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[The upper airway in obstructive sleep apnea patients is pathological even when awake]. / Der obere Atemweg bei OSA-Patienten ist auch im Wachzustand pathologisch.
Degerli, Mikail Aykut; Koehler, Ulrich; Kesper, Karl; Hildebrandt, Olaf; Conradt, Regina; Koehler, Niklas; Stenger, Manuel; Hildebrandt, Wulf; Sambale, Janine.
Afiliación
  • Degerli MA; Pneumologie, Philipps-Universität Marburg, Marburg, Deutschland.
  • Koehler U; Pneumologie, Philipps-Universität Marburg, Marburg, Deutschland.
  • Kesper K; Pneumologie, Philipps-Universität Marburg, Marburg, Deutschland.
  • Hildebrandt O; Pneumologie, Philipps-Universität Marburg, Marburg, Deutschland.
  • Conradt R; Fachbereich Gesundheit, Technische Hochschule Mittelhessen, Gießen, Deutschland.
  • Koehler N; Regulatory Affairs, ThoraTech GmbH, Gießen, Deutschland.
  • Stenger M; Fachbereich Gesundheit, Technische Hochschule Mittelhessen, Gießen, Deutschland.
  • Hildebrandt W; Institut für Anatomie und Zellbiologie, Philipps-Universität Marburg, Marburg, Deutschland.
  • Sambale J; Kieferorthopädie, Philipps-Universitat Marburg, Marburg, Deutschland.
Pneumologie ; 78(3): 191-198, 2024 Mar.
Article en De | MEDLINE | ID: mdl-37647916
Obstructive sleep apnea (OSA) is characterized by partial or complete obstruction of the pharyngeal airway. Anatomical factors can be distinguished from non-anatomical factors. Age and obesity are the main risk factors for OSA; however, approximately 50% of patients are not obese. In older patients (>60 years), the importance of obesity decreases. There is an increased prevalence of OSA among patients with normal weight. The effects of chronic intermittent hypoxemia, low-grade inflammation, increased sympathetic tone and mechanical stress contribute to a transformation of muscle fibers in the upper airway, resulting in reduced muscle mass and strength. Less frequently encountered non-anatomical factors include decreased muscle tone, increased arousal threshold, and altered sensitivity of CO2 chemoreceptors.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apnea Obstructiva del Sueño / Laringe Tipo de estudio: Risk_factors_studies Límite: Aged / Humans Idioma: De Revista: Pneumologie Año: 2024 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apnea Obstructiva del Sueño / Laringe Tipo de estudio: Risk_factors_studies Límite: Aged / Humans Idioma: De Revista: Pneumologie Año: 2024 Tipo del documento: Article Pais de publicación: Alemania