Briese E, Böhning W, Glattki G, Schaudt C. German Society for Sleep Research and Sleep Medicine Annual Meeting, 2010.
OBJECTIVES: The excessive daytime sleepiness (EDS) with snoring is a core symptom of obstructive sleep apnea syndrome (OSAS). There is however, only a low correlation between the severity of the OSAS and EDS. Resulting from symptomatic GER compounded by arousals, poor sleep quality (s. Lit. 1). EDS, snoring and GER are positively correlated (s. Lit. 2). Asymptomatic GER leads to arousals with insomnia (s. Lit. 3). Can possibly the increased arousal activity explained by the different GER characterizes her EDS in OSAS?
CONCLUSION: LPR is a frequent event in saturated OSAS. The monopolar method esophageal endoscopy the 2- channel technology superior (s.Abb.3). Reflux events generate a high number of arousals. The CAP-arousals are obvious characteristic of reflux dependence (S.Lit.4). The lengths of reflux episodes leading to arousals lead differ greatly. ShortpH events do not lead conclusively to an arousal. At EDS, with only mild obstructive sleep apnea syndrome (UARS) is to note the form of arousal. A negative reflux history with CAP-arousals which pH monitoring is indicated. In addition to the CPAP therapy is discussion of aggressive use of PPI.