Sleep Related Disorders and Internal Diseases

ISBN-13: 9783642725623 / Angielski / Miękka / 2011 / 393 str.

J. Rg H. Peter; Thomas Podszus; P. V. Wichert

Opis

The normal function of the organism in various stages of activity can be seen as a process of mutual interaction of different regulation mechanisms building up the behaviour of the organism in changing situations and/or ages and/or levels of health or disease. Insights into these very complex relations which steer the action of the organism are particularly important for the study of internal medi cine. They can be seen as directly related to the understanding of pathological conditions. Recently, the medical community has focused its interest on the physiology and pathophysiology of events which happen during sleep. Although some information on pathological regulation during sleep was collected in the 1930s, the modern technology of registration methods is required to analyse the pheno mena of sleep-related physiological and pathophysiological patterns. It is intere sting that the modern research in this field developed from neuropsychiatry and is now expanding into other fields of medicine, although some problems, for instance the Pickwickian syndrome, were also for a long time considered part of the field of internal medicine. It becomes clearer that sleep is not only a neuro psychiatric phenomenon, but also has profound consequences for other physio logical circuits, perhaps even an important role in pathogenesis. Sleep also has profound consequences for internal diseases. This was shown very clearly recently by many groups, although their data have not yet received the attention which they deserve."

Spis treści

1: Sleep and Disordered Sleep.- Sleep-Introductory Notes.- Chronobiological Aspects of Sleep Disorders.- Critical Assessment Issues in Disordered Sleep and Wakefulness.- The Interaction of Drugs with Sleep.- 2: Measurement.- Measurement of Sleep Fragmentation.- Paroxysmal Awakenings from Sleep — A Model of Sleep Fragmentation Causing Excessive Daytime Sleepiness.- Various Components of Respiratory Control During Sleep, Rest, and Strain.- Interindividual Differences in Sleep Patterns During Night and Shift Work.- The Application of Time-Series Analysis to the Diagnosis of Complex Internal Disorders: Sleep Apnea.- Techniques to Construct Respiratory Waveforms from VCG/ECG.- Use of Tracheal Sound Recordings to Monitor Airflow During Sleep.- Thoracoabdominal Motion in Health and Disease.- Assessment of the Time Structure of Sleep Apneas.- An Apnea-Monitoring Device Based on Variation of Heart Rate and Snoring.- Vigilance and Performance in Sleep Apnea Under Single-Dose Theophylline Therapy.- Computerization of Respiratory Parameters During Sleep.- EEG-Analysis Among Patients with Sleep Apnea by Means of a Microcomputer.- Acquisition and Storage of Sleep-Related Biosignals.- 3: Epidemiology I.- Sleep Disturbances and Cardiovascular Risk: A Biopsychosocial Approach.- Sleep and Stress.- Prevalence of Sleep Complaints Among Swedish Men - An Epidemiological Study.- 4: Epidemiology II-Snoring.- Clinical Approach to Heavy Snorers’ Disease and Other Sleep-Related Respiratory Disorders.- Snoring as a Risk Factor for Ischaemic Heart Disease and Stroke in Men.- Snoring, Sleep Apnea, and Hypertension in a Field Study.- 5: Epidemiology III-Sleep-Related Breathing Disorders.- Rediscovering Sleepy Patients: The Sleep Apnea Syndrome.- The Prevalence of Increased Pulmonary Arterial Pressure Among Sleep Apneics.- Sleep Apnea Activity and General Morbidity in a Field Study.- Breathing During Sleep in Normal Subjects.- Sleep-Related Disordered Breathing, Daytime Hypertension, and Nocturnal Hypotension in Older Males.- 6: Cardiorespiratory Disorders During Sleep and Hemodynamics.- Nocturnal Hyopxemia and Pulmonary Arterial Blood Pressure.- Interaction of Sleep Apnea and Chronic Lung Disease.- The Role of Sleep-Related Breathing Disorders in Cardiorespiratory Disease: Hemodynamics.- 7: Cardiovasular Risk and Sleep Apnea.- Nocturnal Hemodynamics in Patients with Sleep Apnea.- Plasma Levels of Catecholamines and Cardiovascular Parameters During Sleep in Patients with Sleep Apnea Syndrome.- Echocardiographic Findings in Sleep Apnea.- Bradyarrhythmias in Patients with Sleep Apnea.- 8: Therapy.- Treatment of Sleep Apnea by Prosthetic Mandibular Advancement.- Review of the Therapeutic Approaches to Sleep Apnea.- Five Years’ Experience with Home Nasal Continuous Positive Airway Pressure Therapy for the Obstructive Sleep Apnea Syndrome.- Problems in the Application of Nasal Continuous Positive Airway Pressure for the Treatment of Obstructive Sleep Apnea. Hypoxemia During Sleep on Nasal Continuous Positive Airway Pressure Treatment.- Hemodynamics in Obstructive Sleep Apnea Syndrome Patients Treated by Continuous Positive Airway Pressure.- Reversibility of Severe Cardiac Arrhythmias in Sleep Apnea Under Nasal Continuous Positive Airway Pressure Therapy.- Current Research in Sleep-Related Breathing Disorders: Conclusions for Internal Diagnostics and Therapy.