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Sleep-Disordered Breathing: An Expanding Spectrum for the Pulmonologist

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Obstructive Sleep Apnea
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Abstract

Sleep-disordered breathing has long been the provenance of pulmonologists, particularly in the United States because much of the field of clinical sleep medicine has been defined by highly prevalent disorders of breathing in sleep, including obstructive sleep apnea syndrome. While clinical sleep medicine was first formalized at Stanford university in the 1970s, the field remains in relative infancy as it rapidly evolves. Physicians with a deep focus in sleep disorders medicine often care for patients with both lung disease and sleep disorders. Pulmonologists that take care of complex lung disease—whether primary disorders of the respiratory system, or systemic manifestations in the respiratory system of other disease processes—need to understand how sleep disorders impact the patient population. This chapter places the evolution of our field into context while refreshing understanding of coexistent challenges including sleep deprivation and the burden of sleep disorders on public health which will present to the pulmonologist caring for a wide spectrum of patients. Special attention is placed on central sleep apnea syndrome which is increasingly being recognized and can be treated with transvenous phrenic nerve stimulation.

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Acknowledgment

The authors acknowledge Dr. Robin Germany and Dr. Tim Meyer at Zoll-Respicardia for permission in reproducing images of the Zoll-Respicardia REMEDE system, digital clips of central sleep apnea syndrome, and expertise on central sleep apnea syndrome.

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Correspondence to Qanta A. A. Ahmed .

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Ahmed, Q.A.A. (2023). Sleep-Disordered Breathing: An Expanding Spectrum for the Pulmonologist. In: Baptista, P.M., Lugo Saldaña, R., Amado, S. (eds) Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-031-35225-6_14

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  • DOI: https://doi.org/10.1007/978-3-031-35225-6_14

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