Lege Artis Medicinae

[The role and scope of screening and diagnosing obstructive sleep apnea syndrome by the family physician]

ANNUS János Kristóf1, ÁDÁM Ágnes2, BECZE Ádám2, CSATLÓS Dalma2, LÁSZLÓ Andrea2, KALABAY László2, SZAKÁCS ZOLTÁN3

JUNE 20, 2016

Lege Artis Medicinae - 2016;26(05-06)

[Diagnosis and treatment of sleep disorders play an increasingly important role in everyday clinical practice of family physicians. Obstructive sleep apnea syndrome (OSAS) is a significant disorder of this disease group due to its relatively high incidence rate and increasing risk of adverse medical outcomes in the course of time. The prevalence of OSAS is 2-4% in the general population. It is characterized by obstructive apneas and hypopneas mostly with desaturations and/or arousals caused by the repetitive collapse of the upper airway during sleep. Besides impairing sleep efficacy and daytime neurocognitive functions, OSAS increases cardiovascular risk as well. The typical clinical presentation is an excessive daytime sleepiness and loud snoring interrupted by brief pauses of breathing. It can be a risk factor for treatment-resistant and/or non-dipper hypertension, nocturnal cardiac arrhythmias, stroke, cognitive decline and depression. The importance of OSAS is presented by the fact that - according to the latest related Hungarian law reforms - risk evaluation of the disorder is part of the medical assessment of suitability for a driving license. The family physician’s tasks are to recognize the clinical symptoms, identify high-risk patients with potential complications who need adequate treatment and eventually guide them to sleep-diagnostic centers. ]

AFFILIATIONS

  1. SomnoCenter Szeged, Alvásdiagnosztikai és Terápiás Központ
  2. Semmelweis Egyetem, Általános Orvostudományi Kar, Családorvosi Tanszék
  3. Magyar Honvédség Egészségügyi Központ Alvásdiagnosztikai és Terápiás Centrum

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