Sleep Apnea: A Diagnosis Often Missed
Loud snoring and daytime sleepiness are red flags.
Dr. Hélène Marquet
Pulmonologist
- Witnessed pauses in breathing
- Loud, irregular snoring
- Choking awakenings
- Morning headaches
- Excessive daytime sleepiness, falling asleep at the wheel
Diagnosis
Home sleep apnea testing or in-lab polysomnography quantifies the apnea-hypopnea index. An index above 15 (or above 5 with symptoms) defines moderate disease.
Treatment
CPAP therapy is the reference treatment and rapidly improves daytime function. Mandibular advancement devices and positional therapy help mild cases. Weight loss is highly effective.
Why it matters
Untreated severe apnea doubles the risk of stroke, atrial fibrillation, and resistant hypertension.
Partners often notice apnea long before patients do. Their report matters at consultation.
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