Sleep apnea diagnostic criteria: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Sleep apnea}} | {{Sleep apnea}} | ||
{{CMG}}; {{AE}} {{JH}} | |||
==Overview== | |||
The American Academy of Sleep Medicine published a diagnostic manual guidelines.<ref name="pmid23066376">{{cite journal| author=Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK et al.| title=Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. | journal=J Clin Sleep Med | year= 2012 | volume= 8 | issue= 5 | pages= 597-619 | pmid=23066376 | doi=10.5664/jcsm.2172 | pmc=PMC3459210 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23066376 }} </ref><ref name="pmid19960649">{{cite journal| author=Epstein LJ, Kristo D, Strollo PJ, Friedman N, Malhotra A, Patil SP et al.| title=Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. | journal=J Clin Sleep Med | year= 2009 | volume= 5 | issue= 3 | pages= 263-76 | pmid=19960649 | doi= | pmc=PMC2699173 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19960649}}</ref> | The American Academy of Sleep Medicine published a diagnostic manual guidelines.<ref name="pmid23066376">{{cite journal| author=Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK et al.| title=Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. | journal=J Clin Sleep Med | year= 2012 | volume= 8 | issue= 5 | pages= 597-619 | pmid=23066376 | doi=10.5664/jcsm.2172 | pmc=PMC3459210 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23066376 }} </ref><ref name="pmid19960649">{{cite journal| author=Epstein LJ, Kristo D, Strollo PJ, Friedman N, Malhotra A, Patil SP et al.| title=Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. | journal=J Clin Sleep Med | year= 2009 | volume= 5 | issue= 3 | pages= 263-76 | pmid=19960649 | doi= | pmc=PMC2699173 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19960649}}</ref> | ||
==Diagnosis Criteria== | |||
===DSM-V Diagnostic Criteria for Central Sleep Apnea<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | |||
{{cquote| | |||
A. Evidence by polysomnography of five or more central apneas per hour of sleep. | |||
'''''AND''''' | |||
B. The disorder is not better explained by another current sleep disorder. | |||
Specify whether: | |||
* '''Idiopathic central sleep apnea:''' Characterized by repeated episodes of apneas and hypopneas during sleep caused by variability in respiratory effort but without evidence of airway obstruction. | |||
* '''Cheyne-Stokes breathing:''' A pattern of periodic crescendo-decrescendo variation in tidal volume that results in central apneas and hypopneas at a frequency of at least five events per hour, accompanied by frequent arousal. | |||
* '''Central sleep apnea comorbid with opioid use:''' The pathogenesis of this subtype is attributed to the effects of [[opioids]] on the respiratory rhythm generators in the medulla as well as the differential effects on [[hypoxic]] versus hypercapnic respiratory drive. | |||
Specify current severity: | |||
: Severity of central sleep apnea is graded according to the frequency of the breathing disturbances as well as the extent of associated oxygen desaturation and sleep fragmentation that occur as a consequence of repetitive respiratory disturbances. | |||
}} | |||
==References== | ==References== | ||
Revision as of 13:16, 12 November 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Overview
The American Academy of Sleep Medicine published a diagnostic manual guidelines.[1][2]
Diagnosis Criteria
DSM-V Diagnostic Criteria for Central Sleep Apnea[3]
| “ |
AND B. The disorder is not better explained by another current sleep disorder. Specify whether:
Specify current severity:
|
” |
References
- ↑ Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK; et al. (2012). "Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine". J Clin Sleep Med. 8 (5): 597–619. doi:10.5664/jcsm.2172. PMC 3459210. PMID 23066376.
- ↑ Epstein LJ, Kristo D, Strollo PJ, Friedman N, Malhotra A, Patil SP; et al. (2009). "Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults". J Clin Sleep Med. 5 (3): 263–76. PMC 2699173. PMID 19960649.
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.