El síndrome de apnea-hipopnea del sueño en 2009
Sleep apnea-hypopnea syndrome 2009
Ana Camarasa Escriga, Demetrio González Vergarab, José Carlos Serrano Rebolloc, Ferran Barbéd,
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a Hospital Universitario San Juan de Alicante, Alicante, España
b Hospital Universitario Virgen del Rocío, Sevilla, España
c Hospital San Pedro de Alcántara, Cáceres, España
d Hospital Universitario Arnau de Vilanova, Lleida, España. CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid. IRB Lleida, Lleida, España
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CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid. IRB Lleida, Lleida, España" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sleep apnea-hypopnea syndrome 2009" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154417" "palabras" => array:5 [ 0 => "Diagnóstico" 1 => "Poligrafía respiratoria" 2 => "Polisomnografía" 3 => "Síndrome de apnea-hipopnea del sueño" 4 => "Tratamiento" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec154416" "palabras" => array:5 [ 0 => "Diagnosis" 1 => "Respiratory polygraphy" 2 => "Polysomnography" 3 => "Sleep apnea-hypopnea syndrome" 4 => "Treatment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El síndrome de apnea-hipopnea del sueño (SAHS) es una entidad con una elevada prevalencia en la población general que, debido a su repercusión sociosanitaria, se ha convertido en un problema de salud pública de primera magnitud. La definición del síndrome ha ido evolucionando, así como la definición de acontecimiento respiratorio. El papel de los mecanismos inflamatorios en el desarrollo de enfermedad cardiovascular se encuentra en plena investigación y es probable que en el futuro haya que añadir marcadores biológicos tanto en la definición del síndrome como en la elección del tratamiento. Aunque la técnica de referencia en el diagnóstico es la polisomnografía, la poligrafía respiratoria se ha convertido en una alternativa válida y complementaria al tratarse de un método simplificado, que puede realizarse en el domicilio, para descartar o confirmar la enfermedad. Sistemas expertos como el monocanal quizá aporten nuevos datos en la simplificación del diagnóstico. Actualmente el tratamiento con presión positiva continua de la vía aérea (CPAP) sigue siendo el método de referencia y su indicación principal en pacientes con SAHS moderado o severo en los cuales ha demostrado disminuir la mortalidad.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Sleep apnea-hypopnea syndrome (SAHS) is a highly prevalent disease in the general population and, due to its social and health repercussions, has become a major public health problem. The definition of this syndrome, as well as that of respiratory event, have been refined.</p><p class="elsevierStyleSimplePara elsevierViewall">The role of inflammatory mechanisms in the development of cardiovascular disease is currently under investigation and biological markers will probably be added, both in the definition of SAHS and in the choice of treatment. Although the gold standard in diagnosis is polysomnography, respiratory polygraphy has become a valid and complementary alternative, since this technique is a simplified method that can be performed in the home to confirm or exclude this disease. Expert systems such as single-channel devices may help to simplify diagnosis. Currently, the mainstay of treatment is still continuous positive airway pressure (CPAP); this modality is mainly indicated in patients with moderate or severe SAHS and has been shown to reduce mortality in this group.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The sleep apnea syndromes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Guilleminault" 1 => "A. Tilkian" 2 => "W.C. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 3 | 10 |
| 2024 October | 35 | 19 | 54 |
| 2024 September | 35 | 15 | 50 |
| 2024 August | 56 | 29 | 85 |
| 2024 July | 34 | 26 | 60 |
| 2024 June | 42 | 18 | 60 |
| 2024 May | 65 | 32 | 97 |
| 2024 April | 37 | 25 | 62 |
| 2024 March | 34 | 29 | 63 |
| 2024 February | 31 | 36 | 67 |
| 2023 March | 4 | 6 | 10 |
| 2023 February | 27 | 22 | 49 |
| 2023 January | 35 | 22 | 57 |
| 2022 December | 43 | 27 | 70 |
| 2022 November | 38 | 12 | 50 |
| 2022 October | 45 | 35 | 80 |
| 2022 September | 69 | 19 | 88 |
| 2022 August | 64 | 37 | 101 |
| 2022 July | 62 | 34 | 96 |
| 2022 June | 58 | 27 | 85 |
| 2022 May | 62 | 25 | 87 |
| 2022 April | 40 | 34 | 74 |
| 2022 March | 51 | 30 | 81 |
| 2022 February | 64 | 34 | 98 |
| 2022 January | 33 | 41 | 74 |
| 2021 December | 34 | 40 | 74 |
| 2021 November | 20 | 43 | 63 |
| 2021 October | 28 | 42 | 70 |
| 2021 September | 24 | 51 | 75 |
| 2021 August | 11 | 34 | 45 |
| 2021 July | 27 | 32 | 59 |
| 2021 June | 28 | 38 | 66 |
| 2021 May | 25 | 29 | 54 |
| 2021 April | 83 | 61 | 144 |
| 2021 March | 42 | 16 | 58 |
| 2021 February | 39 | 27 | 66 |
| 2021 January | 28 | 27 | 55 |
| 2020 December | 14 | 17 | 31 |
| 2020 November | 14 | 18 | 32 |
| 2020 October | 21 | 12 | 33 |
| 2020 September | 11 | 11 | 22 |
| 2020 August | 26 | 15 | 41 |
| 2020 July | 18 | 19 | 37 |
| 2020 June | 7 | 12 | 19 |
| 2020 May | 17 | 16 | 33 |
| 2020 April | 22 | 11 | 33 |
| 2020 March | 18 | 14 | 32 |
| 2020 February | 15 | 20 | 35 |
| 2020 January | 34 | 19 | 53 |
| 2019 December | 20 | 19 | 39 |
| 2019 November | 13 | 7 | 20 |
| 2019 October | 13 | 12 | 25 |
| 2019 September | 19 | 15 | 34 |
| 2019 August | 17 | 11 | 28 |
| 2019 July | 23 | 15 | 38 |
| 2019 June | 18 | 18 | 36 |
| 2019 May | 37 | 19 | 56 |
| 2019 April | 46 | 46 | 92 |
| 2019 March | 31 | 23 | 54 |
| 2019 February | 21 | 10 | 31 |
| 2019 January | 16 | 13 | 29 |
| 2018 December | 22 | 13 | 35 |
| 2018 November | 30 | 23 | 53 |
| 2018 October | 62 | 22 | 84 |
| 2018 September | 41 | 24 | 65 |
| 2018 May | 11 | 1 | 12 |
| 2018 April | 13 | 5 | 18 |
| 2018 March | 23 | 19 | 42 |
| 2018 February | 18 | 9 | 27 |
| 2018 January | 10 | 10 | 20 |
| 2017 December | 26 | 20 | 46 |
| 2017 November | 19 | 13 | 32 |
| 2017 October | 17 | 14 | 31 |
| 2017 September | 22 | 8 | 30 |
| 2017 August | 19 | 19 | 38 |
| 2017 July | 19 | 21 | 40 |
| 2017 June | 19 | 46 | 65 |
| 2017 May | 14 | 53 | 67 |
| 2017 April | 12 | 34 | 46 |
| 2017 March | 14 | 47 | 61 |
| 2017 February | 10 | 50 | 60 |
| 2017 January | 4 | 20 | 24 |
| 2016 December | 18 | 43 | 61 |
| 2016 November | 26 | 36 | 62 |
| 2016 October | 26 | 47 | 73 |
| 2016 September | 40 | 35 | 75 |
| 2016 August | 38 | 48 | 86 |
| 2016 July | 42 | 19 | 61 |
| 2016 June | 55 | 26 | 81 |
| 2016 May | 52 | 27 | 79 |
| 2016 April | 11 | 2 | 13 |
| 2016 March | 24 | 3 | 27 |
| 2016 February | 37 | 6 | 43 |
| 2016 January | 50 | 20 | 70 |
| 2015 December | 45 | 20 | 65 |
| 2015 November | 88 | 51 | 139 |
| 2015 October | 71 | 5 | 76 |
| 2015 September | 77 | 0 | 77 |
| 2015 August | 33 | 0 | 33 |
| 2015 July | 41 | 0 | 41 |
| 2015 June | 36 | 0 | 36 |
| 2015 May | 64 | 0 | 64 |
| 2015 April | 36 | 0 | 36 |
| 2015 March | 55 | 0 | 55 |
| 2015 February | 25 | 0 | 25 |
| 2015 January | 38 | 0 | 38 |
| 2014 December | 30 | 0 | 30 |
| 2014 November | 39 | 0 | 39 |
| 2014 October | 54 | 0 | 54 |
| 2014 September | 38 | 0 | 38 |
| 2014 August | 39 | 0 | 39 |
| 2014 July | 46 | 0 | 46 |
| 2014 June | 46 | 0 | 46 |
| 2014 May | 44 | 0 | 44 |
| 2014 April | 40 | 0 | 40 |
| 2014 March | 34 | 0 | 34 |
| 2014 February | 51 | 0 | 51 |
| 2014 January | 38 | 0 | 38 |
| 2013 December | 45 | 0 | 45 |
| 2013 November | 44 | 0 | 44 |
| 2013 October | 33 | 0 | 33 |
| 2013 September | 36 | 0 | 36 |
| 2013 August | 91 | 0 | 91 |
| 2013 July | 41 | 0 | 41 |
| 2013 June | 36 | 0 | 36 |
| 2013 May | 41 | 0 | 41 |
| 2013 April | 28 | 0 | 28 |
| 2013 March | 18 | 0 | 18 |
| 2000 January | 662 | 0 | 662 |
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