Abstract
Pathophysiological changes in obstructive sleep apnea (OSA) related to neural respiratory drive can be assessed by diaphragm EMG recorded from surface electrodes, in particular, esophageal electrode. Although esophageal pressure was considered to be the gold standard in assessment of respiratory effort, it can be influenced by changes in lung volume and airflow. Diaphragm EMG recorded from esophageal electrode has an advantage over esophageal pressure in assessment of neural respiratory drive in patients with obstructive sleep apnea whose airflow and lung volume are not stable during overnight sleep. In this chapter, the recording of diaphragm EMG from an esophageal electrode catheter is discussed. Application of diaphragm EMG has been used to further understand the mechanism of pathophysiological changes in patients with OSA including those with both OSA and chronic obstructive pulmonary disease (COPD), overlap syndrome. Assessment of diaphragm EMG can also be used to differentiate central from obstructive sleep apneas.
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Luo, YM., Luo, YM. (2022). Diaphragm EMG Recording and Its Application in Sleep Medicine. In: Pack, A.I., Li, Q.Y. (eds) Sleep and its Disorders. Translational Medicine Research. Springer, Dordrecht. https://doi.org/10.1007/978-94-024-2168-2_9
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DOI: https://doi.org/10.1007/978-94-024-2168-2_9
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