© 2004 BMJ Publishing Group Ltd & British Thoracic Society
EDITORIAL
Sleep disordered breathing
Sleep disordered breathing awoken
Respiratory Division, University of British Columbia, Vancouver, Canada
Correspondence to:
Correspondence to:
Dr J Fleetham
Respiratory Medicine, Vancouver Hospital, 2775 Heather Street, Vancouver, BC, Canada V5Z 3J5; fleetham@interchange.ubc.ca
Introducing a new series on obstructive sleep apnoea/hypopnoea syndrome in Thorax
Keywords: obstructive sleep apnoea/hypopnoea syndrome
| The first 150 words of the full text of this article appear below. |
In 1997 Dr Wright and colleagues published a systematic review on the health effects of obstructive sleep apnoea/hypopnoea syndrome (OSAHS) and the effectiveness of treatment with continuous positive airway pressure (CPAP).1 They concluded that there was limited evidence of increased mortality or morbidity in patients with OSAHS, and that the evidence linking the condition to cardiac arrhythmias, ischaemic heart disease, left and right ventricular dysfunction, systemic and pulmonary hypertension, stroke, and automobile crashes was conflicting and inconclusive. They also concluded that, although CPAP had been shown to improve daytime sleepiness, there were insufficient data to determine its effect on quality of life, morbidity, or mortality. This review generated much controversy but was a wake up call2 to investigators in this field that all were not convinced that OSAHS was an important condition that always warranted treatment. At that time our understanding of the natural history of OSAHS
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