Sleep-disordered breathing and COPD: the overlap syndrome.

Abstract:

:Sleep-disordered breathing (mainly obstructive sleep apnea [OSA]) and COPD are among the most common pulmonary diseases, so a great number of patients have both disorders; this "overlap syndrome" causes more severe nocturnal hypoxemia than either disease alone. This common combination of OSA and COPD has important implications for diagnosis, treatment, and outcome. Specifically, patients with COPD and OSA have a substantially greater risk of morbidity and mortality, compared to those with either COPD or OSA alone. Only now are the interactions between these 2 systemic diseases being determined and appreciated. Many questions remain, however, with regard to disease definition, prognosis, and optimal treatment. Treatment currently consists of continuous positive airway pressure, and oxygen as needed. Noninvasive ventilation may be helpful in overlap syndrome patients, but this has not yet been well studied.

journal_name

Respir Care

journal_title

Respiratory care

authors

Owens RL,Malhotra A

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

1333-44; discussion 1344-6

issue

10

eissn

0020-1324

issn

1943-3654

journal_volume

55

pub_type

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