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Sleeping Disorder

SLEEPY? SNORING? ALWAYSTIRED? z2 SLEEP APNEA: A sleep disorder characterized by abnormal pauses in breathing or periodic shallow breathing during sleep. OBSTRUCTIVE SLEEP APNEA (OSA): The most common of type sleep apnea. OSA RISK FACTORS: 1 in 4 adults are at high risk of having OSA based on the presence of 3 or more risk factors: (26%) MALE +45 YEARS OLD OLARGE NECK CIRCUMFERENCE O METABOLIC/ENDOCRINE DISORDERS OBESITY SMOKING SMOKING ALCOHOL/SEDATIVE USE OFAMILY HISTORY OF SLEEP PROBLEMS INTERESTING STATS YOU SHOULD KNOW zzZ Famous people who've had it: Queen Victoria Henry VIII Napoleon Roughly 860,000 Canadians reported being told by a health professional that they have some form of Sleep Apnea. Over 75% of people with Untreated OSA patients will OSA go undiagnosed. require 2x the health care costs of those who are treated. Untreated patients are 6x more likely to be in motor vehicle accidents. OSA has been identified in persons as far back as 360 BC. 70% of all men with suspected OSA suffer from erectile dysfunction. PREVALENCE & COMORBIDITIES PREVALENCE OF SLEEP APNEA WITH OTHER DISORDERS Drug-resistant Hypertension 83% Obesity 77% Congestive Heart Failure 76% Pacemakers 59% Atrial Fibrillation 49% Diabetes 48% All Hypertension" Coronary Artery Disease* 37% 30% "Male subjects only 5-SECOND SLEEP APNEA TEST HOW TO RECOGNIZE OSA: • Snoring • Excessive daytime drowsiness • Restless sleep • Gasping or choking during sleep • Memory Loss • Erectile dysfunction Imitability and depression • Large neck circumference (> 17 inches men, >16 women) • Frequent night-time urination • Memory loss 1 Are you tired during the day? 2 Do you snore? 3 Have you been told you stop breathing during sleep? If you've answered YES to TWO or more of these questions ask your doctor about screening for Sleep Apnea. References 1. Floetham, J., Ayas, N., Bradey, D Ferguson, K, Fitzpatrick, M. Goorge, C, Hanlay, P., HI, F Kimof, J., Kryger, M. Morrison, D. Series, F, Tai, Ww. Canadian Thoracic Sociaty guidalines: Diagnosis and treatment of sleep disordered breathing in adults. Can Resp J 2006; 13(7)37-392 . 7. Chung, F, Yegneowaran, B., Liao, P., Chung. SA, Vairavanathen, 15. Logan at al. High prevalence of unrecognized sloop apnoon in S., Islam, S., Khajehdehi, A, Shapiro, CM. STOP queetionnaire: A tool to screen pationts for obstructive sloop aprea. Anesthesiology 2008: 108(5)812-821. drug-resistant hypertension. JHypertansion 2001:19:2271-2277. 16. OKoeffe & Paterson Evidenoe of supporting routine polysomnography before bariatric surgery. Obes Surgery 2004. 2. Neto, FJ. Young. T.B Lind, B.K, Shahar, E, Samet JM., Redine, S., D'Agostino, R.B., Newman, AB, Lebowitz, M.D., Pickering. T.G. Association of sloop-disordered breathing, sleep 8. Budweiser, S., Ederloien, S., Joes, RA, Htzl, AP., Wieland, W.F., Pfeifer M, Arzt, M. Sleep apnea ls an independent comrelate of orecile and saKual dysfunction.J Sax Med. 2009 Nov,6(11)3147-67 17. Sjostrom et al. Prevalence of sleep apnoea and anoring in hypertensive mena population besed study. Thorax 2002,57:002-607 9.Chouard C, ot al. Napoldon soutrait du syndrome đapnée du sommeil? Ann Oto-Laryngol. 1938,106299-303. 18. Javaheri et al. Central sloep apnea, right ventricular dyafunction and low diastolic blood pressure are predictors of mortality in systolio heart foilure. J'American Colego of Cardiology 2007,49.2028 2034. Heart Health Sudy. JAMA 2000 283(14):1829-1836. 10. Brower, Cifford. The Death of Kings A Medical History of the Kings and Queens of England. London: Abson Books, 2000 3. Pepperd, PE, Young, T, Palta, M. Skatrud, J. Prospective study of the association between sleep-disordered breathing and hypertension. NEJM 2000, 342101370-1304. 19. Einhom et al. Prevalence of slop apnea in populetion of adults with type 2 diabetos melitus. Endoorine Practioe 2007:13:355-362. 11. Kryger MH. Sloep apnon: from tho noedios of Dionysius to continuous positive airway pressure. Arch Intem Med. 1983,143 2301-2303. 4. Shaher, E. Whitney, C.W., Redine, S. Lee, ET., Newman, AB., Javier Nioto, F,oConnor G.T., Boland, LL., Schwartz, J.E, Samet, 20. Sjoetrom et al Prevalence of sloep apnoee and snoring in hypertensive men a population based study. Thorax 2002;57:602-607 J.M. Sleep-disordered breathing and cardiovascular disease Cross sectionel resuts of the Sloep Heart Health Study. Am J Res Crit Care sloop apnea in adulba JAm Med Assoc 2004: 291 (16): 2013-2016. Med 2001: 163(1)19-25. 12.Young, T., Skatrud, J. Pepperd, PE., Risk Factors for obatructive 21. Schater et l. Obstructive sleoep aproe a rsk merker in coronary artery disesse. Cerdiology. 1909,92:79-84. 13. Teran-Sentos, J. Jimenez-Gomez A CoedemG T 13. Teran-Santos, J., Jimenez-Gomez, A. Cordero-Guevern, J., The 5. Tasali, E., Mokthlesi, B., Van Cautar, E Obetructive sleap apnea and type 2 dabetos: Interacting epidemics. Cheet 2008 132496- association bnetweon sloep apnon and the risk of traffic accidents. Cooperative Group Buroe-Santander. New Engl J Med 1909:340 (11)847-851. INDEPENDENT RESPIRATORY 506. 6. Yaggi, HK., Concato, J, Keman, WN., Lichtman, JH, Brass, LM, Mohsenin, V. Obetructive sleep apnea as a risk factor for stroke and death. NEJM 2006; 363(19) 2034-2041. 14. Horstmann, S, Hess, C.W., Bassotti, C. Gugger, M., Mathis, J., Sloepiness-releted accidents in sloop apnea patients. Sleep 2000:23(3): 383-389. SERVICES

Sleeping Disorder

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This info-graphic is a humorous take on sleeping disorder. It is highly illustrative and cartoony.

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