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All cause mortality in males with sleep apnoea syndrome: declining mortality rates
 
 
Artikel nr. 004
Hoofdonderwerp Young men with Sleep Apnea have higher risk of death
Titel All cause mortality in males with sleep apnoea syndrome: declining mortality rates
Ondertitel  
Publicatiedatum maart 2005
Auteurs Dr. Peretz Lavie
Tijdschrift European Respiratory Journal 2005; 25: 514-520
Aantal pagina's 8
Link http://erj.ersjournals.com/cgi/content/full/25/3/514
Taal Engels
Abstract Most patients referred for evaluation of sleep apnea, a condition in which airways become blocked during sleep and breathing stops for brief periods, are in their 50s, but men in their 20s with this condition appear to have the highest risk of death, an Israeli research team reports.
The implication is that patients have to be diagnosed while they're young, in their 20s and 30s, if we are to prevent mortality
 
Day-Night Pattern of Sudden Death in Obstructive Sleep Apnea
 
 
Artikel nr. 005
Hoofdonderwerp Sleep Apnea ups risk of sudden death at night
Titel Day-Night Pattern of Sudden Death in Obstructive Sleep Apnea
Ondertitel  
Publicatiedatum 24 maart 2005
Auteurs Apoor S. Gami, M.D., Daniel E. Howard, B.S., Eric J. Olson, M.D. and
Virend K. Somers, M.D., Ph.D.
Tijdschrift The NEW ENGLAND JOURNAL of MEDICINE; 352:1206-1214
Aantal pagina's  
Link http://content.nejm.org/cgi/content/short/352/12/1206
Taal Engels
Abstract Background
The risk of sudden death from cardiac causes in the general population peaks from 6 a.m. to noon and has a nadir from midnight to 6 a.m. Obstructive sleep apnea is highly prevalent and associated with neurohormonal and electrophysiological abnormalities that may increase the risk of sudden death from cardiac causes, especially during sleep.

Methods
We reviewed polysomnograms and the death certificates of 112 Minnesota residents who had undergone polysomnography and had died suddenly from cardiac causes between July 1987 and July 2003. For four intervals of the day, we compared the rates of sudden death from cardiac causes among people with obstructive sleep apnea and the following: the rates among people without obstructive sleep apnea, the rates in the general population, and the expectations according to chance. For each interval, we assessed the median apnea-hypopnea index and the relative risk of sudden death from cardiac causes. We similarly analyzed sudden death from cardiac causes during three time intervals that correlate with usual sleep-wake cycles.

Results
From midnight to 6 a.m., sudden death from cardiac causes occurred in 46 percent of people with obstructive sleep apnea, as compared with 21 percent of people without obstructive sleep apnea (P=0.01), 16 percent of the general population (P<0.001), and the 25 percent expected by chance (P<0.001). People with sudden death from cardiac causes from midnight to 6 a.m. had a significantly higher apnea-hypopnea index than those with sudden death from cardiac causes during other intervals, and the apnea-hypopnea index correlated directly with the relative risk of sudden death from cardiac causes from midnight to 6 a.m. For people with obstructive sleep apnea, the relative risk of sudden death from cardiac causes from midnight to 6 a.m. was 2.57 (95 percent confidence interval, 1.87 to 3.52). The analysis of usual sleep-wake cycles showed similar results.

Conclusions
People with obstructive sleep apnea have a peak in sudden death from cardiac causes during the sleeping hours, which contrasts strikingly with the nadir of sudden death from cardiac causes during this period in people without obstructive sleep apnea and in the general population.
 
Less Sex For Snorers… True or False?
 
 
Artikel nr. 006
Hoofdonderwerp Snurkers hebben minder vaak seks dan mensen die geen lawaai maken in hun slaap.
Titel Less Sex For Snorers… True or False?
Ondertitel  
Publicatiedatum 18 april 2005
Auteurs British Snoring & Sleep Apnoea Association
Tijdschrift Chest Journal 1999; 116:1511-1518
Aantal pagina's 7
Link http://www.britishsnoring.co.uk/pdf/nssws.pdf
Taal Engels
Abstract Mensen die snurken hebben minder vaak seks dan mensen die geen lawaai maken in hun slaap. Dat is gebleken uit onderzoek van de Britse vereniging tegen snurken en andere slaapstoornissen (BSSAA). Ruim een kwart van de snurkers gaf aan bijna nooit seks te hebben. 60 procent zei geregeld te worden verbannen naar de logeerkamer.
Volgens de BSSAA kan snurken leiden tot heftige echtelijke ruzies en zelfs echtscheidingen.
 
 



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