Recognizing the Impact of Obstructive Sleep Apnea in Patients With Asthma
Document Type
Review
Publication Date
10-1-2005
Description
The coexistence of asthma and obstructive sleep apnea (OSA) in a given patient presents a number of diagnostic and treatment challenges. Although the relationship between these 2 diseases is complex, it is clear that risk factors such as obesity, rhinosinusitis, and gastroesophageal reflux disease (GERD) can complicate both asthma and OSA. In the evaluation of a patient with poorly controlled asthma, it is important to consider the possibility of OSA. The most obvious clues are daytime sleepiness and snoring, but the definitive diagnosis is made by polysomnography. Management of OSA may include weight loss and continuous positive airway pressure (CPAP). Surgical intervention, such as uvulopalatopharyngoplasty, may be an option for patients who cannot tolerate CPAP. Management may include specific therapies directed at GERD or upper airway disease as well as modification of the patient's asthma regimen.
Citation Information
Krishnaswamy, Guha; Girish, Mirle; Guha, Bhuvana; Ballard, Robert; Vyas, Harsha; and Chi, David S.. 2005. Recognizing the Impact of Obstructive Sleep Apnea in Patients With Asthma. Journal of Respiratory Diseases. Vol.26(10). 423-435. https://www.patientcareonline.com/view/recognizing-impact-obstructive-sleep-apnea-patients-asthma ISSN: 0194-259X