Clinical significance of sleep apnea in the elderly

H. Knight, R. P. Millman, R. C. Gur, Andrew Saykin, J. U. Doherty, A. I. Pack

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

The generally accepted polysomnographic criteria for diagnosis of sleep apnea is exceeded by elderly subjects with such frequency that the validity of its application to this age group has been questioned. We studied a group of elderly volunteers with nocturnal polysomnography and partitioned them into 2 groups based upon an apnea index of greater than or less than 5 per hour. The results of a protocol evaluating the presence of potential complications of sleep apnea including cardiac arrhythmias, systemic hypertension, cor pulmonale, daytime sleepiness, and cognitive impairment were compared for the 2 groups. No excess incidence of cardiovascular complications was found. Although an increase in daytime sleep tendency was shown for the group with more frequent apneas, no appreciable deficits in cognitive performance were demonstrated. Although apnea during sleep in the elderly may be associated with an increase in daytime sleepiness, it may not necessarily result in other physiologic or neuropsychologic consequences. Therapeutic intervention for these abnormalities should be carefully considered prior to the institution of treatment in light of these observations.

Original languageEnglish (US)
Pages (from-to)845-850
Number of pages6
JournalAmerican Review of Respiratory Disease
Volume136
Issue number4
StatePublished - 1987
Externally publishedYes

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Sleep Apnea Syndromes
Apnea
Pulmonary Heart Disease
Polysomnography
Cardiac Arrhythmias
Volunteers
Sleep
Age Groups
Hypertension
Incidence
Therapeutics

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Knight, H., Millman, R. P., Gur, R. C., Saykin, A., Doherty, J. U., & Pack, A. I. (1987). Clinical significance of sleep apnea in the elderly. American Review of Respiratory Disease, 136(4), 845-850.

Clinical significance of sleep apnea in the elderly. / Knight, H.; Millman, R. P.; Gur, R. C.; Saykin, Andrew; Doherty, J. U.; Pack, A. I.

In: American Review of Respiratory Disease, Vol. 136, No. 4, 1987, p. 845-850.

Research output: Contribution to journalArticle

Knight, H, Millman, RP, Gur, RC, Saykin, A, Doherty, JU & Pack, AI 1987, 'Clinical significance of sleep apnea in the elderly', American Review of Respiratory Disease, vol. 136, no. 4, pp. 845-850.
Knight H, Millman RP, Gur RC, Saykin A, Doherty JU, Pack AI. Clinical significance of sleep apnea in the elderly. American Review of Respiratory Disease. 1987;136(4):845-850.
Knight, H. ; Millman, R. P. ; Gur, R. C. ; Saykin, Andrew ; Doherty, J. U. ; Pack, A. I. / Clinical significance of sleep apnea in the elderly. In: American Review of Respiratory Disease. 1987 ; Vol. 136, No. 4. pp. 845-850.
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