- Occurs in patients who are overweight
- 30% have other correctable factors, e.g. ENT problems, drugs (sedatives), alcohol, acromegaly
Clinical features
- Snoring/nocturnal choking
- Daytime sleepiness
- Unrefreshed or restless sleep
- Morning headaches or 'drunkeness'
- Reduced libido
- Ankle swelling
Investigations
- Sleep study (measure oximetry, abdominal/thoracic movement and EEG during sleep)
Management
- Weight loss, ENT surgery, or correction of other factors listed above
- CPAP ventilation at night
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