title: [Sleep apnoea-hypopnoea syndrome].
abstract: Sleep apnea-hypopnea syndrome is an underdiagnosed medical condition which is gainingin importance. It is associated with cardiovascular disease, stroke, hypertension, insulin resistance and traffic accidents, resulting in deterioration of quality of life and increased mortality in these patients. The most characteristic symptoms of the disease are snoring, documented apnoeas and excessive daytime sleepiness. Polysomnography is the gold standard for diagnosis, but in patients with high pre-test probability, we should opt for respiratory polygraphy, a more accessible and less expensive test. Besides making lifestyle changes, the treatment of choice is continuous positive airway pressure. Some surgical techniques may be useful in the treatment of sleep apnoea-hypopnoea syndrome. In patients who cannot tolerate continuous positive airway pressure, are not candidates for surgery or have a high surgical risk intraoral devices might be used.
authors.affiliation: Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina. Universidad Complutense de Madrid (UCM), Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España.
authors.forename: Alicia
authors.initials: A
authors.lastname: Oliva Ramos
authors.affiliation: Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina. Universidad Complutense de Madrid (UCM), Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España.
authors.forename: Milagros
authors.initials: M
authors.lastname: Llanos Flores
authors.affiliation: Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina. Universidad Complutense de Madrid (UCM), Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España. Electronic address: javier.miguel@salud.madrid.org.
authors.forename: Javier
authors.initials: J
authors.lastname: de Miguel Díez
mesh_terms: D003131:Combined Modality Therapy; D045422:Continuous Positive Airway Pressure; D004035:Diet Therapy; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D010808:Physical Examination; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000175:diagnosis / Q000628:therapy
keywords: Cirugía; Continuous positive pressure airway; Dispositivos intraorales; Intraoral devices; Poligrafía respiratoria; Polisomnografía; Polysomnography; Presión positiva continua de la vía aérea; Respiratory polygraphy; Sleep apnoea-hypopnoea syndrome; Surgery; Síndrome de apnea-hipopnea del sueño