| 복합수면장애호흡의 인지 및 치료 |
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이상암 |
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울산대학교 의과대학 서울아산병원 신경과 |
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| Recognition and Management of Complex Sleep Disordered Breathing |
| Sang Ahm Lee |
| Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine |
| Corresponding Author:
Sang Ahm Lee ,Tel: +82-2-3010-3440, Fax: +82-2-474-4691, Email: sale@amc.seoul.kr |
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Received: December 7, 2007 Accepted: December 23, 2007 Published online: December 31, 2007 |
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| ABSTRACT |
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Complex sleep apnea is a recently proposed classification category, describing patients with obstructive sleep apnea, who develop
frequent central sleep apnea or periodic breathing pattern when treated with continuous positive airway pressure therapy. The prevalence
of complex sleep apnea may be as high as 15% in a general sleep center patient population. The etiology of this syndrome is unclear,
but a predominant derangement of respiratory control coexisting with upper airway obstruction has been proposed. Clinical significance
is that these patients do not respond well to continuous positive airway pressure, and, in particular, may not be appropriate candidates
for autotitrating devices. It would be useful to clinically identify such patients so that alternate therapeutic approaches could be anticipated. |
| Keywords:
Complex sleep apnea | Obstructive sleep apnea | Central sleep apnea | Continuous positive airway pressure |
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