma, Bhavneesh ;
Neilan, Tomas G. ;
Kwong, Raymond Y. ;
Mandry, Damien ;
Owens, Robert L. ;
McSharry, David ;
Bakker, Jessie P. ;
Malhotra, Atul .
COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2013, 10 (01) :4-10
[58]  
Soler X, 2014, HIGH PREVALENCE OBST
[59]   Pulmonary Rehabilitation Improves Sleep Quality in Chronic Lung Disease [J].
Soler, Xavier ;
Diaz-Piedra, Carolina ;
Ries, Andrew L. .
COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2013, 10 (02) :156-163
[60]   Impact of CPAP Use and Age on Mortality in Patients with Combined COPD and Obstructive Sleep Apnea: The Overlap Syndrome [J].
Stanchina, Michael L. ;
Welicky, Lauren M. ;
Donat, Walter ;
Lee, David ;
Corrao, William ;
Malhotra, Atul .
JOURNAL OF CLINICAL SLEEP MEDICINE, 2013, 9 (08) :767-772