Sleep Med Psychophysiol.
2020 Jun;27(1):8-15. 10.14401/KASMED.2020.27.1.8.
Chronic Obstructive Pulmonary Disease and Sleep Disorder
- Affiliations
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- 1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, College of Medicine, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
- 2Division of Pulmonary, Critical care and Sleep Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- KMID: 2504230
- DOI: http://doi.org/10.14401/KASMED.2020.27.1.8
Abstract
- Sleep disorder in chronic obstructive pulmonary disease (COPD) is common and typically is associated with oxygen desaturation. The mechanisms of desaturation include hypoventilation and ventilation to perfusion mismatch. Despite the importance of sleep in patients with COPD, this topic is under-assessed in clinical practice. Impaired sleep quality is associated with more severe COPD and may contribute to worse clinical outcomes. Recent data have indicated that specific respiratory management of patients with COPD and sleep disordered breathing improves clinical outcomes. Clinicians managing patients with COPD should pay attention to and actively manage symptoms of comorbid sleep disorders. Management of sleep-related problems in COPD should particularly focus on minimizing sleep disturbance.
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