Table 1.
Signs, symptoms, and risk factors | Disruptive snoring |
Witnessed apnea or gasping | |
Obesity and/or enlarged neck size | |
Hypersomnolence (not common in children or in heart failure) | |
Other signs and symptoms include male gender, crowded-appearing pharyngeal airway, increased blood pressure, morning headache, sexual dysfunction, behavioral changes (especially in children) | |
Screening and diagnostic tests | Questionnaires (STOPBANG, Berlin, Epworth) |
Holter (24h ECG) monitoring | |
Overnight oximetry | |
Home-based/ambulatory unattended polysomnography | |
In-hospital attended overnight polysomnography | |
Treatment Options | Positional therapy |
Weight loss | |
Avoidance of alcohol and sedatives | |
Positive airway pressure | |
Oral appliances | |
Surgery | |
Radiofrequency ablation of the soft palate | |
Uvulopalatopharyngoplasty | |
Tonsillectomy | |
Tracheostomy |
Modified from Somers VK et al 1 with permission from Lippincott Williams & Wilkins. Copyright 2008, American Heart Association.