Is it mild obstructive sleep apnea?
نویسنده
چکیده
A 63-year-old woman was referred to the sleep center complaining of daytime sleepiness, snoring, and insomnia. She was single and never married but, on a recent business trip, was noted by a colleague to snore loudly. There was no report of witnessed apnea. She slept 8 to 8.5 hours per night but complained of daytime drowsiness and mental fogginess, particularly in the afternoons. She occasionally dozed off during small-group meetings. She also complained of nighttime awakenings, which she attributed to work stress. If she woke up and had trouble falling back to sleep, then she would take either zolpidem or alprazolam. The patient had gained 25 to 30 pounds over the past 3 to 5 years, up to a current maximum of 198 pounds, and had been on antihypertensive medications for 2 years. Her past medical history included knee and foot surgery, tonsillectomy, gastroesophageal reflux disease, irritable bowel, and postmenopausal status. Medications were amlodipine 2.5 mg daily, plus zolpidem 10 mg or alprazolam 1 mg as needed. She reported allergies to penicillin, some antidepressants, ibuprofen, and eszopiclone. Family history was negative for sleep apnea. Physical examination showed an obese woman in no distress. Blood pressure was 126/86. Airway exam revealed Mallampati class 1 (normal soft palate), small uvula, no tonsils, and no retrognathia. Exam was otherwise unremarkable, including normal heart and lung exam. Polysomnography was performed without hypnotic medication. See summary graph (Figure 1).
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ورودعنوان ژورنال:
- Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
دوره 2 1 شماره
صفحات -
تاریخ انتشار 2006