Abstract

OSA is common and the prevalence is increasing with the increased prevalence of obesity. Daytime sleepiness is among the most common symptoms, but many patients with OSA are asymptomatic. Patients with OSA who are asymptomatic, or whose symptoms are minimally bothersome and pose no apparent risk to driving safety, can be treated with behavioral measures, such as weight loss and exercise. Interventions such as positive airway pressure are recommended for those with excessive sleepiness and resistant hypertension. Managing asymptomatic OSA to reduce cardiovascular and cerebrovascular events is not currently supported by high-quality evidence.

Keywords

MedicineObstructive sleep apneaAsymptomaticContinuous positive airway pressurePopulationSleep apneaBody mass indexExcessive daytime sleepinessPositive airway pressureOral applianceAirwayPolysomnographyRandomized controlled trialBlood pressureApneaInternal medicinePediatricsPhysical therapyAnesthesiaSleep disorder

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Publication Info

Year
2020
Type
review
Volume
323
Issue
14
Pages
1389-1389
Citations
1212
Access
Closed

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Daniel J. Gottlieb, Naresh M. Punjabi (2020). Diagnosis and Management of Obstructive Sleep Apnea. JAMA , 323 (14) , 1389-1389. https://doi.org/10.1001/jama.2020.3514

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DOI
10.1001/jama.2020.3514