Sleep complaints and sleep breathing disorders in upper and lower obstructive lung diseases

Abstract

Upper and lower obstructive lung diseases can induce sleep complaints and can be part of the pathogenesis of sleep breathing disorders. In fact, the physiological changes of the pattern of respiration during sleep, added to the airways disease can lead to symptomatic worsening of rhinitis, asthma and chronic obstructive pulmonary diseases (COPD); moreover, their functional and anatomical features can lead to sleep breathing disorders such as obstructive sleep apnea syndrome (OSAS). This review highlights the above-mentioned relationships and the effect of disease management on its comorbidities and the patient's quality of life. Rhinitis, asthma and COPD represent causes of sleep complaints that may be reduced with optimal management of these obstructive airways diseases. Continuous positive airway pressure (CPAP) treatment of sleep apnea needs to be tailored after optimization of the therapy of concomitant diseases, but it can often ameliorate comorbid disease.

The relationship between sleep quality and dyspnoea severity in patients with COPD

“…3 Sleep quality of COPD patients is inferior in relation to respiratory problems. 5,6 Disturbances in sleep patterns and respiratory changes due to the disease significantly affect the prognosis of the disease. Besides, insomnia caused by sputum production and cough is one of the common problems affecting daily living activities in COPD patients.…”

“…10 Although sleep disorders are common in COPD patients, these patients are vulnerable to increased gas exchange deviations wth sleep. 6 While sleep oxygenation is insignificant in healthy adults, it may be severe and fatal in people with lung disease. 3 …”

The unity of respiratory patient advocacy

“…Baiardini and her colleagues have come to several important conclusions in their clinical review of the obstructive sleep apnea syndrome (OSAS) in the current issue of Journal of Thoracic Disease (JTD) (1). I would like to add one further conclusion that is a consequence of their observations.…”

Fatores associados à sonolência excessiva diurna em pacientes de uma clínica do sono

“…Estudos anteriores trazem essa associação principalmente com relação à Rinosinusite Crônica (RSC), Asma e Doença Pulmonar Obstrutiva Crônica (DPOC). Na RSC é possível que a inflamação das narinas e seios da face, além da obstrução nasal, gere bloqueio das vias aéreas, contribindo muito para o aparecimento de Distúrbio Respiratório do Sono(FERRANDO M, et al, 2016). Pacientes com RSC comumente sofrem de sintomas de dor facial e pressão relacionada à congestão crônica e inflamação dos seios paranasais.…”