title: Sleep apnea in patients with acromegaly. Frequency, characterization and positive pressure titration.
abstract: OBJECTIVE
  to describe the frequency of sleep apnea in patients with acromegaly;to identify the proportion of candidates for treatment with positive airway pressure;to report our experience with the positive pressure titration process in acromegaly patients.
  
  
  METHODS
  A cross-sectional study that included the acromegaly cohort at the Centro Medico Nacional "20 de Noviembre" in Mexico City (n=44). A standard polysomnography (PSG) was carried out for each patient. A second PSG was done for purposes of CPAP titration.
  
  
  RESULTS
  A total of 35 patients were studied (80% of the cohort, 20 [57%] women). Polysomnography results showed that 34 subjects (97%, 95%CI 91-100%) had apnea hypopnea indexes (AHI) ≥ 5. No patient had central apnea. We identified 19 subjects with AHI ≥5 and Epworth ≥10, for a frequency of obstructive sleep apnea syndrome of 54% (95%CI 36-71%). A total of 31 patients (88%; 95%CI 77-99%) were deemed to be candidates for positive pressure treatment, but only 8 of them accepted CPAP. They required pressures that ranged from 10 to 18 cmH(2)O.
  
  
  CONCLUSIONS
  Our results confirm a high prevalence of sleep apnea in patients with acromegaly, and provide evidence that the majority of those patients are candidates for treatment with positive pressure. Contrary to what has been reported, we identified no patients with central apnea.
authors: Sleep Medicine Unit, National Institute of Respiratory Diseases; Mexico City, Mexico.
authors: Daniel
authors: D
authors: Hernández-Gordillo
authors: María Del Rocío
authors: Mdel R
authors: Ortega-Gómez
authors: Lourdes
authors: L
authors: Galicia-Polo
authors: Armando
authors: A
authors: Castorena-Maldonado
authors: Alma
authors: A
authors: Vergara-López
authors: Miguel Ángel
authors: MÁ
authors: Guillén-González
authors: Luis
authors: L
authors: Torre-Bouscoulet