Dyspnoea waking from sleep

Abstract

Obstructive sleep apnoea syndrome (OSAS), recurrent upper airway obstruction during sleep, increased respiratory effort against the obstructed airway, and is characterized by frequent sleep fragmentation. Obstructive sleep apnoea syndrome (OSAS) is a syndrome that affects society, in particular accounts for 5% of adults. This syndrome is the most common presenting symptoms of excessive daytime sleepiness and/or is snoring. Obesity, nasal obstruction, adenoid hypertrophy, macroglossia OSAS has been associated with such a large number of predisposing factors. Case: 63 years old, female patient, respiratory arrest and not breathing during sleep at night, was admitted to the emergency room complaining of shortness of breath. History, there was one and a half years since the respiratory arrest during sleep, snoring, morning headaches, which, drowsiness during the day turned out to be complaints. The patient’s physical examination and investigations (chest X-ray, complete blood count, ECG, chest computed tomography) as a result, BMI: 25.4 kg/m2, depending on the patient with obesity, obstructive sleep apnoea syndrome (OSAS) was considered. The patient was referred Department of Chest Diseases. Follow-up, the polisomnography (PSG) was also diagnosed with severe OSAS Discussion: OSAS, as drivers working people, especially at night, is a disease that leads to serious consequences. Polysomnography is the gold standard for diagnosis and severity of the syndrome, apnoea-hypopnea index (AHI) is determined by; AHI = normal 30 is severe. From repetitive episodes of apnoea increased sympathetic nerve activity, oxidative stress, intrathoracic pressure swings, sudden jumps in systemic blood pressure, hypoxia and hypercapnia. Emergency services waking from sleep dyspnoea, lethargy and fatigue in patients admitted with complaints of snoring and OSAS cannot be forgotten.