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| 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 |
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| 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
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| 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 |
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| 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 |
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| 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.
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| 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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