Occult sleep apnea: the dilemma of negative polysomnography in symptomatic patients

Occult sleep apnea: the dilemma of negative polysomnography in symptomatic patients

To determine the benefit of repeat polysomnography with/without esophageal pressure (PES) monitoring to diagnose sleep apnea syndrome (SAS) in patients with symptoms of sleep apnea who have had a ‘negative’, single-night polysomnogram (PSG). This is a retrospective investigation of 1187 patients see...

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Veröffentlicht in:Sleep medicine 2004-09, Vol.5 (5), p.501-506
Hauptverfasser: Hutter, Deborah A., Holland, Bart K., Ashtyani, Hormoz
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Asthma - diagnosis
Diagnosis, Differential
Disorders of Excessive Somnolence - diagnosis
Esophageal pressure monitoring
Esophagus - physiopathology
Female
Humans
Male
Manometry
Middle Aged
Negative polysomnography
Obstructive apnea
Polysomnography
Retrospective Studies
Second night
Sensitivity and Specificity
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - therapy
Sleepiness
Snoring
Snoring - diagnosis
Upper airway resistance
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Zusammenfassung:To determine the benefit of repeat polysomnography with/without esophageal pressure (PES) monitoring to diagnose sleep apnea syndrome (SAS) in patients with symptoms of sleep apnea who have had a ‘negative’, single-night polysomnogram (PSG). This is a retrospective investigation of 1187 patients seen in our sleep lab from January to December 2001, of which 709 were adults suspected of having sleep apnea. Following a single PSG, 588 patients were diagnosed with sleep apnea and 121 had negative PSGs (an apnea–hypopnea index
ISSN:1389-9457
1878-5506
DOI:10.1016/j.sleep.2004.05.005