Top
20
Doctor insights on: Sleep Architecture

Share
Dr. Heidi Fowler
5,033 doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more


2

2
Sleep apnea surgery results?

Sleep apnea surgery results?

Depends: Outcomes depend on the procedure/combination of procedures, as well as the anatomy of the airway. Soft tissue surgery (on the palate, nose, etc) have roughly a 50-70% success rate. Jaw surgery, although a bit more drastic, has approximately a 90-95% success rate. Best to see a surgeon in your area trained in sleep surgery to discuss this at length and choose the right procedure for you. ...Read more

See 2 more doctor answers
3

3
Which is worse: obstructive sleep apnea or central sleep apnea?

Which is worse: obstructive sleep apnea or central sleep apnea?

Both: Both are serious conditions, manageable with treatment, and serious if neglected. The severity varies in every particular case, the classification is not intended to determine which one is milder, they just have different ways to treat them. In general, treatment compliance is an important factor that affects treatment outcomes of both. ...Read more

See 3 more doctor answers
4

4
What sleeping pills don't disrupt sleep architecture?

What sleeping pills don't disrupt sleep architecture?

Very good question: I hear all sorts of marketing claims regarding sleep meds and tendency to preserve various phases of sleep, but not really convinced that any do not disrupt patterns. However, your best bet prescription wise might be lunesta, and otc melatonin would also be relatively appropriate. Drugs such as ambien, sonata, (zaleplon) barbiturates and benzodiazepines all disrupt sleep patterns quite substantially. ...Read more

5

5
How does ahi impact sleep architecture then?What does sleep architecture depend on?

How does ahi  impact sleep architecture then?What does sleep architecture depend on?

# of awakenings: Sleep architecture has more to do with the number of awakenings and arousals, and these do not necessarily correlate with the ahi. Some people awaken or go into an arousal state during apnea or hypopnea and many don't. ...Read more

6

6
Does sleep deprivation cause sleep walking?

Does sleep deprivation cause sleep walking?

Yes: People prone to sleep walking are more likely to do so when they are recovering (ie getting good sleep) after sleep deprivation. ...Read more

See 1 more doctor answer
7

7
What is obstructive sleep apnea?

What is obstructive sleep apnea?

OSA: Obstructive sleep apnea occurs when breathing stops (apnea) during sleep usually as a result of a temporary obstruction such as a narrowing and closing in the oropharynx. When the brain detects that breathing has stopped, an alarm goes up that wakes the person so that he starts breathing again. Often the person does not know why he has woken. An observer may note snoring or gasping in the night. ...Read more

See 3 more doctor answers
8

8
Is obstructive sleep apnea painful?

Is obstructive sleep apnea painful?

No: Sleep apnea can cause headaches, dry mouth, mood and personality changes, excessive sleepiness. It is not a painful condition. ...Read more

See 3 more doctor answers
9

9
Define mild sleep apnea?

Define mild sleep apnea?

Gasping for air: Sleep apnea is defined as complete (apnea) or partial obstruction (hypopnia) of the airway during sleep. Typical signs and symptoms are snoring, wake up gasping for air, and excessive daytime sleepiness. Diagnosis is made by a sleep study (polysomnogram) and the main parameter of diagnosis is ahi (apnea-hypopnea index). Mild sleep apnea ranges from 5-10 ahi. ...Read more

See 3 more doctor answers
10

10
What is the differance between sleep apnea and obstructive sleep apnea?

What is the differance between sleep apnea and obstructive sleep apnea?

Apnea: Obstrutive due to dynamic narrowing of upper airway (nose/throat/wind pipe) by a large tongue, jaw deformities, obesity. Pt usually snores. Central apnea there is no obstruction, usually no snoring . Conditions like heart-kidney failure, stroke, sedatives cause brainstem to decrease respiratory drive when sleeping. Need to treat the conditions. ...Read more

See 4 more doctor answers
11

11
Cure of sleep apnea?

Cure of sleep apnea?

No cure: There is high failure rate of surgical procedures for sleep apnea. Best treatment is the CPAP mask adjusted to the right pressure. There are some that automatically adjust themselves for the best pressure. Need to get the most comfortable mask & less noisy machine .Complications of surgery include airway obstruction, bleeding, hematoma, infection, pain, death, dysphagia, velopharyngeal etc... ...Read more

See 8 more doctor answers
12

12
What does "slerp architecture indicated absence of deep sleep" mean on sleep study?

What does "slerp architecture indicated absence of deep sleep" mean on sleep study?

Stages 3 & 4: Stages 3 and 4 are referred to as deep sleep or delta sleep. Discuss correlating this with your problem with sleep MD. ...Read more

See 2 more doctor answers
13

13
What is sleep apnea?

Closed airway: Sleep apnea is the closure of the airway or significant narrowing of the airway during sleep. Risk factors include being male, being overweight, having a large neck, being a snorer and having daytime sleepiness. Sleep apnea increases your risk of stroke, heart attack and high blood pressure. ...Read more

See 4 more doctor answers
14

14
What is sleep apnea?

What is sleep apnea?

Not breathing: Apnea is breath-holding, or not breathing. Some people have periods of time they don't breath while they are asleep. Sometimes it is related to body weight, other times it is neurological. Treatment usually involves weight loss, mouthguards to reposition the mouth, or even cpap. If not treated, this can lead to lung/heart problems, chronic fatigue, weight gain, and high blood pressure. ...Read more

See 3 more doctor answers
15

15
Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Consider Nuvigil: For patients with ongoing sleepiness in spirited of cpap, Nuvigil is usually the next recorded treatment. It only occasionally raises blood pressure, but you should have it checked if you start on it. Good luck to you. ...Read more

See 1 more doctor answer
16

16
Can benzodiazepines cause sleep apnea?

Can benzodiazepines cause sleep apnea?

R/O OSA: NO THEY MAY WORSEN IT: OSA can be suggested with underling obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL.VS HYOID SUSPENSION . ...Read more

See 1 more doctor answer
17

17
Is sleep apnea inherited?

Is sleep apnea inherited?

Yes: Yes, it is often inherited, but not always. One reason has to do with the fact that we look similar to our relatives. The facial bone growth determines the size of the airway and may be narrow in families with sleep apnea. Other familial factors may be obesity, size of tonsils and adenoids, muscle tone and how we breathe when we sleep. ...Read more

See 5 more doctor answers
18

18
Is sleep apnea reversible?

Is sleep apnea reversible?

Yes: Sleep apnea can have a number of causes, from being overweight to septal deviations. It is best to be evaluated and see what your issues are. ...Read more

See 12 more doctor answers
19

19
Does obesity cause sleep apnea?

Not just weight: Anatomy is king. Obstructive sleep apnea happens in a small airway "box". The airway can be small if what's in it takes up space or if the box is smaller. Weight gain increases tongue size and the thickness of the side walls of the throat. Tonsils may be large. Small jaw size, often inherited , will increase the risk of osa . Low muscle tone is also a factor. ...Read more

See 2 more doctor answers
20

20
Do benzodiazepines disrupt sleep quality and sleep architecture to the same degree as alcohol?

Do benzodiazepines disrupt sleep quality and sleep architecture to the same degree as alcohol?

No: Alcohol puts you to sleep and increases slow wave sleep then awakens you about 4 hours later and you do not sleep well and becomes disruptive to sleep and the sleep is non restorative .Benzodiazepines increase stages 1&2 and decrease slow wave or stage 3 sleep. It is also not restorative sleep and has been shown in ICU patients to contribute to sleep deficit and delirium. ...Read more

See 1 more doctor answer