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CLINICIAN'S CORNER
A 54-Year-Old Man With Obstructive Sleep Apnea
Samuel T. Kuna, MD, Discussant
JAMA. 2002;288:2032-2039.
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INTRODUCTION
DR BURNS: Mr J is a 54-year-old man with a history of sleep apnea. He lives in a suburb of Boston with his wife and 2 children, owns a small company, and has managed care insurance.
In 1995, Mr J's wife noted that he stopped breathing at night. Mr J also recalled that he awoke, on occasion, in the middle of the night with palpitations. He mentioned this to his primary care physician, Dr M, who referred him for a sleep study. The study revealed 206 obstructive events, giving an apnea hypopnea index (AHI) of 36 per hour. He had oxygen desaturation to a nadir of 74%. Based on these results, his pulmonologist recommended that Mr J proceed with nasal continuous positive airway pressure (CPAP) titration. The results of his CPAP study showed that 5 to 6 cm of water pressure eliminated the . . . [Full Text of this Article]
MR J: HIS VIEW
DR M: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR KUNA
Definition and Diagnosis Epidemiology of OSA and Associated Conditions Pathophysiology of OSA Typical Symptoms and Physical Examination Who Is Most at Risk for OSA? Who Should Be Tested for OSA and How? Treatment Options for OSA Evidence That Intervening Improves the Consequences of OSA What Does the Future Hold? Recommendations for Mr J
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Kuna is Chief, Pulmonary, Critical Care, Sleep Section, Philadelphia Veterans Affairs Medical Center; Pulmonary, Allergy and Critical Care Division and Center for Sleep and Respiratory Neurobiology, University of Pennsylvania, Philadelphia.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Update: A 54-Year-Old Man With Obstructive Sleep Apnea
Burns
JAMA 2004;291:3004-3004.
FULL TEXT
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