ZZZZZZZZZZZZZZZZZZZZZ Snoring is the act of breathing with a grunting or snorting sound while asleep Snoring is involuntary, and can be disruptive to your own sleep or to bed partners sleep Snoring can be embarrassing and a source of friction between partners Snoring can be a sign of worrisome medical problems.
Problems with Snoring Snoring is caused by obstructed airflow through the nose and throat. It is often intermittent throughout the night and can be as noisy as loud conversation Problems include lack of sleep by yourself or your bed partner, but many snorers do not know that they snore
Who Snores? India survey: ~40% of population surveyed snored; Male:female was 2:1 Study: 44% of males and 28% females; ages yrs old
General points 70 million people suffer from sleep disorders. 70% are primary sleep disorders Up to 50% of these are related to Sleep disordered breathing It costs millions of dollars in health care per year At least 2300 sleep studies/ people/year needed to adequately address the demand for diagnosis and treatment. <14% of medical interns questioned patients about sleep.
Airflow obstruction Noisiness in snoring is related to obstruction of the airflow at one or more locations: –The nose –The soft palate and uvula –The base, or back part, of the tongue –The tissues on the sidewalls of the throat Snoring is typically worse when lying on the back due to gravity effects
Sleep apnea is a chronic respiratory sleep disorder characterized by recurrent episodes of partial or complete upper airway obstruction during sleep (apneas, hypopneas) and are associated with repeated disruption of sleep resulting in excessive daytime somnolence and other medical co- morbidities.
When is snoring a problem? Snoring can be a symptom of Obstructive Sleep Apnea (OSA). Other symptoms include: –Daytime tiredness and overall fatigue –Restless sleep –Waking up choking or gasping –Morning headaches, dry mouth, or sore throat –Trouble thinking clearly or remembering things
Is Sleep Apnea Common? Over 90% of patients undergoing surgery for weight loss have sleep apnea Most people with sleep apnea dont know they have it, even though Sleep Apnea is one of the easiest sleep disorders to diagnose and treat
When is snoring a problem? Snoring can be a symptom of Obstructive Sleep Apnea (OSA). Some medical problems caused by OSA include: –Elevated blood pressure –Cardiac arrhythmias –Pulmonary hypertension –Automobile accidents –Social problems like divorce and spousal arguments, diminished job performance, lack of concentration and memory
Sleep Apnea Symptoms Night time Snoring Choking Gasping Restless Sleep Frequent Urination Day time Sleepiness Fatigue Increased Accidents Poor Concentration Poor Job Performance
Why Care? Medical Consequences High Blood Pressure Heart Disease Irregular Heart Rhythm Stroke Auto & Work Accidents Social Consequences Excessive Sleepiness Decreased Concentration Poor Job Performance Depressed Mood
Untreated Sleep Apnea significantly increases the risk of complications from any surgery, even surgery for weight loss.
Sleep Apnea and Crash Risk Sleep Apnea increases car crash risk 15 times But… Treatment of Sleep Apnea reduces risk to normal!
Do you snore most nights? Do you gasp or choke most nights? Do you quit breathing in your sleep most nights? Yes to 2 of these questions equals a > 70% risk of Sleep Apnea Do You Have Sleep Apnea?
A sleep study (Polysomnogram) will tell you if you have Sleep Apnea Treatment of Sleep Apnea reduces the risk of heart attack, stroke, auto accidents, & surgical complications. What If You Have Sleep Apnea?
Polysomnogram (PSG) Electroencephalogram EOG-oculogram Electromyogram-genioglossus and anterior tibialis Respiration Abdomen and chest wall motion Body position EKG O2 saturation Snoring