Sleep Med Psychophysiol.  2017 Jun;24(1):19-23. 10.14401/KASMED.2017.24.1.19.

Obstructive Sleep Apnea in Interstitial Lung Disease

• Kim SB
• Lee SH
• Kang HH

• KMID: 2387299
• DOI: http://doi.org/10.14401/KASMED.2017.24.1.19

Abstract

Obstructive sleep apnea is a common disorder in which respiratory flow decreases or disappears despite respiratory effort due to occlusion of the upper respiratory tract during sleep. Oxidative stress and systemic inflammatory reaction induced by the obstruction cause complications such as hypertension, coronary artery disease, and diabetes and increase cancer incidence. Furthermore, in patients with interstitial lung disease, obstructive sleep apnea has a very high prevalence and is thought to have a close pathophysiological and clinical correlation. In other words, obstructive sleep apnea could be the cause or a complication of interstitial lung disease ; when these two afflictions coexist, the prognosis of the patient is worse. In patients with interstitial lung disease with obstructive sleep apnea, CPAP treatment significantly improved sleep and quality of life, as well as improved morbidity and mortality in a recent study. Therefore, early diagnosis and treatment of obstructive sleep apnea in patients with interstitial lung disease are very important, and additional studies designed to include patients with idiopathic pulmonary fibrosis as well as patients with advanced interstitial lung disease should be performed.

Keyword

Obstructive sleep apnea; Interstitial lung disease; Sleep disorder; CPAP treatment

MeSH Terms

Coronary Artery Disease
Early Diagnosis
Humans
Hypertension
Idiopathic Pulmonary Fibrosis
Incidence
Lung Diseases, Interstitial*
Mortality
Oxidative Stress
Prevalence
Prognosis
Quality of Life
Respiratory System
Sleep Apnea, Obstructive*
Sleep Wake Disorders