Abstract
The proper office evaluation of a patient with a sleep disorder requires the ability to establish an appropriate clinical suspicion on the basis of the history and physical examination. Patients frequently suffer in silence owing to two primary factors: most physicians are inadequately trained to inquire about and recognize the variety of sleep disorders that might afflict a patient, and many patients are reluctant to volunteer information regarding the quality and quantity of their sleep because they are either not fully aware of the problem themselves or are uncertain that sleep-related problems are important (1–3). Overlooking sleep-related problems represents a missed opportunity to improve a patient’s quality of life and to modify the morbidity and mortality associated with certain specific disorders.
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References
Ball EM, Simon RD, Tall AA, Banks MB, Nino-Murcia G, Dement WC. Diagnosis and treatment of sleep apnea within the community: the Walla Walla project. Arch Intern Med 1997; 157: 419–424.
Rosen RC, Rosekind M, Rosevear C, Cole WE, Dement WC. Physician education in sleep and sleep disorders: a national survey of U.S. medical schools. Sleep 1993; 16: 249–254.
Haponik EF, Frye AW, Richards B, et al. Sleep history is neglected information: challenges for the primary care physician. J Gen Intern Med 1996; 11: 759–761.
Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep disordered breathing among middle-aged adults. NEngl JMed 1993; 328: 1230–1235.
The Gallup Organization. Sleep in America. The Gallup Organization, Princeton NJ, 1991.
Strollo PJ, Rogers RM. Obstructive sleep apnea. NEngl JMed 1996; 334: 99–104.
National Heart, Lung, and Blood Institute, Working Group on Sleep Apnea. Sleep apnea: is your patient at risk? Am Fam Physician 1996; 53: 247–253.
Krieger J, Laks L, Wilcox I, et al. Atrial natriuretic peptide release during sleep in patients with obstructive sleep apnea before and during treatment with nasal CPAP. Clin Sci 1989; 77: 407–411.
Chan HS, Chiu HF, Tse LK, Woo KS. Obstructive sleep apnea presenting with nocturnal angina, heart failure, and near-miss sudden death. Chest 1991; 99: 1023–1025.
Liston R, Deegan PC, McCreery C, McNicholas WT. Role of respiratory sleep disorders in the pathogenesis of nocturnal angina and arrhythmias. Postgrad Med J 1994; 70: 275–280.
Kerr P, Shoenut JP, Millar T, Buckle P, Kryger MH. Nasal CPAP reduces gastroesophageal reflux in obstructive sleep apnea syndrome. Chest 1992; 101: 1539–1544.
Aldrich MS. Narcolepsy. NEngl JMed 1990; 323: 389–394.
Schenck CH, Bundlie SR, Patterson AL, Mahowald MW. Rapid eye movement sleep behavior disorder: a treatable parasomnia affecting older adults. JAMA 1987; 257: 1786–1789.
Strohl KP (Chairman), Bonnie RJ, Findley L, et al. Sleep Apnea, Sleepiness, and Driving Risk. Am JRespir Crit Care Med 1994; 150: 1463–1473.
Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991; 14: 540–545.
Aldrich MS, Chauncey JB. Are morning headaches part of obstructive sleep apnea syndrome? Arch Intern Med 1991; 150: 1265–1267.
King AC, Oman RF, Brassington GS, Bliwise DL, Haskell WL. Moderate-intensity exercise and self-rated quality of sleep in older adults. JAMA 1997; 277: 32–37.
Davies RJO, Stradling JR. The relationship between neck circumference, radiographic pharyngeal anatomy, and the obstructive sleep apnea syndrome. EurRespir J 1990; 3: 509–514.
Epstein LJ, Strollo PJ, Donegan RB, Delmar J, Hendrix C, Westbrook PR. Obstructive sleep apnea in patients with human immunodeficiency virus (HIV) disease. Sleep 1995; 18: 368–376.
Weitzenblum E, Krieger J, Apprill M, et al. Daytime pulmonary hypotension in patients with obstructive sleep apnea syndrome. Am Rev Respir Dis 1988; 138: 345–349.
Chaudhary BA, Sklar AH, Chaudhary TK, Kolbeck RC, Speir WA. Sleep apnea, proteinuria, and nephrotic syndrome. Sleep 1988; 11: 69–74.
Grunstein RR, Sullivan CE. Hypothyroidism and sleep apnea: mechanisms and management. Am JMed 1988; 85: 775–779.
Poceta JS, Dalessio DJ. Identification and treatment of obstructive sleep apnea in patients with chronic headache. Headache 1995; 35: 586–589.
Kryger M, Roth T, Dement W. Principles and practice of sleep medicine. W.B. Saunders, Philadelphia, 1994.
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Strollo, P.J. (1998). Sleep Disorders in Primary Care. In: Poceta, J.S., Mitler, M.M. (eds) Sleep Disorders. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4757-2772-2_1
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DOI: https://doi.org/10.1007/978-1-4757-2772-2_1
Publisher Name: Humana Press, Totowa, NJ
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Online ISBN: 978-1-4757-2772-2
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